6JQ-51788-80737

2 vaccinations 17 coded responses 24 check-ins 17 free-text entries 10 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 540 / WI
Registered: 2021-04-01

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
1850759 (opens in a new window)	high	11 / 11	3	6 of 9 VAERS symptoms	same dose (1)	WI matches	2021-03-31 / 2021-04-14 / 2021-11-08 received 185 days before the last call	case 602808

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

2021-03-31
Dose 1 — Moderna
2021-04-01
Registered in v-safe
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Tremor — Feeling: Poor · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Severe chills to the point of body tremors

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Nausea

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Nausea

Adult check-in
2021-04-07
Health check-in — day 7, dose 1
Feeling: Good · Headache, Nausea

Adult check-in
2021-04-21
Survey response — day 21, dose 1
MedDRA: Asthma, Blood pressure abnormal, Chest pain, Dizziness, Emergency care, Gastrooesophageal reflux disease, Oesophageal spasm, Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Severe asthma attack on 4/14, worsening acid reflux, dizziness, blood pressure irregularities and a trip to the ER for chest pain that was ruled esophageal spasm.

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

1 call case(s)
2021-04-28
Survey response — day 28, dose 1
MedDRA: Blood pressure abnormal, Blood pressure increased, Dizziness, Eye pain, Heart rate increased, Hypertension, Medical counselling, Ocular discomfort, Office visit, Pulse pressure abnormal — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Irregular BPs +/- 30 & rapid pulse Narrow pulse pressure readings 115/99& hypertensive readings 150/110Eye pain, pressure, wooziness, dizziness. PCP suspected inflammatory response to vax bc symptoms started after vax but becoming more severe.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Report sent to call center — day 28, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-05
Dose 2 — Moderna
2021-05-05
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-06
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Rapid resting pulse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — days 1–6 daily, dose 2
MedDRA: Poor quality sleep, Temperature regulation disorder — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Restless sleep, poor temperature regulation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal discomfort, Chest pain, Dizziness, Feeling abnormal — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Wooziness, inability to go up and down stairs without feeling lightheaded and needing to sit down. Burning sensation in chest and abdomen. (Had all of this several days after 1st shot as well. Just feel off)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal discomfort, Burning sensation, Dizziness, Heart rate increased, Hypoaesthesia, Vaccine positive rechallenge — Feeling: Poor · Chills, Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Rapid pulse, lightheadedness, wooziness, burning sensation in chest and abdomen, intermittent numbness in forearms and shins (had with 1st vax too)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Hypoaesthesia — Feeling: Good · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Wooziness after using stairs, numbness in forearms and shin/calves

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — day 7, dose 2
MedDRA: Chest pain, Constipation, Dizziness, Inflammation, Medical counselling, Self-medication — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Constipation, burning in chest, dizzy/ woozy. I started w/ pronounced issues at day 14 after the 1st shot. It seems 2nd shot is similar. Ive been taking Benedryl, Zyrtec, Pepcid, Excedrin since April; PCP thinks I am have inflammation from vax

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Survey response — day 14, dose 2
MedDRA: Hypoaesthesia, Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activities, 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: Previously intermittent numbness in my limbs is now persistent numbness from the elbow down both arms, knee down both legs. Ive noticed I am dropping more items and have noticeable swelling in my hands and forearms. I made an appt with my doctor.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-26
Survey response — day 21, dose 2
MedDRA: Hypoaesthesia, Skin laceration — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, 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: Peripheral numbness is increasing. Cut hand in 4 places picking up glass and hand no sensation... didnt know cut happened until I saw blood. Resting heart rate is back up to 112; pulse pressure narrow again into the teens. PCP visit tomorrow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-04
Survey response — day 28, dose 2
MedDRA: Dizziness, Hypoaesthesia, Medical counselling, Self-medication — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Started feeling woozy again earlier this week. Checked BP, 145/110 with a pulse of 112. Still have peripheral numbness in arms and legs. PCP referred me to a neurologist to evaluate for Guillain Barre and POTS. Still taking antihistamines & aspirin.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-09
Survey response — day 35, dose 2
MedDRA: Blood pressure fluctuation, Fatigue, Heart rate irregular, Hypoaesthesia, Neuropathy peripheral, Office visit, Peripheral sensory neuropathy — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symmetrical numbness in limbs is still persistent. Went to see Neurologist today. Peripheral, sensory neuropathy detected upon exam. Labs and EMG ordered. BP and HR still erratic. Fatigue easily.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-16
Survey response — day 42, dose 2
MedDRA: Arthralgia, Hypoaesthesia, Pain, Pain in extremity, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, 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: Symptoms: Persistent peripheral numbness in all 4 limbs. Intermittent electrical pain that is vertical through trunk and in knees, wrists and some fingers. · Healthcare visit (other): Scheduled for an urgent EMG on Monday 6/21

