694-92805-10491

4 vaccinations 10 coded responses 45 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 207 / MD
Registered: 2021-01-10

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
2468585 (opens in a new window)	high	10 / 11	—	1 of 3 VAERS symptoms	same dose (4)	MD matches	2022-09-19 / 2022-10-01 / 2022-10-04 received 170 days before the last call	case 380798

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

2021-01-10
Registered in v-safe
2021-01-10
Dose 1 — Moderna
2021-01-10
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2021-01-17
Health check-in — day 7, dose 1
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2021-01-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-31
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-07
Dose 2 — Moderna
2021-02-07
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Fair · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Loss of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-09
Survey response — 3 months, dose 2
MedDRA: Injection site pain — Feeling: Good

Free text: For the kast day or two I have had an achy feeling in my arm where I recieved the vaccinations.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-11-04
Dose 3 — Moderna
2021-11-04
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-11-05
Survey response — days 1–6 daily, dose 3
MedDRA: Decreased appetite — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Free text: Lack of appetite

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling · None

Adult check-in
2021-11-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-13
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-18
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-25
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-02
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-09
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-16
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-04
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-05
Survey response — 6 months, dose 3
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I had covid.

MedDRA releases: 2024-11 · check-in free text available
2022-09-19
Dose 4 — Moderna
2022-09-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-03
Survey response — day 14, dose 4
MedDRA: Hypersensitivity — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Had a severe allergic reaction 10/1 but currently I believe that was associated with a change in laundry detergent. Noting here just in case for the record.

MedDRA releases: 2024-11 · check-in free text available
2022-10-03
Report sent to call center — day 14, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-04
Call successful
Completed over the phone
2022-10-13
Survey response — day 21, dose 4
MedDRA: Pruritus, Rash, Self-medication, Urticaria — Feeling: Poor · 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: Itching continuously and breaking out in welts and rashes since Sat 10/2. Taking Benadryl and Motrin ever 3 to 4 hours since that date.

MedDRA releases: 2024-11 · check-in free text available
2022-10-13
Report sent to call center — day 21, dose 4
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 · 1 call case(s)
2022-10-14
Call successful
Reported to VAERS during previous contact from GDIT
2022-10-19
Survey response — day 28, dose 4
MedDRA: Rash pruritic, Respiratory disorder, Urticaria — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Breathing issues requirinf nebulizer. Continued itching/rashes/welts x 19 days.

MedDRA releases: 2024-11 · check-in free text available
2022-11-02
Survey response — day 42, dose 4
MedDRA: Erythema, Pruritus, Rash, Respiratory disorder, Skin warm, Urticaria — Feeling: Poor · Be unable to do your normal daily activities

Free text: Continued itching all over, hives, breathing issues, warm rashes and floating redness all over including face.

MedDRA releases: 2024-11 · check-in free text available
2022-12-19
Survey response — 3 months, dose 4
MedDRA: Erythema, Mechanical urticaria, Pruritus, Self-medication, Urticaria — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I am still experiencing full body hives and itching, dermotagraphia and erythema since 10/1/22. Currently taking Allegra Hives 24 every 48 hours or sooner when needed and controlling breakthrough itchinf with benadryl and hydrocortisone.

MedDRA releases: 2024-11 · check-in free text available
2023-03-22
Survey response — 6 months, dose 4
MedDRA: Mechanical urticaria, Rash, Urticaria — 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, Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-03-22
Report sent to call center — 6 months, dose 4
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 · Emergency room or emergency department visit · 1 call case(s)
2023-03-23
Call successful
Reported to VAERS during previous contact from GDIT

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-10	Moderna
2	2021-02-07	Moderna
3	2021-11-04	Moderna	No
4	2022-09-19	Moderna	No

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-08

Systemic reaction (other): Loss of appetite

Release 8 — 3 months, dose 2

2021-05-09

Symptoms: For the kast day or two I have had an achy feeling in my arm where I recieved the vaccinations.

Release 10 — days 1–6 daily, dose 3

2021-11-05

Systemic reaction (other): Lack of appetite

Release 11 — 6 months, dose 3

2022-05-05

Symptoms: I had covid.

Release 12 — day 14, dose 4

2022-10-03

Symptoms: Had a severe allergic reaction 10/1 but currently I believe that was associated with a change in laundry detergent. Noting here just in case for the record.

Release 12 — day 21, dose 4

2022-10-13

Symptoms: Itching continuously and breaking out in welts and rashes since Sat 10/2. Taking Benadryl and Motrin ever 3 to 4 hours since that date.

Release 12 — day 28, dose 4

2022-10-19

Symptoms: Breathing issues requirinf nebulizer. Continued itching/rashes/welts x 19 days.

Release 12 — day 42, dose 4

2022-11-02

Symptoms: Continued itching all over, hives, breathing issues, warm rashes and floating redness all over including face.

Release 12 — 3 months, dose 4

2022-12-19

Symptoms: I am still experiencing full body hives and itching, dermotagraphia and erythema since 10/1/22. Currently taking Allegra Hives 24 every 48 hours or sooner when needed and controlling breakthrough itchinf with benadryl and hydrocortisone.

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	COVID-19	·	·	✓
SD	Erythema	·	·	✓
SD	Hypersensitivity	·	·	✓
SD	Injection site pain	✓	✓	✓
SD	Mechanical urticaria	·	·	✓
SD	Pruritus	·	·	✓
SD	Rash	·	·	✓
SD	Rash pruritic	·	·	✓
SD	Respiratory disorder	·	·	✓
SD	Self-medication	·	·	✓
SD	Skin warm	·	·	✓
SD	Urticaria	·	·	✓
SRO	Decreased appetite	✓	✓	✓

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