5JA-15405-01434

3 vaccinations 15 coded responses 31 check-ins 15 free-text entries 5 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 484 / MI
Registered: 2021-01-29

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
1858412 (opens in a new window)	high	11 / 11	2	1 of 2 VAERS symptoms	same dose (1)	MI matches	2021-01-23 / 2021-01-31 / 2021-11-10 received 285 days after the last call	case 129379

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
2021-01-29
Registered in v-safe
2021-01-29
Survey response — days 1–6 daily, dose 1
MedDRA: Medical counselling, Oral herpes — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Fever blisters on corner of lips(I never get these) · Healthcare visit (other): Called my dr

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-30
Survey response — day 7, dose 1
MedDRA: Medical counselling, Oral herpes — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Fever blisters on corner of mouth · Healthcare visit (other): Called dr office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-06
Survey response — day 14, dose 1
MedDRA: Urticaria — Feeling: Good · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: 2 rounds of major hives that covered my entire body. First episode was day eight after vaccine #1. Second episode was day eleven

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Report sent to call center — day 14, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-14
Survey response — day 21, dose 1
MedDRA: Urticaria — Feeling: Good

Free text: Hives all over body 16 days after vaccine. Third major hive episode since vaccine I have never had hives in my life

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-23
Dose 2 — Moderna
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Joint pains · Be unable to work

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills

Adult check-in
2021-03-02
Health check-in — day 7, dose 2
Feeling: Good · Chills

Adult check-in
2021-03-09
Survey response — day 14, dose 2
MedDRA: Urticaria — Feeling: Good

Free text: Hives all over

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — day 21, dose 2
MedDRA: Urticaria — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Hives all over body on day 19 after vaccine #2

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-30
Survey response — day 35, dose 2
MedDRA: Urticaria — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Hives all over body

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — day 42, dose 2
MedDRA: Self-medication, Urticaria — Feeling: Fair · Be unable to do your normal daily activities

Free text: Hives all over trunk, legs and arms that lasted 60min after taking Benadryl

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Survey response — 3 months, dose 2
MedDRA: Urticaria — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Hives over most of body

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Call 1 — Left Voicemail
2021-08-24
Survey response — 6 months, dose 2
MedDRA: Urticaria — Feeling: Good · Be unable to do your normal daily activities

Free text: Hives all over body

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-26
Dose 3 — Moderna
Co-administered: Flu
2021-10-27
Survey response — days 1–6 daily, dose 3
MedDRA: Ear pain — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache · Be unable to work or attend school

Free text: Earaches in both ears

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fever · Chills · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-02
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-11-09
Survey response — day 14, dose 3
MedDRA: Headache — 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 · Telehealth, virtual health, or email health consultation

Free text: Major headache on 11/5(day 11 after booster) This headache is the worst headache I have ever experienced. So bad ai contacted my doctor after hours

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Report sent to call center — day 14, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-10
Call 1 — Left Voicemail
2021-11-10
Call successful
Completed over the phone
2021-11-16
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-23
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-02
Health check-in — day 35, dose 3
Feeling: Poor

Adult check-in
2021-12-07
Survey response — day 42, dose 3
MedDRA: Headache, Nausea, Pre-existing disease — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Horrible Nausea and worst headaches of my life(and I suffer from cluster headaches.

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Report sent to call center — day 42, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-08
Call 1 — Left Voicemail
2022-01-25
Survey response — 3 months, dose 3
MedDRA: Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Tingling in a finger tip

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Survey response — 6 months, dose 3
MedDRA: Ear pain, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Runny nose earache

MedDRA releases: 2024-11 · check-in free text available
2022-10-26
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-23	Moderna
2	2021-02-23	Moderna
3	2021-10-26	Moderna	Flu

Call center

5 call center cases

4 successful · 1 unsuccessful

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 3 — days 1–6 daily, dose 1

2021-01-29

Systemic reaction (other): Fever blisters on corner of lips(I never get these)

Healthcare visit (other): Called my dr

Release 3 — day 7, dose 1

2021-01-30

Systemic reaction (other): Fever blisters on corner of mouth

Healthcare visit (other): Called dr office

Release 3 — day 14, dose 1

2021-02-06

Symptoms: 2 rounds of major hives that covered my entire body. First episode was day eight after vaccine #1. Second episode was day eleven

Release 4 — day 21, dose 1

2021-02-14

Symptoms: Hives all over body 16 days after vaccine. Third major hive episode since vaccine I have never had hives in my life

Release 5 — day 14, dose 2

2021-03-09

Symptoms: Hives all over

Release 5 — day 21, dose 2

2021-03-16

Symptoms: Hives all over body on day 19 after vaccine #2

Release 6 — day 35, dose 2

2021-03-30

Symptoms: Hives all over body

Release 7 — day 42, dose 2

2021-04-06

Symptoms: Hives all over trunk, legs and arms that lasted 60min after taking Benadryl

Release 8 — 3 months, dose 2

2021-05-25

Symptoms: Hives over most of body

Release 9 — 6 months, dose 2

2021-08-24

Symptoms: Hives all over body

Release 10 — days 1–6 daily, dose 3

2021-10-27

Systemic reaction (other): Earaches in both ears

Release 10 — day 14, dose 3

2021-11-09

Symptoms: Major headache on 11/5(day 11 after booster) This headache is the worst headache I have ever experienced. So bad ai contacted my doctor after hours

Release 10 — day 42, dose 3

2021-12-07

Symptoms: Horrible Nausea and worst headaches of my life(and I suffer from cluster headaches.

Release 11 — 3 months, dose 3

2022-01-25

Symptoms: Tingling in a finger tip

Release 11 — 6 months, dose 3

2022-04-26

Symptoms: Runny nose earache

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	Medical counselling	✓	✓	✓
SD	Ear pain	·	·	✓
SD	Headache	·	·	✓
SD	Nausea	·	·	✓
SD	Paraesthesia	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Self-medication	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Ear pain	·	·	✓
SRO	Oral herpes	✓	✓	✓

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