5SE-10901-88442

5 vaccinations 7 coded responses 56 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 349 / FL
Registered: 2021-02-08

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
2626665 (opens in a new window)	high	11 / 11	3	3 of 5 VAERS symptoms	same dose (5)	FL matches	2022-11-02 / 2023-02-18 / 2023-05-04 received the same day as the last call	case 634627

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

2021-02-08
Registered in v-safe
2021-02-08
Dose 1 — Moderna
2021-02-08
Health check-in — day 0, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Joint pains

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Joint pains

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Joint pains

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-08
Dose 2 — Moderna
2021-03-08
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Joint pains

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Vertigo — Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Vertigo, started last night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Joint pains

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache

Adult check-in
2021-03-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-06
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Dose 3 — Moderna
2021-10-29
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None · Be unable to do your normal daily activities

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Chills, Headache, Pyrexia — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches · Be unable to work or attend school

Free text: For over 12 hours yesterday I had a medium to high fever, chills and bad headache. This was after my report to you.

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · None

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · Headache

Adult check-in
2021-11-05
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain, Itching · Headache

Adult check-in
2021-11-12
Survey response — day 14, dose 3
MedDRA: Lymphadenopathy, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Swollen glands in neck/shoulder area. Ultrasound and CT done. They think I may have cancer of the tongue. I am to see an ENT stat. · Healthcare visit (other): Office visit and follow up diagnostic

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Report sent to call center — day 14, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-16
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-26
Survey response — day 28, dose 3
MedDRA: Cat scratch disease, Lymphadenopathy, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Tested positive for Cat Scratch Fever. Still have swollen lymph glands. · Healthcare visit (other): Office visit

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-01
Call 1 — Could Not Reach Participant
2021-12-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-06
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-12-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-28
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-15
Dose 4 — Moderna
2022-04-19
Survey response — days 1–6 daily, dose 4
MedDRA: Chills, Mobility decreased, Pyrexia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Diarrhea · Be unable to do your normal daily activities

Free text: The night I got the booster I had a fever, chills and was bedridden for 24 hours.

MedDRA releases: 2024-11 · check-in free text available
2022-04-20
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Itching · Headache · Be unable to do your normal daily activities

Adult check-in
2022-04-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Itching · None

Adult check-in
2022-04-22
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-29
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-06
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-13
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-20
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-27
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-17
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-16
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-11-02
Dose 5 — Moderna
2022-11-23
Survey response — day 21, dose 5
MedDRA: Body temperature increased, Fatigue, Pain, Vaccine positive rechallenge — Feeling: Good · Be unable to do your normal daily activities

Free text: Received Covid vaccination #5. Same reaction as the rest. Achy, low grade temp and tired for about 48 hours.

MedDRA releases: 2024-11 · check-in free text available
2022-11-30
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-12-07
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-14
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-02-01
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-05-03
Survey response — 6 months, dose 5
MedDRA: Migraine, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-05-03
Report sent to call center — 6 months, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2023-05-04
Call 1 — Left Voicemail
2023-05-04
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-08	Moderna
2	2021-03-08	Moderna
3	2021-10-29	Moderna	No
4	2022-04-15	Moderna	No
5	2022-11-02	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 5 — days 1–6 daily, dose 2

2021-03-10

Systemic reaction (other): Vertigo, started last night

Release 10 — days 1–6 daily, dose 3

2021-10-31

Systemic reaction (other): For over 12 hours yesterday I had a medium to high fever, chills and bad headache. This was after my report to you.

Release 10 — day 14, dose 3

2021-11-12

Symptoms: Swollen glands in neck/shoulder area. Ultrasound and CT done. They think I may have cancer of the tongue. I am to see an ENT stat.

Healthcare visit (other): Office visit and follow up diagnostic

Release 10 — day 28, dose 3

2021-11-26

Symptoms: Tested positive for Cat Scratch Fever. Still have swollen lymph glands.

Healthcare visit (other): Office visit

Release 11 — days 1–6 daily, dose 4

2022-04-19

Systemic reaction (other): The night I got the booster I had a fever, chills and was bedridden for 24 hours.

Release 12 — day 21, dose 5

2022-11-23

Symptoms: Received Covid vaccination #5. Same reaction as the rest. Achy, low grade temp and tired for about 48 hours.

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	Office visit	·	·	✓
SD	Body temperature increased	·	·	✓
SD	Cat scratch disease	·	·	✓
SD	Fatigue	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Migraine	·	·	✓
SD	Pain	·	·	✓
SD	Vaccine positive rechallenge	·	·	✓
SRO	Chills	·	·	✓
SRO	Headache	·	·	✓
SRO	Mobility decreased	·	·	✓
SRO	Pyrexia	·	·	✓
SRO	Vertigo	✓	✓	✓

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