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-25
Call 2 — Left Voicemail
2021-08-05
Survey response — 3 months, dose 2
MedDRA: Electric shock sensation, Hypoaesthesia, Pain, Pain in extremity — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Severe, shooting electrical pain in limbs where I had developed numbness post-vax. The pains are sharp and fast lasting seconds, but they are frequent and episodes last 12-48 hours and then stop. No obvious trigger.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-05
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-15
Call 2 — Left Voicemail
2021-11-03
Survey response — 6 months, dose 2
MedDRA: Bladder dysfunction, Immune-mediated neuropathy, Impaired gastric emptying, Neuropathy peripheral, Unevaluable event, Vaccination site injury — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, 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: Symptoms: Increased neuropathy, gastroparesis, bladder dysfunction. Diagnosed with vaccine injury and immune mediated autonomic neuropathy. Started IVIG infusions last week. · Healthcare visit (other): IVIG infusion - 30ml x 4 days

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-04
Call 2 — Left Voicemail
2021-11-08
Call successful
Completed over the phone
2022-05-12
Survey response — 12 months, dose 2
MedDRA: Diastolic hypertension, Hypertensive crisis, Pain, Trigeminal neuralgia, Unevaluable event — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, 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: Symptoms: Severe trigeminal neuralgia pain, hypertensive diastolic that escalated to hypertensive crisis and did not respond to Toprol. Changed to Verapamil, after 3 months my BP is starting to come down, but my diastolic pressure remains hypertensive. · Healthcare visit (other): IVIG infusion monthly at local hospital

MedDRA releases: 2024-11 · check-in free text available
2022-05-12
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-12
Call 1 — Left Voicemail
2022-05-12
Call 1 — Left Voicemail
2022-05-12
Call 1 — Left Voicemail
2022-05-12
Call 1 — Left Voicemail
2022-05-12
Call 1 — Left Voicemail
2022-05-12
Call 1 — Left Voicemail
2022-05-12
Call 1 — Left Voicemail
2022-05-12
Call 1 — Left Voicemail
2022-05-12
Call 1 — Left Voicemail
2022-05-12
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Moderna
2	2021-05-05	Moderna

Call center

10 call center cases

9 successful · 1 unsuccessful

VAERS report filed, before or during a call: 9

6 waits over 3 months for a first call

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-01

Systemic reaction (other): Severe chills to the point of body tremors

Release 7 — day 21, dose 1

2021-04-21

Symptoms: Severe asthma attack on 4/14, worsening acid reflux, dizziness, blood pressure irregularities and a trip to the ER for chest pain that was ruled esophageal spasm.

Release 8 — day 28, dose 1

2021-04-28

Symptoms: Irregular BPs +/- 30 & rapid pulse Narrow pulse pressure readings 115/99& hypertensive readings 150/110Eye pain, pressure, wooziness, dizziness. PCP suspected inflammatory response to vax bc symptoms started after vax but becoming more severe.

Release 8 — days 1–6 daily, dose 2

2021-05-06

Systemic reaction (other): Rapid resting pulse

2021-05-07

Systemic reaction (other): Restless sleep, poor temperature regulation

2021-05-08

Systemic reaction (other): Wooziness, inability to go up and down stairs without feeling lightheaded and needing to sit down. Burning sensation in chest and abdomen. (Had all of this several days after 1st shot as well. Just feel off)

2021-05-09

Systemic reaction (other): Rapid pulse, lightheadedness, wooziness, burning sensation in chest and abdomen, intermittent numbness in forearms and shins (had with 1st vax too)

2021-05-10

Systemic reaction (other): Wooziness after using stairs, numbness in forearms and shin/calves

