666-30799-30689

2 vaccinations 5 coded responses 16 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 750 / TX
Registered: 2021-04-06

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
1768692 (opens in a new window)	high	10 / 11	2	1 of 3 VAERS symptoms	same dose (2)	TX matches	2021-04-07 / 2021-04-08 / 2021-10-07 received the same day as the last call	case 1067654

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

2021-03-17
Dose 1 — Moderna
2021-04-06
Registered in v-safe
2021-04-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-07
Dose 2 — Moderna
2021-04-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Malaise, Paranasal sinus hypersecretion — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Free text: Feel yucky. Sort of similar to sinus drainage and sinus issues. issues/

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Free text: Odd. The shot was 3 inches above an existing scar from MOHS surgery (7 yrs ago) to remove squishing cell skin cancer. That scar area is what is red, swollen and ichy since the shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Survey response — day 14, dose 2
MedDRA: Condition aggravated, Injection site pruritus, Injection site rash, Pre-existing disease — Feeling: Good

Free text: 3 inches below injection spot. Rash, iching, happens to be on previous skin cancer site that has not been an issue for over 6 yrs until the 2nd shot. If still have rash tomorrow will be going to doctor.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-07
Survey response — 3 months, dose 2
MedDRA: Condition aggravated, Office visit, Pre-existing disease, Rash — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: The shot irrated a 5 yr old scare from squimish cell cancer that was 2inches below the injection point. I had to have the new spot frozen off. The spot and related rash appeared the day after 2nd shot. · Healthcare visit (other): Regular office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-07
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-09
Call 1 — Left Voicemail
2021-10-06
Survey response — 6 months, dose 2
MedDRA: Back pain, Headache, Musculoskeletal chest pain, Sinusitis — 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: Headachs - pain in left rib and back pain. Currently have a sinus infection

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-07
Call successful
Completed over the phone
2022-04-07
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Moderna
2	2021-04-07	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 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): Feel yucky. Sort of similar to sinus drainage and sinus issues. issues/

2021-04-10

Systemic reaction (other): Odd. The shot was 3 inches above an existing scar from MOHS surgery (7 yrs ago) to remove squishing cell skin cancer. That scar area is what is red, swollen and ichy since the shot.

Release 7 — day 14, dose 2

2021-04-22

Symptoms: 3 inches below injection spot. Rash, iching, happens to be on previous skin cancer site that has not been an issue for over 6 yrs until the 2nd shot. If still have rash tomorrow will be going to doctor.

Release 9 — 3 months, dose 2

2021-07-07

Symptoms: The shot irrated a 5 yr old scare from squimish cell cancer that was 2inches below the injection point. I had to have the new spot frozen off. The spot and related rash appeared the day after 2nd shot.

Healthcare visit (other): Regular office visit

Release 10 — 6 months, dose 2

2021-10-06

Symptoms: Headachs - pain in left rib and back pain. Currently have a sinus infection

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	Back pain	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Headache	·	·	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Musculoskeletal chest pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Sinusitis	·	·	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Paranasal sinus hypersecretion	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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