5YH-25966-12600

3 vaccinations 8 coded responses 40 check-ins 8 free-text entries 5 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 454 / OH
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
1854834 (opens in a new window)	high	10 / 11	2	1 of 4 VAERS symptoms	same dose (3)	OH matches	2021-11-04 / 2021-11-05 / 2021-11-09 received the same day as the last call	case 1159725

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
2020-12-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · None

Adult check-in
2020-12-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches

Adult check-in
2020-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · None

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: Good · None

Adult check-in
2020-12-31
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-07
Survey response — day 14, dose 1
MedDRA: Injection site joint pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: My arm soreness went away totally and then on 12.31 the pain in my shoulder where I got the shot came back and lasted a couple days

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
Be unable to do your normal daily activities

no matching call case
2021-01-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-21
Dose 2 — Moderna
2021-01-21
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-01-22
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Pain in extremity — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Sharp shooting pain in left ear , then same kind of pain in right leg . Never had anything like that experienced before

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — day 7, dose 2
Feeling: Fair · Headache · Be unable to do your normal daily activities

Adult check-in
2021-02-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-24
Survey response — 3 months, dose 2
MedDRA: Back pain, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Back pain · Healthcare visit (other): Visit with dr , chiropractic and pain dr

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-22
Survey response — 6 months, dose 2
MedDRA: Alopecia — 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: Extreme hair loss starting in February, had blood work that shows no other medical reason for the extreme hair loss. It is very notable and unusual

MedDRA releases: 2024-11 · check-in free text available
2021-07-22
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-26
Call 1 — Requested Callback
2021-07-29
Call 2 — Requested Callback
2021-07-29
Call successful
Participant prefers to complete VAERS report online
2021-11-04
Dose 3 — Moderna
2021-11-04
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain, Redness · Headache

Adult check-in
2021-11-05
Survey response — days 1–6 daily, dose 3
MedDRA: Ear pain, Facial pain, Neck pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Pain in face , neck and ear that goes from left side to right side . Never experienced this before but it is very sharp and painful

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Headache · 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

Adult check-in
2021-11-08
Report sent to call center — days 1–6 daily, 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)
2021-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache

Adult check-in
2021-11-09
Call successful
Completed over the phone
2021-11-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache · Be unable to do your normal daily activities

Adult check-in
2021-11-11
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-18
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-25
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-02
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-10
Survey response — day 35, dose 3
MedDRA: Alopecia, Headache — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Hair loss, more headaches than usual

MedDRA releases: 2024-11 · check-in free text available
2021-12-16
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-03
Survey response — 3 months, dose 3
MedDRA: COVID-19 — Feeling: Good · 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: Diagnosed with covid , was symptomatic

MedDRA releases: 2024-11 · check-in free text available
2022-02-03
Report sent to call center — 3 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 · 1 call case(s)
2022-02-07
Call 1 — Left Voicemail
2022-05-06
Survey response — 6 months, dose 3
MedDRA: Herpes zoster, Pre-existing disease — Feeling: Good · 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: Developed a severe and rare case of shingles -Ramsey hunts syndrome

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Report sent to call center — 6 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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-05-09
Call successful
Participant prefers to complete VAERS report online
2022-05-09
Call successful
Participant prefers to complete VAERS report online
2022-11-06
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-24	Moderna
2	2021-01-21	Moderna
3	2021-11-04	Moderna	No

Call center

5 call center cases

5 successful

VAERS report filed, before or during a call: 1

1 check-in flagged for a call with no call center case on record

See the call center timeline

Free text

Release 1 — day 14, dose 1

2021-01-07

Symptoms: My arm soreness went away totally and then on 12.31 the pain in my shoulder where I got the shot came back and lasted a couple days

Release 2 — days 1–6 daily, dose 2

2021-01-22

Systemic reaction (other): Sharp shooting pain in left ear , then same kind of pain in right leg . Never had anything like that experienced before

Release 7 — 3 months, dose 2

2021-04-24

Symptoms: Back pain

Healthcare visit (other): Visit with dr , chiropractic and pain dr

Release 9 — 6 months, dose 2

2021-07-22

Symptoms: Extreme hair loss starting in February, had blood work that shows no other medical reason for the extreme hair loss. It is very notable and unusual

Release 10 — days 1–6 daily, dose 3

2021-11-05

Systemic reaction (other): Pain in face , neck and ear that goes from left side to right side . Never experienced this before but it is very sharp and painful

Release 10 — day 35, dose 3

2021-12-10

Symptoms: Hair loss, more headaches than usual

Release 11 — 3 months, dose 3

2022-02-03

Symptoms: Diagnosed with covid , was symptomatic

Release 11 — 6 months, dose 3

2022-05-06

Symptoms: Developed a severe and rare case of shingles -Ramsey hunts syndrome

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	Alopecia	·	·	✓
SD	Back pain	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Headache	·	·	✓
SD	Herpes zoster	·	·	✓
SD	Injection site joint pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SRO	Ear pain	✓	✓	✓
SRO	Facial pain	·	·	✓
SRO	Neck pain	·	·	✓
SRO	Pain in extremity	✓	✓	✓

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