6JW-24975-98200

5 vaccinations 11 coded responses 48 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 532 / WI
Registered: 2021-01-29

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
2281015 (opens in a new window)	high	11 / 11	6	4 of 7 VAERS symptoms	same dose (4)	WI matches	2022-04-11 / 2022-05-10 / 2022-05-17 received the same day as the last call	case 695914

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

2021-01-27
Dose 1 — Moderna
2021-01-29
Registered in v-safe
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

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

Adult check-in
2021-02-03
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-26
Dose 2 — Moderna
2021-02-26
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Malaise — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Malaise

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Dehydration, Dizziness — Feeling: Fair

Free text: Malaise & slightly lightheaded but I might be dehydrated I havent drank much

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-19
Survey response — day 21, dose 2
MedDRA: Fatigue, Headache — Feeling: Fair

Free text: Headache and fatigue only today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-25
Dose 3 — Moderna
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-28
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain

Free text: Slight swelling of lymph node in axilla of arm shot was given

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain — Feeling: Good · Site: Pain

Free text: Tender lymph node in axilla of arm where shot was given

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Tenderness — Feeling: Good

Free text: Sl ttenderness in axilla on side of shot

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain — Feeling: Good · Site: Pain

Free text: Slight tenderness of lymph node in axilla of arm receiving shot

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Survey response — day 7, dose 3
MedDRA: Unevaluable event — Feeling: Good

Free text: Sl axilla lymph node same side shot was given

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-15
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-22
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-29
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-06
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-24
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-11
Dose 4 — Moderna
2022-04-18
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-25
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-02
Survey response — day 21, dose 4
MedDRA: Abdominal pain upper — Feeling: Fair

Free text: Stomach ache today

MedDRA releases: 2024-11 · check-in free text available
2022-05-09
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-16
Survey response — day 35, dose 4
MedDRA: Malaise, Medical counselling, SARS-CoV-2 test positive — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: + for covid with at home test on 5/12 S/s began on 5/10 · Healthcare visit (other): Phoned office & received rx

MedDRA releases: 2024-11 · check-in free text available
2022-05-16
Report sent to call center — day 35, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-17
Call 1 — Left Voicemail
2022-05-17
Call successful
Completed over the phone
2022-05-23
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-11
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-14
Dose 5 — Moderna
2022-10-10
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-10-11
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-12
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-19
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-26
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-14
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-16
Survey response — 6 months, dose 5
MedDRA: Cough, Decreased appetite, Nasal congestion, Office visit, Sinusitis, Viral infection — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-03-16
Report sent to call center — 6 months, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2023-03-17
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-27	Moderna
2	2021-02-26	Moderna
3	2021-10-25	Moderna	No
4	2022-04-11	Moderna	No
5	2022-09-14	Moderna	No

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-27

Systemic reaction (other): Malaise

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Malaise & slightly lightheaded but I might be dehydrated I havent drank much

Release 6 — day 21, dose 2

2021-03-19

Symptoms: Headache and fatigue only today

Release 10 — days 1–6 daily, dose 3

2021-10-28

Systemic reaction (other): Slight swelling of lymph node in axilla of arm shot was given

2021-10-29

Systemic reaction (other): Tender lymph node in axilla of arm where shot was given

2021-10-30

Systemic reaction (other): Sl ttenderness in axilla on side of shot

2021-10-31

Systemic reaction (other): Slight tenderness of lymph node in axilla of arm receiving shot

Release 10 — day 7, dose 3

2021-11-01

Systemic reaction (other): Sl axilla lymph node same side shot was given

Release 11 — day 21, dose 4

2022-05-02

Symptoms: Stomach ache today

Release 11 — day 35, dose 4

2022-05-16

Symptoms: + for covid with at home test on 5/12 S/s began on 5/10

Healthcare visit (other): Phoned office & received rx

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	Medical counselling	·	·	✓
HCVO	Office visit	·	·	✓
SD	Abdominal pain upper	·	·	✓
SD	Cough	·	·	✓
SD	Decreased appetite	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Malaise	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Office visit	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sinusitis	·	·	✓
SD	Viral infection	·	·	✓
SRO	Dehydration	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Malaise	✓	✓	✓
SRO	Tenderness	·	·	✓
SRO	Unevaluable event	·	·	✓

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