6EC-19213-57708

4 vaccinations 18 coded responses 45 check-ins 18 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 331 / FL
Registered: 2021-01-12

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

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
1558158 (opens in a new window)	high	10 / 11	3	3 of 8 VAERS symptoms	same dose (2)	FL matches	2021-02-11 / 2021-02-11 / 2021-08-14 received the same day as the last call	case 931457

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

2021-01-12
Registered in v-safe
2021-01-12
Dose 1 — Moderna
2021-01-12
Survey response — day 0, dose 1
MedDRA: Lymphoedema — Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lymphedema on same side as vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Report sent to call center — day 0, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-13
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal, Mental fatigue, Migraine, Neck pain — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Brain fog; Mental exhaustion; Migraine headache; Neck pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
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)
2021-01-14
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal, Lymphoedema, Mental fatigue, Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Free text: Brain fog and mental fatigue improved. Lymphedema is less, but I have histamine intolerance.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Fatigue, Mental fatigue, Migraine, Oedema — Feeling: Good · Site: Swelling

Free text: Still waiting for the edema to resolve. It is better though. My energy is back and I no longer have mental exhaustion or fatigue. My headache/migraine also cleared up nicely.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Oedema — Feeling: Good

Free text: Still a little edema left due to my histamine intolerance reaction to the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Survey response — day 14, dose 1
MedDRA: Injection site pruritus, Injection site warmth, Swelling — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Injection site started itching a few days ago and the site became warm again. But no swelling. Also, because I have a suspected condition known as histamine intolerance, I started experiencing edema in my right shoulder (same side). Still swollen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-09
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-11
Dose 2 — Moderna
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Immediate post-injection reaction, Oedema, Swelling — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: I forgot to mention previously that I had edema at my shoulder within the first 30 minutes after I received the vaccine. The edema was lower than the first one, possibly b/c I took Benadryl 1 hour before. But I had swelling regardless which is still there today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Oedema peripheral — Feeling: Good · Site: Redness, Swelling, Itching

Free text: Edema in the right shoulder above the clavicle.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — days 1–6 daily, dose 2
MedDRA: Oedema peripheral — Feeling: Good · Site: Pain, Redness, Swelling, Itching

Free text: Also, edema in shoulder is much lower.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-02-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-08-12
Survey response — 6 months, dose 2
MedDRA: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood alkaline phosphatase increased, Fatigue, Noninfective sialoadenitis, Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: 1st couple mths., liver #s AST/ALT/alkaline phosph. very high. Mom had a similar reading. (We had vaccine same days.) Salivary glands been inflammed for months since. Fatigued. I remote work, indoors much. Vit D =16, better now. More palpitations.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-12
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-14
Call successful
Completed over the phone
2021-09-16
Dose 3 — Moderna
2021-09-16
Survey response — day 0, dose 3
MedDRA: Pain of skin — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Skin sensitive to touch on arms, legs and trunk.

MedDRA releases: 2024-11 · check-in free text available
2021-09-17
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-09-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling, Itching · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-09-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2021-09-21
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal discomfort — Feeling: Good · Site: Redness

Free text: Forgot to mention my abdomen has been upset. Not sure if it was triggered by the booster or it was a coincidental stomach bug.

MedDRA releases: 2024-11 · check-in free text available
2021-09-22
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal discomfort — Feeling: Good · Site: Redness

Free text: The abdominal upset I was experiencing has cleared

MedDRA releases: 2024-11 · check-in free text available
2021-09-23
Health check-in — day 7, dose 3
Feeling: Good · Site: Redness · Headache

Adult check-in
2021-09-30
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-07
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-14
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-21
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-28
Survey response — day 42, dose 3
MedDRA: Fatigue, Oropharyngeal pain — Feeling: Fair

Free text: Just tired and have a slight sore throat.

MedDRA releases: 2024-11 · check-in free text available
2021-12-16
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-17
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-05
Dose 4 — Moderna
2022-05-05
Survey response — day 0, dose 4
MedDRA: Reaction to previous exposure to any vaccine, Swelling — Feeling: Fair · Site: Pain, Swelling · Joint pains, Fatigue or tiredness

Free text: Swelling above clavicle at shoulder near neck as before. I received the shot on my right arm, same area is swollen near my neck on the right as before. I expect I should have more symptoms overnight as I did with all the other shots.

