6EB-13040-69424

3 vaccinations 8 coded responses 40 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 751 / TX
Registered: 2021-03-14

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
2001783 (opens in a new window)	high	11 / 11	—	3 of 6 VAERS symptoms	same dose (3)	TX matches	2021-12-30 / 2021-12-30 / 2022-01-04 received the same day as the last call	case 1261850

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

2021-03-14
Registered in v-safe
2021-03-14
Dose 1 — Moderna
2021-03-14
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-04
Survey response — day 21, dose 1
MedDRA: Cough, Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Have had allergy/cold like symptoms Stopped up, runny nose, cough, congestion.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-12
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-04-17
Dose 2 — Moderna
2021-04-17
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-24
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-01
Survey response — day 14, dose 2
MedDRA: Diarrhoea, Nausea, Vomiting — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Nauseated vomiting diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-15
Survey response — day 28, dose 2
MedDRA: Nasal congestion, Rhinorrhoea, Sneezing — Feeling: Fair

Free text: Runny nose, stopped up nose, sneezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-16
Call 1 — Left Voicemail
2021-07-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-16
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-30
Dose 3 — Moderna
2021-12-31
Survey response — days 1–6 daily, dose 3
MedDRA: Erythema, Medical counselling, Nodule — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Had to call Dr. Arm is red and has big knot. Also had the place that gave me the vaccine look at it.

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-01
Survey response — days 1–6 daily, dose 3
MedDRA: Blood glucose increased — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches

Free text: Raised my blood sugar

MedDRA releases: 2024-11 · check-in free text available
2022-01-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2022-01-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling, Itching · None

Adult check-in
2022-01-04
Call successful
Completed over the phone
2022-01-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-06
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-20
Survey response — day 21, dose 3
MedDRA: Discharge, Fatigue, Headache, Myalgia, Nasal congestion — Feeling: Fair

Free text: Stopped up nose, drainage, fatigue, headache, muscle aches,

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
Survey response — day 28, dose 3
MedDRA: Abdominal pain, Abdominal pain upper, Diarrhoea, Nausea — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Stomach pain, diarrhea, quaesy, every time I eat or drink it's worse

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-28
Call successful
Reported to VAERS during previous contact from GDIT
2022-02-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-10
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-03-31
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-30
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-12-30
Survey response — 12 months, dose 3
MedDRA: Heart rate increased — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Rapid heart rate

MedDRA releases: 2024-11 · check-in free text available
2022-12-30
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-03
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-01-03
Call successful
Reported to VAERS during previous contact from GDIT

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-14	Moderna
2	2021-04-17	Moderna
3	2021-12-30	Moderna	No

Call center

4 call center cases

4 successful

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 6 — day 21, dose 1

2021-04-04

Symptoms: Have had allergy/cold like symptoms Stopped up, runny nose, cough, congestion.

Release 8 — day 14, dose 2

2021-05-01

Symptoms: Nauseated vomiting diarrhea

Release 8 — day 28, dose 2

2021-05-15

Symptoms: Runny nose, stopped up nose, sneezing

Release 10 — days 1–6 daily, dose 3

2021-12-31

Healthcare visit (other): Had to call Dr. Arm is red and has big knot. Also had the place that gave me the vaccine look at it.

2022-01-01

Systemic reaction (other): Raised my blood sugar

Release 10 — day 21, dose 3

2022-01-20

Symptoms: Stopped up nose, drainage, fatigue, headache, muscle aches,

Release 11 — day 28, dose 3

2022-01-27

Symptoms: Stomach pain, diarrhea, quaesy, every time I eat or drink it's worse

Release 12 — 12 months, dose 3

2022-12-30

Symptoms: Rapid heart rate

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	Erythema	·	·	✓
HCVO	Medical counselling	·	·	✓
HCVO	Nodule	·	·	✓
SD	Abdominal pain	·	·	✓
SD	Abdominal pain upper	·	·	✓
SD	Cough	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Discharge	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Myalgia	·	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sneezing	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Blood glucose increased	·	·	✓

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