5HJ-10907-33116

5 vaccinations 5 coded responses 40 check-ins 5 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 781 / TX
Registered: 2020-12-24

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
1022392 (opens in a new window)	high	10 / 11	—	2 of 5 VAERS symptoms	same dose (1)	TX matches	2020-12-24 / 2020-12-25 / 2021-02-11 received the same day as the last call	case 24067

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

2020-12-24
Registered in v-safe
2020-12-24
Dose 1 — Moderna
2020-12-24
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fever · Headache

Adult check-in
2020-12-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Itching · Headache

Adult check-in
2020-12-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Itching · Headache

Adult check-in
2020-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · Headache

Adult check-in
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Diarrhea

Adult check-in
2020-12-31
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache

Adult check-in
2021-01-07
Survey response — day 14, dose 1
MedDRA: Blindness transient, Emergency care, Erythema, Office visit, Peripheral swelling, Skin warm — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Christmas Yves lost sight and ride I came back after three hours. My arm was swollen red and fever in it from shoulder to elbow. · Healthcare visit (other): I went to their doctors office and he had me go to the hospital and they ran tests. He said he didn't think it was associated with the vaccination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-16
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-20
Dose 2 — Moderna
2021-01-28
Survey response — day 7, dose 2
MedDRA: Erythema — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache · Be unable to do your normal daily activities

Free text: Arm is still red from shoulder to elbow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-11
Call successful
Completed over the phone
2021-02-17
Survey response — day 28, dose 2
MedDRA: Epistaxis — Feeling: Good

Free text: Nose bleeds.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-21
Survey response — 3 months, dose 2
MedDRA: Cyst, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Cyst on back · Healthcare visit (other): My regular doctor visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-15
Call 1 — Left Voicemail
2021-07-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-20
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-21
Dose 3 — Moderna
2022-04-22
Dose 4 — Moderna
2022-04-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-04-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache

Adult check-in
2022-04-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Diarrhea

Adult check-in
2022-04-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-04-29
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-06
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-13
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-20
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-21
Dose 5 — Moderna
2022-10-21
Health check-in — day 0, dose 5
Feeling: Good · Site: Pain, Redness, Swelling · Headache

Adult check-in
2022-10-22
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Swelling · Headache · Be unable to do your normal daily activities

Adult check-in
2022-10-23
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache · Be unable to do your normal daily activities

Adult check-in
2022-10-24
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Redness, Itching · Headache

Adult check-in
2022-10-25
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Redness, Itching · Headache

Adult check-in
2022-10-26
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Headache

Adult check-in
2022-10-27
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Itching · Headache

Adult check-in
2022-10-28
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-11-04
Survey response — day 14, dose 5
MedDRA: Eye infection, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: I have a terrible eye infection · Healthcare visit (other): Dr office

MedDRA releases: 2024-11 · check-in free text available
2022-11-04
Report sent to call center — day 14, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2022-11-07
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-07
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-11
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-18
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-25
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-02
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-24	Moderna
2	2021-01-20	Moderna
3	2022-04-21	Moderna	No
4	2022-04-22	Moderna	No
5	2022-10-21	Moderna	No

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 1 — day 14, dose 1

2021-01-07

Symptoms: Christmas Yves lost sight and ride I came back after three hours. My arm was swollen red and fever in it from shoulder to elbow.

Healthcare visit (other): I went to their doctors office and he had me go to the hospital and they ran tests. He said he didn't think it was associated with the vaccination.

Release 2 — day 7, dose 2

2021-01-28

Systemic reaction (other): Arm is still red from shoulder to elbow

Release 4 — day 28, dose 2

2021-02-17

Symptoms: Nose bleeds.

Release 7 — 3 months, dose 2

2021-04-21

Symptoms: Cyst on back

Healthcare visit (other): My regular doctor visit

Release 12 — day 14, dose 5

2022-11-04

Symptoms: I have a terrible eye infection

Healthcare visit (other): Dr office

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	Emergency care	✓	✓	✓
HCVO	Medical observation	○	○	○
HCVO	Office visit	✓	✓	✓
SD	Blindness transient	✓	✓	✓
SD	Cyst	✓	✓	✓
SD	Epistaxis	✓	✓	✓
SD	Erythema	✓	✓	✓
SD	Eye infection	·	·	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pyrexia	○	○	○
SD	Skin warm	✓	✓	✓
SRO	Erythema	✓	✓	✓

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