6NJ-25717-34113

4 vaccinations 9 coded responses 47 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 981 / WA
Registered: 2021-03-06

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
1772146 (opens in a new window)	high	9 / 11	—	2 of 9 VAERS symptoms	same dose (2)	WA matches	2021-04-05 / 2021-05-06 / 2021-10-08 received 151 days after the last call	case 666028

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

2021-03-06
Registered in v-safe
2021-03-06
Dose 1 — Moderna
2021-03-06
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Chills — Feeling: Good · Site: Pain

Free text: Very slight chill last night for about 30 min

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good · Site: Pain

Free text: Slight sore arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: No

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

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — day 7, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-20
Survey response — day 14, dose 1
MedDRA: Injection site hypersensitivity, Self-medication — Feeling: Good

Free text: Delayed hypersensitivity reaction at injection site. Showed up 9pm March 15. Looked like a big spider bite. Treated with benedryl cream and one 50 mg oral dose of benedryl

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-05
Dose 2 — Moderna
2021-04-05
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-10
Survey response — day 35, dose 2
MedDRA: Cystitis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Bladder infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-05
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-04
Survey response — 6 months, dose 2
MedDRA: Glycosylated haemoglobin increased, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: High A1C test of 5.4 on July 1. Repeat test in Oct 1 was back down to 5.7 · Healthcare visit (other): Lab test

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-07
Call 1 — Could Not Reach Participant
2021-10-08
Call successful
Completed over the phone
2022-01-12
Dose 3 — Pfizer-BioNTech
2022-01-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-01-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2022-01-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2022-01-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness · None

Adult check-in
2022-01-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · None

Adult check-in
2022-01-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · None

Adult check-in
2022-01-19
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-26
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-02-02
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-09
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-16
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-23
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-15
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-13
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-01
Dose 4 — Pfizer-BioNTech
2022-10-12
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-15
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-22
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-29
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-05
Survey response — day 35, dose 4
MedDRA: Rash — Feeling: Good

Free text: Recurrence of a mild rash to blue clothing dye. I had a couple of episodes of this about 7 months after second booster.

MedDRA releases: 2024-11 · check-in free text available
2022-11-12
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-31
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-01
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-06	Moderna
2	2021-04-05	Moderna
3	2022-01-12	Pfizer-BioNTech	No
4	2022-10-01	Pfizer-BioNTech	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 5 — day 0, dose 1

2021-03-06

Systemic reaction (other): No

Release 5 — days 1–6 daily, dose 1

2021-03-07

Systemic reaction (other): Very slight chill last night for about 30 min

2021-03-08

Systemic reaction (other): Slight sore arm

2021-03-09

Systemic reaction (other): No

2021-03-10

Systemic reaction (other): No

Release 6 — day 14, dose 1

2021-03-20

Symptoms: Delayed hypersensitivity reaction at injection site. Showed up 9pm March 15. Looked like a big spider bite. Treated with benedryl cream and one 50 mg oral dose of benedryl

Release 8 — day 35, dose 2

2021-05-10

Symptoms: Bladder infection

Release 9 — 6 months, dose 2

2021-10-04

Symptoms: High A1C test of 5.4 on July 1. Repeat test in Oct 1 was back down to 5.7

Healthcare visit (other): Lab test

Release 12 — day 35, dose 4

2022-11-05

Symptoms: Recurrence of a mild rash to blue clothing dye. I had a couple of episodes of this about 7 months after second booster.

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	Cystitis	✓	✓	✓
SD	Glycosylated haemoglobin increased	·	·	✓
SD	Injection site hypersensitivity	✓	✓	✓
SD	Rash	·	·	✓
SD	Self-medication	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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