666-29324-97237

3 vaccinations 6 coded responses 15 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 950 / CA
Registered: 2021-11-20

Relationship: Self
Race: N/A
Ethnicity: Hispanic or Latino

Registered dependents

73T-13015-47724 Child or adolescent in my care · Female · 2021-11-20

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
2512877 (opens in a new window)	high	9 / 11	1	1 of 12 VAERS symptoms	same dose (3)	CA matches	2021-11-19 / 2022-06-07 / 2022-11-21 received the same day as the last call	case 1181996

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

2021-04-01
Dose 1 — Moderna
2021-04-29
Dose 2 — Moderna
2021-11-19
Dose 3 — Moderna
2021-11-20
Registered in v-safe
2021-11-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-11-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-11-22
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Swollen lymph node in armpit of the same arm vaccine was administered

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Lymph nodes in armpit tender/swollen on same arm vaccine was administered

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain

Free text: Still some swelling in lymph nodes where vaccine was administered

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain — Feeling: Good

Free text: Lingering tenderness of lymph nodes in armpit on the same arm that vaccine was administered

MedDRA releases: 2024-11 · check-in free text available
2021-11-28
Health check-in — day 7, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-12-03
Survey response — day 14, dose 3
MedDRA: Headache, Heavy menstrual bleeding, Menstruation irregular — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: My menstrual cycle came early and is a heavier flow than usual. I've also experienced head aches the last couple days, which is not a typical PMS symptom for me.

MedDRA releases: 2024-11 · check-in free text available
2021-12-12
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-17
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-24
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-31
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-18
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-20
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-19
Survey response — 12 months, dose 3
MedDRA: Brain fog, Depression, Loss of personal independence in daily activities, Office visit — Feeling: Fair · 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: Symptoms: Worsening depression, brain fog, hard time attending to tasks · Healthcare visit (other): Also working with LMFT therapist

MedDRA releases: 2024-11 · check-in free text available
2022-11-19
Report sent to call center — 12 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-11-21
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Moderna	No
2	2021-04-29	Moderna	No
3	2021-11-19	Moderna	No

Call center

1 call center case

1 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 3

2021-11-22

Systemic reaction (other): Swollen lymph node in armpit of the same arm vaccine was administered

2021-11-23

Systemic reaction (other): Lymph nodes in armpit tender/swollen on same arm vaccine was administered

2021-11-24

Systemic reaction (other): Still some swelling in lymph nodes where vaccine was administered

2021-11-25

Systemic reaction (other): Lingering tenderness of lymph nodes in armpit on the same arm that vaccine was administered

Release 10 — day 14, dose 3

2021-12-03

Symptoms: My menstrual cycle came early and is a heavier flow than usual. I've also experienced head aches the last couple days, which is not a typical PMS symptom for me.

Release 12 — 12 months, dose 3

2022-11-19

Symptoms: Worsening depression, brain fog, hard time attending to tasks

Healthcare visit (other): Also working with LMFT therapist

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	Brain fog	·	·	✓
SD	Depression	·	·	✓
SD	Headache	·	·	✓
SD	Heavy menstrual bleeding	·	·	✓
SD	Loss of personal independence in daily activities	·	·	✓
SD	Menstruation irregular	·	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓

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