5FN-12189-00059

3 vaccinations 7 coded responses 18 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 955 / CA
Registered: 2021-03-10

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
1696464 (opens in a new window)	high	10 / 11	-2	3 of 7 VAERS symptoms	same dose (1)	OR differs	2021-03-10 / — / 2021-09-14 received the same day as the last call	case 998076

From the VAERS matching of call center cases (loader/vaers_match_*). Only the best match is shown, and only if it scores 8 or more out of 11. The score adds up timing (VAERS received soon after the call center contact), dose and shared symptoms; state only breaks ties. Confidence is high when the score is 8+ and at least 3 points ahead of the runner-up, medium when 5+ and 2 ahead, otherwise low. A match is a likely link, not a confirmed one.

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-10
Registered in v-safe
2021-03-10
Dose 1 — Janssen/Johnson & Johnson
2021-03-10
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy, Pre-existing disease — Feeling: Good · Site: Pain

Free text: Submandular nodes? Both sides under jowel chin area are swollen. I haves graves immune disorder.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy, Platelet count decreased, Pre-existing disease, Salivary gland mass, White blood cell count decreased — Feeling: Good · Site: Pain

Free text: Swollen submanibular glands both sides feels like no seperation between the two sides. I have Graves hyperthroidism flucuates. Believe its just my messed up immune system trying to figure out how to react .I also was concerned getting vaccine because im on lorstan for my heart n understood was a covid 19 study which blocked cells from spike protien from attaching itself. Confused it it would have any effect on vaccine as my immune system messed uplast labs Low platlettes and white blood cells

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Survey response — day 7, dose 1
MedDRA: Hypothyroidism, Lymphadenopathy, Myalgia, Neck pain — Feeling: Good

Free text: Glands stiil swollen .woke up yesterday right side mucles neck pain .off and on 1/2 head right side nild headache. Could be maybe I just slept wrong.liitle better today. Also thyroid blood work right before i got my vaccine. I have flipped from hyper to hypo thyroidism.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — day 14, dose 1
MedDRA: Hyperthyroidism, Hypothyroidism — Feeling: Good

Free text: Blood labs on 3-10 prior to vaccine thtroid results flipped from hyperthyroidism graves disease to hypo. Labs on 3- 17 week after vaccine results co2 level 20, sodium 134. Not saying had to do with vaccine but wanted to note because of co2 levels

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — day 21, single dose
MedDRA: Breast pain, Lymphadenopathy, Pre-existing disease — Feeling: Good

Free text: A gland on right side above collar bone swollen. Swollen Glands under chin getting smaller.Breasts feel a little sore but?? I have so many of the high risk health issues n more its pretty hard to destinguish what from what.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-04-16
Survey response — day 35, single dose
MedDRA: Chest pain, Muscle spasms, Pain in extremity, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Last 3 days leg ache n bad cramping at night. Chest pain. Not sure why legs hurting I but have numerous health issues. 65% blockage in left CAD, 3.5 anurism in main belly arota. Thyroid issues. Hbp etc. Not saying its vaccine, reporting things .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-06-09
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-09-08
Survey response — 6 months, dose 1
MedDRA: Rhinorrhoea, SARS-CoV-2 test negative, Sneezing — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Runny nose and sneezing · Healthcare visit (other): Had a covid test..negative result

MedDRA releases: 2024-11 · check-in free text available
2021-09-08
Report sent to call center — 6 months, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-13
Call 1 — Left Voicemail
2021-09-14
Call successful
Completed over the phone
2021-09-21
Call 2 — Left Voicemail
2021-10-30
Dose 2 — Janssen/Johnson & Johnson
2022-03-12
Health check-in — 12 months, dose 1
Feeling: Good

Adult check-in
2022-05-16
Dose 3 — Moderna
2022-06-27
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-08-16
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Janssen/Johnson & Johnson
2	2021-10-30	Janssen/Johnson & Johnson	No
3	2022-05-16	Moderna	No

Call center

1 call center case

1 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-13

Systemic reaction (other): Submandular nodes? Both sides under jowel chin area are swollen. I haves graves immune disorder.

2021-03-14

Systemic reaction (other): Swollen submanibular glands both sides feels like no seperation between the two sides. I have Graves hyperthroidism flucuates. Believe its just my messed up immune system trying to figure out how to react .I also was concerned getting vaccine because im on lorstan for my heart n understood was a covid 19 study which blocked cells from spike protien from attaching itself. Confused it it would have any effect on vaccine as my immune system messed uplast labs Low platlettes and white blood cells

Release 5 — day 7, dose 1

2021-03-17

Systemic reaction (other): Glands stiil swollen .woke up yesterday right side mucles neck pain .off and on 1/2 head right side nild headache. Could be maybe I just slept wrong.liitle better today. Also thyroid blood work right before i got my vaccine. I have flipped from hyper to hypo thyroidism.

Release 6 — day 14, dose 1

2021-03-24

Symptoms: Blood labs on 3-10 prior to vaccine thtroid results flipped from hyperthyroidism graves disease to hypo. Labs on 3- 17 week after vaccine results co2 level 20, sodium 134. Not saying had to do with vaccine but wanted to note because of co2 levels

Release 6 — day 21, single dose

2021-03-31

Symptoms: A gland on right side above collar bone swollen. Swollen Glands under chin getting smaller.Breasts feel a little sore but?? I have so many of the high risk health issues n more its pretty hard to destinguish what from what.

Release 7 — day 35, single dose

2021-04-16

Symptoms: Last 3 days leg ache n bad cramping at night. Chest pain. Not sure why legs hurting I but have numerous health issues. 65% blockage in left CAD, 3.5 anurism in main belly arota. Thyroid issues. Hbp etc. Not saying its vaccine, reporting things .

Release 9 — 6 months, dose 1

2021-09-08

Symptoms: Runny nose and sneezing

Healthcare visit (other): Had a covid test..negative result

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
HCVO	SARS-CoV-2 test negative	·	·	✓
SD	Breast pain	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Hyperthyroidism	✓	✓	✓
SD	Hypothyroidism	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Sneezing	·	·	✓
SRO	Hypothyroidism	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Platelet count decreased	✓	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Salivary gland mass	○	✓	○
SRO	White blood cell count decreased	✓	·	✓

✓ active code · ○ coded but marked inactive · blank = not in that release