5TX-12186-79453

4 vaccinations 14 coded responses 36 check-ins 12 free-text entries 4 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 200 / DC
Registered: 2021-03-13

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
2609194 (opens in a new window)	high	10 / 11	—	3 of 7 VAERS symptoms	same dose (4)	DC matches	2022-11-23 / 2023-01-03 / 2023-04-04 received the same day as the last call	case 441424

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

2021-03-13
Registered in v-safe
2021-03-13
Dose 1 — Janssen/Johnson & Johnson
2021-03-13
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Free text: Light headedness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-03-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-04-12
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-04-25
Health check-in — day 42, single dose
Feeling: Fair

Adult check-in
2021-06-12
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-09-11
Survey response — 6 months, dose 1
MedDRA: Cough, Nasal congestion, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good

Free text: I believe it was just common cold, because I tested negative for Covid. But I had nose congestion and a cough. Recently, I've had similar symtoms, but I'm a (b)(6)grade teacher who has gone back to in person teaching. My students are unvaccinated.

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Dose 2 — Moderna
2021-11-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-12-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-12-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-07
Survey response — day 7, dose 2
MedDRA: Cough, Nasal congestion — Feeling: Good

Free text: Coughing and nasal congestion

MedDRA releases: 2024-11 · check-in free text available
2021-12-14
Survey response — day 14, dose 2
MedDRA: Cough, Rhinorrhoea — Feeling: Good

Free text: Cough, runny nose

MedDRA releases: 2024-11 · check-in free text available
2021-12-20
Survey response — day 21, dose 2
MedDRA: Cough, Rhinorrhoea — Feeling: Fair

Free text: Cough and runny nose

MedDRA releases: 2024-11 · check-in free text available
2021-12-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2022-01-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2022-01-12
Survey response — day 42, dose 2
MedDRA: Cough, Rhinorrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Cough and runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-01-12
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-14
Call 1 — Could Not Reach Participant
2022-01-17
Call 2 — Could Not Reach Participant
2022-03-03
Survey response — 3 months, dose 2
MedDRA: Nasopharyngitis, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Common cold/allergies

MedDRA releases: 2024-11 · check-in free text available
2022-03-03
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-04
Call 1 — Could Not Reach Participant
2022-03-09
Call successful
Does not wish to fill out VAERS report
2022-03-09
Call successful
Does not wish to fill out VAERS report
2022-04-01
Dose 3 — Pfizer-BioNTech
2022-04-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · None · Be unable to do your normal daily activities

Adult check-in
2022-04-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-04-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-04-09
Health check-in — day 7, dose 3
Feeling: Good · Headache

Adult check-in
2022-04-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-04-23
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-05-07
Survey response — day 35, dose 3
MedDRA: Nausea, Vomiting — Feeling: Fair · Be unable to do your normal daily activities

Free text: I think it's a 24 hr stomach bug. Just lots of nausea and throwing up

MedDRA releases: 2024-11 · check-in free text available
2022-05-15
Survey response — day 42, dose 3
MedDRA: Nasopharyngitis, Productive cough, Rhinorrhoea, Sneezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: Common cold: sneezing and running nose (clear phlegm)

MedDRA releases: 2024-11 · check-in free text available
2022-07-01
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-10-03
Survey response — 6 months, dose 3
MedDRA: Lower respiratory tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Common chest cold

MedDRA releases: 2024-11 · check-in free text available
2022-10-03
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-10-03
Call 1 — Left Voicemail
2022-11-23
Dose 4 — Moderna
Co-administered: Flu
2023-04-01
Survey response — 12 months, dose 3
MedDRA: COVID-19, Cough — 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, Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-01
Report sent to call center — 12 months, 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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-04-03
Call 1 — Requested Callback
2023-04-04
Call 2 — Left Voicemail
2023-04-04
Callback requested for
09:45AM ET
2023-04-04
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-04
Call successful
Completed over the phone
2023-05-26
Survey response — 6 months, dose 4
MedDRA: Malaise, Nasopharyngitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-13	Janssen/Johnson & Johnson
2	2021-11-29	Moderna	No
3	2022-04-01	Pfizer-BioNTech	No
4	2022-11-23	Moderna	Flu

Call center

4 call center cases

4 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-13

Systemic reaction (other): Light headedness

Release 5 — days 1–6 daily, dose 1

2021-03-16

Systemic reaction (other): Insomnia

2021-03-17

Systemic reaction (other): Insomnia

Release 9 — 6 months, dose 1

2021-09-11

Symptoms: I believe it was just common cold, because I tested negative for Covid. But I had nose congestion and a cough. Recently, I've had similar symtoms, but I'm a (b)(6)grade teacher who has gone back to in person teaching. My students are unvaccinated.

redacted (b)(6)

Release 10 — day 7, dose 2

2021-12-07

Systemic reaction (other): Coughing and nasal congestion

Release 10 — day 14, dose 2

2021-12-14

Symptoms: Cough, runny nose

Release 10 — day 21, dose 2

2021-12-20

Symptoms: Cough and runny nose

Release 10 — day 42, dose 2

2022-01-12

Symptoms: Cough and runny nose

Release 11 — 3 months, dose 2

2022-03-03

Symptoms: Common cold/allergies

Release 11 — day 35, dose 3

2022-05-07

Symptoms: I think it's a 24 hr stomach bug. Just lots of nausea and throwing up

Release 11 — day 42, dose 3

2022-05-15

Symptoms: Common cold: sneezing and running nose (clear phlegm)

Release 12 — 6 months, dose 3

2022-10-03

Symptoms: Common chest cold

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	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Lower respiratory tract infection	·	·	✓
SD	Malaise	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Productive cough	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sneezing	·	·	✓
SD	Vomiting	·	·	✓
SRO	Cough	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Nasal congestion	·	·	✓

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