5ZZ-25294-62530

2 vaccinations 5 coded responses 11 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 750 / TX
Registered: 2021-05-07

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
2072168 (opens in a new window)	high	9 / 11	2	2 of 12 VAERS symptoms	same dose (2)	TX matches	2021-05-06 / 2021-05-06 / 2022-01-28 received 253 days after the last call	case 710328

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
Dose 1 — Moderna
2021-05-06
Dose 2 — Moderna
2021-05-07
Registered in v-safe
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-05-09
Survey response — days 1–6 daily, dose 2
MedDRA: Alopecia — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Hair loss since first shot still coming out.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — days 1–6 daily, dose 2
MedDRA: Alopecia — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Hair still falling out

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2021-05-20
Survey response — day 14, dose 2
MedDRA: Abdominal pain lower, Diarrhoea, Emergency care, Headache, Nausea — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: After daily runny stool that started a few hours after 2nd shot I'm in the ER with extreme LLQ pain, nausea, headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-28
Survey response — day 21, dose 2
MedDRA: Diarrhoea, Diverticulitis, Food intolerance, Functional gastrointestinal disorder, Gastrointestinal pain, Hospitalisation, Hypophagia, Large intestinal obstruction, Pain management — Feeling: Poor · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: Just got out of the hospital today. I believe that the daily diarrhea I had as a side effect of the second shot weakened my colon, causing painful diverticulitis attack requiring hospitalization . · Healthcare visit (other): the daily diarrhea I had as a side effect of the second shot weakened my colon, causing painful diverticulitis attack requiring hospitalization . Treated with 2 IV antibiotics, pain management, complete bowel rest. No food or water

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-03
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-12
Survey response — day 35, dose 2
MedDRA: Gastric disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: My guts still have not restored to normal function.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-07
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-11-04
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-01-28
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-08	Moderna
2	2021-05-06	Moderna

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-09

Systemic reaction (other): Hair loss since first shot still coming out.

2021-05-10

Systemic reaction (other): Hair still falling out

Release 8 — day 14, dose 2

2021-05-20

Symptoms: After daily runny stool that started a few hours after 2nd shot I'm in the ER with extreme LLQ pain, nausea, headache

Release 8 — day 21, dose 2

2021-05-28

Symptoms: Just got out of the hospital today. I believe that the daily diarrhea I had as a side effect of the second shot weakened my colon, causing painful diverticulitis attack requiring hospitalization .

Healthcare visit (other): the daily diarrhea I had as a side effect of the second shot weakened my colon, causing painful diverticulitis attack requiring hospitalization . Treated with 2 IV antibiotics, pain management, complete bowel rest. No food or water

Release 9 — day 35, dose 2

2021-06-12

Symptoms: My guts still have not restored to normal function.

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	Diarrhoea	✓	✓	✓
HCVO	Diverticulitis	✓	✓	✓
HCVO	Food intolerance	✓	·	○
HCVO	Functional gastrointestinal disorder	✓	·	✓
HCVO	Gastrointestinal pain	·	·	✓
HCVO	Hospitalisation	✓	✓	✓
HCVO	Hypophagia	✓	·	✓
HCVO	Large intestinal obstruction	○	✓	○
HCVO	Pain management	○	✓	○
SD	Abdominal pain lower	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Diverticulitis	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Functional gastrointestinal disorder	✓	·	✓
SD	Gastric disorder	✓	✓	✓
SD	Gastrointestinal pain	·	·	✓
SD	Headache	✓	✓	✓
SD	Hospitalisation	✓	✓	✓
SD	Large intestinal obstruction	○	✓	○
SD	Nausea	✓	✓	✓
SRO	Alopecia	✓	✓	✓

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