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-05-07
Survey response — days 1–6 daily, dose 4
MedDRA: Swelling — Feeling: Good

Free text: Still monitoring the swelling above my clavicle, right side.

MedDRA releases: 2024-11 · check-in free text available
2022-05-08
Survey response — days 1–6 daily, dose 4
MedDRA: Swelling — Feeling: Good

Free text: Still monitoring the swelling above my right clavicle, same side as shot, lower now.

MedDRA releases: 2024-11 · check-in free text available
2022-05-09
Survey response — days 1–6 daily, dose 4
MedDRA: Swelling — Feeling: Good

Free text: Swelling above clavicle on right side has improved.

MedDRA releases: 2024-11 · check-in free text available
2022-05-10
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-11
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-12
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-19
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-26
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-02
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-09
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-16
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-12	Moderna
2	2021-02-11	Moderna
3	2021-09-16	Moderna	No
4	2022-05-05	Moderna	No

Call center

3 call center cases

1 successful · 2 priority 2/3 (triaged and no follow up)

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-12

Systemic reaction (other): Lymphedema on same side as vaccine.

Release 1 — days 1–6 daily, dose 1

2021-01-13

Systemic reaction (other): Brain fog; Mental exhaustion; Migraine headache; Neck pain.

2021-01-14

Systemic reaction (other): Brain fog and mental fatigue improved. Lymphedema is less, but I have histamine intolerance.

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): Still waiting for the edema to resolve. It is better though. My energy is back and I no longer have mental exhaustion or fatigue. My headache/migraine also cleared up nicely.

2021-01-16

Systemic reaction (other): Still a little edema left due to my histamine intolerance reaction to the vaccine.

Release 2 — day 14, dose 1

2021-01-28

Symptoms: Injection site started itching a few days ago and the site became warm again. But no swelling. Also, because I have a suspected condition known as histamine intolerance, I started experiencing edema in my right shoulder (same side). Still swollen.

Release 4 — days 1–6 daily, dose 2

2021-02-13

Systemic reaction (other): I forgot to mention previously that I had edema at my shoulder within the first 30 minutes after I received the vaccine. The edema was lower than the first one, possibly b/c I took Benadryl 1 hour before. But I had swelling regardless which is still there today.

2021-02-14

Systemic reaction (other): Edema in the right shoulder above the clavicle.

2021-02-15

Systemic reaction (other): Also, edema in shoulder is much lower.

Release 9 — 6 months, dose 2

2021-08-12

Symptoms: 1st couple mths., liver #s AST/ALT/alkaline phosph. very high. Mom had a similar reading. (We had vaccine same days.) Salivary glands been inflammed for months since. Fatigued. I remote work, indoors much. Vit D =16, better now. More palpitations.

Release 9 — day 0, dose 3

2021-09-16

Systemic reaction (other): Skin sensitive to touch on arms, legs and trunk.

Release 9 — days 1–6 daily, dose 3

2021-09-21

Systemic reaction (other): Forgot to mention my abdomen has been upset. Not sure if it was triggered by the booster or it was a coincidental stomach bug.

2021-09-22

Systemic reaction (other): The abdominal upset I was experiencing has cleared

Release 10 — day 42, dose 3

2021-10-28

Symptoms: Just tired and have a slight sore throat.

Release 11 — day 0, dose 4

2022-05-05

Systemic reaction (other): Swelling above clavicle at shoulder near neck as before. I received the shot on my right arm, same area is swollen near my neck on the right as before. I expect I should have more symptoms overnight as I did with all the other shots.

Release 11 — days 1–6 daily, dose 4

2022-05-07

Systemic reaction (other): Still monitoring the swelling above my clavicle, right side.

2022-05-08

Systemic reaction (other): Still monitoring the swelling above my right clavicle, same side as shot, lower now.

2022-05-09

Systemic reaction (other): Swelling above clavicle on right side has improved.

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	Alanine aminotransferase increased	✓	·	✓
SD	Aspartate aminotransferase increased	✓	·	✓
SD	Blood alkaline phosphatase increased	✓	·	✓
SD	Fatigue	✓	·	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Noninfective sialoadenitis	✓	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Palpitations	✓	·	✓
SD	Swelling	✓	✓	✓
SRO	Abdominal discomfort	·	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Lymphoedema	✓	✓	✓
SRO	Mental fatigue	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Oedema	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Pain of skin	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Reaction to previous exposure to any vaccine	·	·	✓
SRO	Swelling	✓	✓	✓

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