6JE-27618-83861

2 vaccinations 5 coded responses 11 check-ins 5 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 482 / MI
Registered: 2021-04-02

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
2214286 (opens in a new window)	high	9 / 11	3	1 of 5 VAERS symptoms	same dose (2)	MI matches	2021-03-29 / 2021-03-29 / 2022-04-04 received 297 days after the last call	case 454485

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

2021-03-01
Dose 1 — Moderna
2021-03-29
Dose 2 — Moderna
2021-04-02
Registered in v-safe
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Redness, Swelling · Chills, Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Emergency care, Eye swelling, Hospitalisation, Hypersensitivity, Injection site rash, Rash — Feeling: Good · Site: Redness, Swelling · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Systemic reaction (other): Unusual allergic reaction on Thursday. I have no food allergies but both eyes swole up as though I had been in a fight. A rash of bumps of different siges appeared on the left arm where both shots were given. The last shot was on the 29. This happened 72 hours after the shot. I went to emergency the next day. · Healthcare visit (other): kept overnight

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-05
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-04-12
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-11
Call 1 — Left Voicemail
2021-06-12
Call 1 — Left Voicemail
2021-06-28
Survey response — 3 months, dose 2
MedDRA: Cough, Dyspnoea, Emergency care, Erythema, Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activities

Free text: Red, swollen calves and feet for about a week; with hampered breathing and cough. Presently on my way to emergency.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-28
Survey response — 6 months, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Lymphodema and respiratory problems have worsened

MedDRA releases: 2024-11 · check-in free text available
2021-09-28
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2021-09-30
Call 1 — Left Voicemail
2022-03-30
Survey response — 12 months, dose 2
MedDRA: Dyspnoea exertional, Office visit, Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Very short of breath with any movement. Swollen legs. More than usual. · Healthcare visit (other): Doctor visit in office.

MedDRA releases: 2024-11 · check-in free text available
2022-03-30
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-04
Call 1 — Requested Callback
2022-04-04
Callback requested for
04:30PM ET
2022-04-04
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-01	Moderna
2	2021-03-29	Moderna

Call center

4 call center cases

4 successful

VAERS report filed, before or during a call: 4

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-04-02

Systemic reaction (other): Sore throat

2021-04-04

Systemic reaction (other): Unusual allergic reaction on Thursday. I have no food allergies but both eyes swole up as though I had been in a fight. A rash of bumps of different siges appeared on the left arm where both shots were given. The last shot was on the 29. This happened 72 hours after the shot. I went to emergency the next day.

Healthcare visit (other): kept overnight

Release 9 — 3 months, dose 2

2021-06-28

Symptoms: Red, swollen calves and feet for about a week; with hampered breathing and cough. Presently on my way to emergency.

Release 9 — 6 months, dose 2

2021-09-28

Symptoms: Lymphodema and respiratory problems have worsened

Release 11 — 12 months, dose 2

2022-03-30

Symptoms: Very short of breath with any movement. Swollen legs. More than usual.

Healthcare visit (other): Doctor visit in office.

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	Hospitalisation	✓	✓	✓
HCVO	Office visit	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Cough	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Dyspnoea exertional	·	·	✓
SD	Emergency care	✓	✓	✓
SD	Erythema	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SRO	Emergency care	✓	✓	✓
SRO	Eye swelling	✓	✓	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Injection site rash	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Rash	✓	✓	✓

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