6QB-21338-72187

2 vaccinations 6 coded responses 26 check-ins 6 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 801 / CO
Registered: 2020-12-29

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
1058825 (opens in a new window)	high	10 / 11	2	1 of 4 VAERS symptoms	same dose (1)	CO matches	2020-12-29 / 2021-01-05 / 2021-02-26 received 22 days after the last call	case 82379

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

2020-12-29
Registered in v-safe
2020-12-29
Dose 1 — Moderna
2020-12-29
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

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

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

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-05
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Survey response — day 14, dose 1
MedDRA: Medical counselling, Office visit, Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Progressing rash on both legs. Seen in urgent care Saturday, outpatient PCP Monday and due to see dermatologist Thursday · Healthcare visit (other): Urgent care and then outpatient

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-20
Survey response — day 21, dose 1
MedDRA: Office visit, Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Biopsy of skin rash. Possible reaction to covid vaccine. · Healthcare visit (other): Dermatologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-20
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-27
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-01-29
Dose 2 — Moderna
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Fatigue or tiredness

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

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

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-04
Call successful
Completed over the phone
2021-02-05
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-26
Survey response — day 28, dose 2
MedDRA: Rash — Feeling: Good

Free text: A few rash spots like after the 1st vaccine but treating with OTC meds.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Call 1 — Left Voicemail
2021-03-05
Survey response — day 35, dose 2
MedDRA: Herpes zoster, Office visit, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Rash. Went to dermatologist and diagnosed with shingles. · Healthcare visit (other): Dermatologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-12
Survey response — day 42, dose 2
MedDRA: Herpes zoster — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increased shingles symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-08-26
Call successful
Completed over the phone
2022-01-30
Survey response — 12 months, 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: 2024-11 · check-in free text available
2022-01-30
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-31
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Moderna
2	2021-01-29	Moderna

Call center

4 call center cases

3 successful · 1 unsuccessful

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 1 — day 14, dose 1

2021-01-12

Symptoms: Progressing rash on both legs. Seen in urgent care Saturday, outpatient PCP Monday and due to see dermatologist Thursday

Healthcare visit (other): Urgent care and then outpatient

Release 2 — day 21, dose 1

2021-01-20

Symptoms: Biopsy of skin rash. Possible reaction to covid vaccine.

Healthcare visit (other): Dermatologist

Release 4 — day 28, dose 2

2021-02-26

Symptoms: A few rash spots like after the 1st vaccine but treating with OTC meds.

Release 5 — day 35, dose 2

2021-03-05

Symptoms: Rash. Went to dermatologist and diagnosed with shingles.

Healthcare visit (other): Dermatologist

Release 5 — day 42, dose 2

2021-03-12

Symptoms: Increased shingles symptoms

Release 11 — 12 months, dose 2

2022-01-30

Symptoms: Bladder infection

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	Cystitis	·	·	✓
SD	Herpes zoster	✓	✓	✓
SD	Rash	✓	✓	✓

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