646-20753-36934

2 vaccinations 10 coded responses 24 check-ins 10 free-text entries 4 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 836 / ID
Registered: 2021-01-16

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
1583010 (opens in a new window)	high	11 / 11	—	2 of 3 VAERS symptoms	same dose (1)	ID matches	2021-01-16 / 2021-01-16 / 2021-08-18 received 193 days after the last call	case 169323

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

2021-01-16
Registered in v-safe
2021-01-16
Dose 1 — Moderna
2021-01-16
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-17
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-01-23
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Abdominal pain

Adult check-in
2021-01-30
Survey response — day 14, dose 1
MedDRA: Abdominal distension, Abdominal pain upper, Fatigue, Injection site erythema, Injection site pruritus, Nausea — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Upper abdominal pain, mild nausea, bloating, fatigue all worsened. Doctor found no acute diagnosis in blood or ultrasound. Also experienced new redness and itching at injection site starting 9 days after the shot, lasting about 3 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — day 21, dose 1
MedDRA: Abdominal pain, Headache, Nausea — Feeling: Fair · 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: Worsening of abdominal pain. Continuation of nausea and headaches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
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)
2021-02-13
Dose 2 — Moderna
2021-02-13
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Tachycardia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Tachycardia, dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-18
Survey response — days 1–6 daily, dose 2
MedDRA: Flatulence — Feeling: Fair · Headache, Fatigue or tiredness, Abdominal pain

Free text: Severe gas pain in abdomen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — days 1–6 daily, dose 2
MedDRA: Flatulence — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Intestinal gas

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — day 7, dose 2
MedDRA: Dyspepsia, Flatulence — Feeling: Fair · Fatigue or tiredness, Abdominal pain

Free text: Heartburn, intestinal gas

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — day 14, dose 2
MedDRA: Abdominal pain, Arthralgia, Chills, Headache, Myalgia, Pelvic pain — Feeling: Fair · 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

Free text: Intermittent but very severe abdominal or pelvic pain. Since last check-in, also developed moderate headaches and mild chills. Also some muscle/joint aches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
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)
2021-03-06
Survey response — day 21, dose 2
MedDRA: Fatigue, Myalgia — Feeling: Fair

Free text: Muscle aches, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-21
Survey response — day 35, dose 2
MedDRA: Flatulence, Insomnia, Palpitations, Poor quality sleep — Feeling: Fair

Free text: Heart palpitations, poor sleep, gasiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-15
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-07-14
Call 1 — Left Voicemail
2021-07-20
Call successful
Completed over the phone
2021-08-15
Survey response — 6 months, dose 2
MedDRA: Postural orthostatic tachycardia syndrome — 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 · Outpatient clinic or urgent care clinic visit

Free text: Diagnosed with POTS (postural orthostatic tachycardia syndrome) with unclear origin but had symptoms during previous check ins

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-15
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

1 call case(s)
2021-08-18
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-16	Moderna
2	2021-02-13	Moderna

Call center

4 call center cases

3 successful · 1 priority 2/3 (triaged and no follow up)

VAERS report filed, before or during a call: 3

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — day 14, dose 1

2021-01-30

Symptoms: Upper abdominal pain, mild nausea, bloating, fatigue all worsened. Doctor found no acute diagnosis in blood or ultrasound. Also experienced new redness and itching at injection site starting 9 days after the shot, lasting about 3 days.

Release 3 — day 21, dose 1

2021-02-06

Symptoms: Worsening of abdominal pain. Continuation of nausea and headaches.

Release 4 — days 1–6 daily, dose 2

2021-02-14

Systemic reaction (other): Tachycardia, dizziness

2021-02-18

Systemic reaction (other): Severe gas pain in abdomen

2021-02-19

Systemic reaction (other): Intestinal gas

Release 4 — day 7, dose 2

2021-02-20

Systemic reaction (other): Heartburn, intestinal gas

Release 4 — day 14, dose 2

2021-02-27

Symptoms: Intermittent but very severe abdominal or pelvic pain. Since last check-in, also developed moderate headaches and mild chills. Also some muscle/joint aches.

Release 5 — day 21, dose 2

2021-03-06

Symptoms: Muscle aches, fatigue

Release 6 — day 35, dose 2

2021-03-21

Symptoms: Heart palpitations, poor sleep, gasiness

Release 9 — 6 months, dose 2

2021-08-15

Symptoms: Diagnosed with POTS (postural orthostatic tachycardia syndrome) with unclear origin but had symptoms during previous check ins

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 distension	✓	✓	✓
SD	Abdominal pain	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Flatulence	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Insomnia	✓	✓	○
SD	Myalgia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Pelvic pain	✓	✓	✓
SD	Poor quality sleep	·	·	✓
SD	Postural orthostatic tachycardia syndrome	✓	·	✓
SRO	Abdominal pain	○	○	○
SRO	Dizziness	✓	✓	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Flatulence	✓	✓	✓
SRO	Tachycardia	✓	✓	✓

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