5FN-41193-73239

2 vaccinations 9 coded responses 20 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 986 / WA
Registered: 2021-01-24

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
2170938 (opens in a new window)	high	11 / 11	—	5 of 10 VAERS symptoms	same dose (2)	WA matches	2021-02-20 / 2021-02-20 / 2022-03-10 received 369 days after the last call	case 299476

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

2021-01-23
Dose 1 — Moderna
2021-01-24
Registered in v-safe
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain, Back pain, Mobility decreased, Pain in extremity — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: The pain is spreading to my back and arm pit along with my whole arm barely able to move.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-02-01
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-13
Survey response — day 21, dose 1
MedDRA: Nasopharyngitis — Feeling: Poor

Free text: A cold

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Dose 2 — Moderna
2021-02-20
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Hyperhidrosis, Muscle spasms, Pain, Palatal swelling, Stomatitis — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work

Free text: Brain spasms on the same side of body as vaccine injection followed by sweating and intense headache pain. Half of the roof of my mouth is raw and swollen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Palatal swelling, Skin exfoliation, Stomatitis — Feeling: Poor · Site: Pain, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Half the roof of my mouth is raw and skin falling off after getting swollen on the same side of my mouth as the vaccine was administered on my arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Brain zap spasms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Electric shock sensation — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work

Free text: Brain zaps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — day 7, dose 2
Feeling: Fair · Chills, Headache, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work

Adult check-in
2021-03-06
Survey response — day 14, dose 2
MedDRA: Emergency care, Heart rate increased, Office visit, Pyrexia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: On and off fever. Heart rate taking a shower goes to around 180-203 bpm. I have been to the ER, urgent care, and my doctor. Now have a zio patch to monitor my heart rate. Just changing my sons diaper I go from 70 bpm to 150 bpm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Report sent to call center — day 14, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-13
Survey response — day 21, dose 2
MedDRA: Fatigue, Tachycardia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Tachycardia, extreme fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-20
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-12-16
Call 1 — Left Voicemail
2022-02-20
Survey response — 12 months, dose 2
MedDRA: Postural orthostatic tachycardia syndrome — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: POTS diagnosis following Covid vaccine.

MedDRA releases: 2024-11 · check-in free text available
2022-02-20
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-02-21
Call 1 — Left Voicemail
2022-03-10
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-23	Moderna
2	2021-02-20	Moderna

Call center

4 call center cases

4 successful

VAERS report filed, before or during a call: 4

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-24

Systemic reaction (other): The pain is spreading to my back and arm pit along with my whole arm barely able to move.

Release 4 — day 21, dose 1

2021-02-13

Symptoms: A cold

Release 4 — days 1–6 daily, dose 2

2021-02-23

Systemic reaction (other): Brain spasms on the same side of body as vaccine injection followed by sweating and intense headache pain. Half of the roof of my mouth is raw and swollen.

2021-02-24

Systemic reaction (other): Half the roof of my mouth is raw and skin falling off after getting swollen on the same side of my mouth as the vaccine was administered on my arm.

2021-02-25

Systemic reaction (other): Brain zap spasms

2021-02-26

Systemic reaction (other): Brain zaps

Release 5 — day 14, dose 2

2021-03-06

Symptoms: On and off fever. Heart rate taking a shower goes to around 180-203 bpm. I have been to the ER, urgent care, and my doctor. Now have a zio patch to monitor my heart rate. Just changing my sons diaper I go from 70 bpm to 150 bpm.

Release 5 — day 21, dose 2

2021-03-13

Symptoms: Tachycardia, extreme fatigue

Release 11 — 12 months, dose 2

2022-02-20

Symptoms: POTS diagnosis following Covid vaccine.

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
SD	Emergency care	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Postural orthostatic tachycardia syndrome	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Tachycardia	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Electric shock sensation	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Palatal swelling	✓	✓	✓
SRO	Skin exfoliation	✓	✓	✓
SRO	Stomatitis	✓	✓	✓

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