6A3-29750-58125

3 vaccinations 16 coded responses 40 check-ins 16 free-text entries 12 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 017 / MA
Registered: 2021-01-06

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

Registered dependents

YP3-31137-56581 Child or adolescent in my care · Male · 2021-11-22

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
940210 (opens in a new window)	high	8 / 11	3	0 of 2 VAERS symptoms	same dose (1)	MA matches	2021-01-06 / 2021-01-06 / 2021-01-13 received the same day as the last call	case 36844

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

2021-01-06
Registered in v-safe
2021-01-06
Dose 1 — Moderna
2021-01-06
Survey response — 0 day, dose 1
MedDRA: Pregnancy — Feeling: Good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-07
Survey response — days 1–6 daily, dose 1
MedDRA: Abortion spontaneous — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-07
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-08
Survey response — days 1–6 daily, dose 1
MedDRA: Abortion spontaneous, Dizziness — Feeling: Fair · Site: Pain · Be unable to work, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-08
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-09
Survey response — days 1–6 daily, dose 1
MedDRA: Abortion spontaneous, Dizziness, Haemorrhage — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-09
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-10
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Diarrhea, Abdominal pain · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-10
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-11
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-12
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-12
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-13
Survey response — 7 day, dose 1
MedDRA: Dizziness — Feeling: Fair · Be unable to work

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-13
Report sent to call center — 7 day, dose 1
Be unable to work

1 call case(s)
2021-01-13
Call 1 — Left Voicemail
2021-01-13
Call successful
Completed over the phone
2021-01-13
Call successful
Completed over the phone
2021-01-13
Call successful
Completed over the phone
2021-01-13
Call successful
Completed over the phone
2021-01-13
Call successful
Completed over the phone
2021-01-20
Health check-in — 14 day, dose 1
Feeling: Good

Adult check-in
2021-01-29
Health check-in — 21 day, dose 1
Feeling: Good

Adult check-in
2021-02-02
Call 1 — Could Not Reach Participant
2021-02-03
Dose 2 — Moderna
2021-02-03
Survey response — 0 day, dose 2
MedDRA: Medical counselling — Feeling: Good · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-03
Report sent to call center — 0 day, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-09
Call 2 — Could Not Reach Participant
2021-02-10
Health check-in — 7 day, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-12
Call 3 — Could Not Reach Participant
2021-02-17
Health check-in — 14 day, dose 2
Feeling: Good

Adult check-in
2021-02-24
Survey response — 21 day, dose 2
MedDRA: Chills, Pyrexia, Upper respiratory tract infection — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

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

Adult check-in
2021-03-11
Survey response — 35 day, dose 2
MedDRA: Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-11
Report sent to call center — 35 day, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-17
Survey response — 42 day, dose 2
MedDRA: Chillblains — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-17
Report sent to call center — 42 day, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-07
Survey response — 3 month, dose 2
MedDRA: Arthralgia, Swelling — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-07
Report sent to call center — 3 month, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-14
Call successful
Participant prefers to complete VAERS report online
2021-08-06
Health check-in — 6 month, dose 2
Feeling: Good

Adult check-in
2021-11-05
Dose 3 — Moderna
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

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

Adult check-in
2021-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

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

Adult check-in
2021-11-12
Health check-in — 7 day, dose 3
Feeling: Good · None

Adult check-in
2021-11-21
Survey response — 14 day, dose 3
MedDRA: Pruritus — Feeling: Good

MedDRA releases: 2024-11 · check-in answers available
2021-11-26
Health check-in — 21 day, dose 3
Feeling: Good

Adult check-in
2021-12-03
Survey response — 28 day, dose 3
MedDRA: Mechanical urticaria, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11 · check-in answers available
2021-12-03
Report sent to call center — 28 day, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-06
Call 2 — Left Voicemail
2021-12-12
Health check-in — 35 day, dose 3
Feeling: Good

Adult check-in
2021-12-17
Health check-in — 42 day, dose 3
Feeling: Good

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

Adult check-in
2022-05-08
Health check-in — 6 month, dose 3
Feeling: Good

Adult check-in
2022-11-05
Survey response — 12 month, dose 3
MedDRA: Pre-existing disease — 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

MedDRA releases: 2024-11 · check-in answers available
2022-11-05
Report sent to call center — 12 month, dose 3
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)
2022-11-07
Call X — Left Voicemail
2022-11-07
Call 1 — Left Voicemail
2022-11-07
Call 1 — Left Voicemail
2022-11-07
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Moderna
2	2021-02-03	Moderna
3	2021-11-05	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-07	Successful 2021-01-13	Completed over the phone
2021-01-08	Successful 2021-01-13	Completed over the phone
2021-01-09	Successful 2021-01-13	Completed over the phone
2021-01-10	Successful 2021-01-13	Completed over the phone
2021-01-12	Successful 2021-01-13	Completed over the phone
2021-01-13	Unsuccessful
2021-02-03	Unsuccessful
2021-03-11	Successful	Participant prefers to complete VAERS report online
2021-03-17	Successful	Participant prefers to complete VAERS report online
2021-05-07	Successful 2021-06-14	Participant prefers to complete VAERS report online
2021-12-03	Unsuccessful
2022-11-05	Unsuccessful

Free text

Release 1

Systemic reaction (other): Pregnancy

Systemic reaction (other): Miscarriage

Systemic reaction (other): Dizziness, miscarriage

Systemic reaction (other): Miscarriage/bleeding. Dizziness

Systemic reaction (other): Dizziness

Release 3

Healthcare visit (other): Consulted healthcare team at vaccination site

Release 4

Symptoms: Fever, chills, upper respiratory infection

Release 5

Symptoms: Rash on hand over the knuckles

Symptoms: chilblains on hand

Release 8

Symptoms: joint pain and swelling

Release 10

Symptoms: Full body itching

Symptoms: Symptomatic dermatographism. Breaking out in hives from things touching me

Release 12

Symptoms: Long covid

Free-text releases are not linked to a specific 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	Medical counselling	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Chillblains	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Mechanical urticaria	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pruritus	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Swelling	✓	✓	✓
SD	Upper respiratory tract infection	✓	✓	✓
SD	Urticaria	·	·	✓
SRO	Abortion spontaneous	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Exposure during pregnancy	○	○	○
SRO	Haemorrhage	✓	✓	✓
SRO	Pregnancy	✓	✓	✓

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