6LE-10882-98905

3 vaccinations 6 coded responses 14 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 121 / NY
Registered: 2021-01-09

Relationship: Self
Race: Other
Ethnicity: N/A

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
1440500 (opens in a new window)	high	11 / 11	3	4 of 5 VAERS symptoms	same dose (2)	NY matches	2021-01-30 / 2021-01-30 / 2021-07-01 received the same day as the last call	case 147903

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

2021-01-04
Dose 1 — Moderna
2021-01-09
Registered in v-safe
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-09
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-30
Dose 2 — Moderna
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Medical counselling, Urticaria — Feeling: Fair · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: I woke up with welts or hives I called my Dr to see what she thought i shoukd take medicine wise

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Report sent to call center — days 1–6 daily, 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)
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-06
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-03
Survey response — day 28, dose 2
MedDRA: Pruritus, Rash, Urticaria — Feeling: Poor · Be unable to do your normal daily activities

Free text: Within 3 days of my second vaccine i acquired a rash ,hives i have been itching my scalp off ever since .My Dr prescibed me medicarion today to help with my new skin condition

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — day 35, dose 2
MedDRA: Hypertension — Feeling: Fair · Be unable to do your normal daily activities

Free text: My blood pressure is still very high .Normally very low

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-16
Call 1 — Left Voicemail
2021-07-01
Call successful
Completed over the phone
2021-07-31
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-26
Dose 3 — Moderna
2022-01-30
Survey response — 12 months, dose 2
MedDRA: Cough, Fatigue, Headache, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Tired ,dry cough ,headache ,ran a fever

MedDRA releases: 2024-11 · check-in free text available
2022-06-26
Survey response — 6 months, dose 3
MedDRA: COVID-19, Carditis, Herpes zoster, Noninfective encephalitis, Office visit, Skin exfoliation, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Inflammation of the brain inflammation of the heart shingles i get welts and my hands have been peeling since i had Covid again in January · Healthcare visit (other): Drs visit a heart monitor and medication

MedDRA releases: 2024-11 · check-in free text available
2022-06-26
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-27
Call 1 — Requested Callback
2022-06-28
Call 2 — Requested Callback
2022-06-30
Call 3 — Could Not Reach Participant
2022-06-30
Callback requested for
05:00PM ET
2022-12-26
Survey response — 12 months, dose 3
MedDRA: Breast cancer — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I have been diagnosed with Breast Cancer

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-04	Moderna
2	2021-01-30	Moderna
3	2021-12-26	Moderna	No

Call center

3 call center cases

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

VAERS report filed, before or during a call: 1

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-02

Healthcare visit (other): I woke up with welts or hives I called my Dr to see what she thought i shoukd take medicine wise

Release 5 — day 28, dose 2

2021-03-03

Symptoms: Within 3 days of my second vaccine i acquired a rash ,hives i have been itching my scalp off ever since .My Dr prescibed me medicarion today to help with my new skin condition

Release 5 — day 35, dose 2

2021-03-06

Symptoms: My blood pressure is still very high .Normally very low

Release 11 — 12 months, dose 2

2022-01-30

Symptoms: Tired ,dry cough ,headache ,ran a fever

Release 12 — 6 months, dose 3

2022-06-26

Symptoms: Inflammation of the brain inflammation of the heart shingles i get welts and my hands have been peeling since i had Covid again in January

Healthcare visit (other): Drs visit a heart monitor and medication

Release 12 — 12 months, dose 3

2022-12-26

Symptoms: I have been diagnosed with Breast Cancer

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	·	·	✓
HCVO	Urticaria	✓	✓	✓
SD	Breast cancer	·	·	✓
SD	Carditis	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Herpes zoster	·	·	✓
SD	Hypertension	✓	✓	✓
SD	Noninfective encephalitis	·	·	✓
SD	Pruritus	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Rash	✓	✓	✓
SD	Skin exfoliation	·	·	✓
SD	Urticaria	✓	✓	✓

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