Release 8 — day 7, dose 2

2021-05-13

Systemic reaction (other): Constipation, burning in chest, dizzy/ woozy. I started w/ pronounced issues at day 14 after the 1st shot. It seems 2nd shot is similar. Ive been taking Benedryl, Zyrtec, Pepcid, Excedrin since April; PCP thinks I am have inflammation from vax

Release 8 — day 14, dose 2

2021-05-19

Symptoms: Previously intermittent numbness in my limbs is now persistent numbness from the elbow down both arms, knee down both legs. Ive noticed I am dropping more items and have noticeable swelling in my hands and forearms. I made an appt with my doctor.

Release 8 — day 21, dose 2

2021-05-26

Symptoms: Peripheral numbness is increasing. Cut hand in 4 places picking up glass and hand no sensation... didnt know cut happened until I saw blood. Resting heart rate is back up to 112; pulse pressure narrow again into the teens. PCP visit tomorrow

Release 8 — day 28, dose 2

2021-06-04

Symptoms: Started feeling woozy again earlier this week. Checked BP, 145/110 with a pulse of 112. Still have peripheral numbness in arms and legs. PCP referred me to a neurologist to evaluate for Guillain Barre and POTS. Still taking antihistamines & aspirin. cut off by CDC

Release 9 — day 35, dose 2

2021-06-09

Symptoms: Symmetrical numbness in limbs is still persistent. Went to see Neurologist today. Peripheral, sensory neuropathy detected upon exam. Labs and EMG ordered. BP and HR still erratic. Fatigue easily.

Release 9 — day 42, dose 2

2021-06-16

Symptoms: Persistent peripheral numbness in all 4 limbs. Intermittent electrical pain that is vertical through trunk and in knees, wrists and some fingers.

Healthcare visit (other): Scheduled for an urgent EMG on Monday 6/21

Release 9 — 3 months, dose 2

2021-08-05

Symptoms: Severe, shooting electrical pain in limbs where I had developed numbness post-vax. The pains are sharp and fast lasting seconds, but they are frequent and episodes last 12-48 hours and then stop. No obvious trigger.

Release 10 — 6 months, dose 2

2021-11-03

Symptoms: Increased neuropathy, gastroparesis, bladder dysfunction. Diagnosed with vaccine injury and immune mediated autonomic neuropathy. Started IVIG infusions last week.

Healthcare visit (other): IVIG infusion - 30ml x 4 days

Release 11 — 12 months, dose 2

2022-05-12

Symptoms: Severe trigeminal neuralgia pain, hypertensive diastolic that escalated to hypertensive crisis and did not respond to Toprol. Changed to Verapamil, after 3 months my BP is starting to come down, but my diastolic pressure remains hypertensive.

Healthcare visit (other): IVIG infusion monthly at local hospital

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	Unevaluable event	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Asthma	✓	✓	✓
SD	Bladder dysfunction	·	·	✓
SD	Blood pressure abnormal	✓	✓	✓
SD	Blood pressure fluctuation	✓	✓	✓
SD	Blood pressure increased	✓	·	✓
SD	Chest pain	✓	✓	✓
SD	Diastolic hypertension	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Electric shock sensation	✓	·	✓
SD	Emergency care	✓	✓	✓
SD	Eye pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastrooesophageal reflux disease	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Heart rate irregular	✓	✓	✓
SD	Hypertension	○	✓	○
SD	Hypertensive crisis	·	·	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Immune-mediated neuropathy	·	·	✓
SD	Impaired gastric emptying	·	·	✓
SD	Medical counselling	✓	✓	✓
SD	Neuropathy peripheral	✓	✓	✓
SD	Ocular discomfort	✓	✓	✓
SD	Oesophageal spasm	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral sensory neuropathy	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pulse pressure abnormal	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Skin laceration	✓	✓	✓
SD	Trigeminal neuralgia	·	·	✓
SD	Vaccination site injury	·	·	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Burning sensation	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Constipation	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Inflammation	✓	✓	✓
SRO	Medical counselling	✓	✓	✓
SRO	Poor quality sleep	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Temperature regulation disorder	✓	✓	✓
SRO	Tremor	✓	✓	✓
SRO	Vaccine positive rechallenge	✓	✓	✓

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