5ZW-10283-56351

2 vaccinations 9 coded responses 18 check-ins 9 free-text entries 6 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 040 / ME
Registered: 2021-04-08

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
1869427 (opens in a new window)	high	10 / 11	1	3 of 10 VAERS symptoms	same dose (1)	ME matches	2021-04-08 / 2021-04-13 / 2021-11-15 received 215 days after the last call	case 517872

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

2021-04-08
Registered in v-safe
2021-04-08
Dose 1 — Moderna
2021-04-08
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Emergency care — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Severe chest pain lasting one hour, required calling 911

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-15
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-22
Survey response — day 14, dose 1
MedDRA: Abdominal pain, Back pain, Emergency care, Self-medication — Feeling: Poor · Be unable to work, 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, Emergency room or emergency department visit

Free text: Severe back and abdominal pain in right upper quadrant requiring emergency room visit and fentanyl and dilauded to manage pain. Prescribed oxycodone to manage severe ongoing pain. Possibly gallbladder involvement further testing next week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-29
Survey response — day 21, dose 1
MedDRA: Abdominal pain upper, Back pain — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Severe and ongoing pain in middle thoracic back and upper right quadrant abdomen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Report sent to call center — day 21, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-08
Survey response — day 28, dose 1
MedDRA: Abdominal pain upper, Back pain, Chest pain — Feeling: Poor · Be unable to work, 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: Severe chest pain requiring hospital visit; severe back and upper right quadrant pain; have been to emergency room four times in a month since the vaccine due to extreme pain. Doctors say possible internal shingles from vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Report sent to call center — day 28, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-10
Dose 2 — Moderna
2021-05-13
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal distension, Fatigue, Pain, Pyrexia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Bloating, 24 hours after the vaccine I had fever of 101 and extreme fatigue and allover body aches like the flu

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal distension — Feeling: Good · Site: Redness

Free text: Severe bloating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-26
Survey response — day 14, dose 2
MedDRA: Fatigue — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Severe fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Report sent to call center — day 14, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-02
Survey response — day 21, dose 2
MedDRA: Nasopharyngitis, Oropharyngeal pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Severe cold and sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-11-11
Survey response — 6 months, dose 2
MedDRA: Chest pain, Herpes zoster, Immunisation reaction, Office visit, Pain — 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, Emergency room or emergency department visit

Free text: My doctors have stated I had a reaction to the covid 19 vaccine. 5 days post shot one of Moderna I had crushing chest pain lasting almost six hours. For the next 4 months I had severe pain requiring opioids. Was told is shingles.

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Report sent to call center — 6 months, dose 2
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 · Emergency room or emergency department visit · 1 call case(s)
2021-11-15
Call 1 — Left Voicemail
2021-11-15
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-08	Moderna
2	2021-05-10	Moderna

Call center

6 call center cases

6 successful

VAERS report filed, before or during a call: 4

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-14

Systemic reaction (other): Severe chest pain lasting one hour, required calling 911

Release 7 — day 14, dose 1

2021-04-22

Symptoms: Severe back and abdominal pain in right upper quadrant requiring emergency room visit and fentanyl and dilauded to manage pain. Prescribed oxycodone to manage severe ongoing pain. Possibly gallbladder involvement further testing next week.

Release 8 — day 21, dose 1

2021-04-29

Symptoms: Severe and ongoing pain in middle thoracic back and upper right quadrant abdomen.

Release 8 — day 28, dose 1

2021-05-08

Symptoms: Severe chest pain requiring hospital visit; severe back and upper right quadrant pain; have been to emergency room four times in a month since the vaccine due to extreme pain. Doctors say possible internal shingles from vaccine.

Release 8 — days 1–6 daily, dose 2

2021-05-13

Systemic reaction (other): Bloating, 24 hours after the vaccine I had fever of 101 and extreme fatigue and allover body aches like the flu

2021-05-16

Systemic reaction (other): Severe bloating

Release 8 — day 14, dose 2

2021-05-26

Symptoms: Severe fatigue

Release 8 — day 21, dose 2

2021-06-02

Symptoms: Severe cold and sore throat

Release 10 — 6 months, dose 2

2021-11-11

Symptoms: My doctors have stated I had a reaction to the covid 19 vaccine. 5 days post shot one of Moderna I had crushing chest pain lasting almost six hours. For the next 4 months I had severe pain requiring opioids. Was told is shingles.

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	Abdominal pain	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Herpes zoster	·	·	✓
SD	Immunisation reaction	·	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Office visit	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	·	·	✓
SD	Self-medication	✓	✓	✓
SRO	Abdominal distension	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Emergency care	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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