6QZ-14300-79482

3 vaccinations 12 coded responses 39 check-ins 12 free-text entries 7 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 980 / WA
Registered: 2020-12-30

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
1020205 (opens in a new window)	high	10 / 11	1	2 of 8 VAERS symptoms	same dose (1)	WA matches	2021-01-02 / 2021-01-02 / 2021-02-10 received 37 days after the last call	case 10609

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

2020-12-30
Registered in v-safe
2021-01-02
Dose 1 — Moderna
2021-01-02
Health check-in — day 0, dose 1
Feeling: Good · None

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

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-04
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Abdominal pain

Adult check-in
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea, Abdominal pain

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Nausea, Abdominal pain · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-01-07
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-01-08
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-09
Health check-in — day 7, dose 1
Feeling: Fair · Nausea, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-01-09
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-23
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-30
Dose 2 — Moderna
2021-01-30
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Loss of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Loss of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Fair · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Loss of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Good · Nausea, Abdominal pain

Free text: Appetite still low

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Dizziness — Feeling: Fair · Headache, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness, low appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Good · Nausea, Abdominal pain

Free text: Some loss of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-10
Call successful
Completed over the phone
2021-02-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-27
Survey response — day 28, dose 2
MedDRA: Cough, Headache, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Headache, cough, sore throat, mild fever · Healthcare visit (other): Went in for COVID-19 tests; got two negative rapid tests

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
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)
2021-03-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-18
Dose 3 — Moderna
2021-12-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea

Adult check-in
2021-12-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-22
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal distension, Decreased appetite — Feeling: Fair · Fatigue or tiredness, Diarrhea

Free text: Feeling a little bloated and a slight loss of appetite

MedDRA releases: 2024-11 · check-in free text available
2021-12-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-25
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-02
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-08
Survey response — day 21, dose 3
MedDRA: Condition aggravated, Gastritis, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Gastritis/GERD (I get these symptoms occasionally, but they've been particularly bad the past few days)

MedDRA releases: 2024-11 · check-in free text available
2022-01-16
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-20
Call 1 — Left Voicemail
2022-01-24
Survey response — day 35, dose 3
MedDRA: Abdominal distension, Abdominal pain, Diarrhoea, Gastritis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Gastritis, bloating, abdominal pain, diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-01-29
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-21
Survey response — 3 months, dose 3
MedDRA: Abdominal pain lower — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Occasional lower abdominal pain

MedDRA releases: 2024-11 · check-in free text available
2022-03-21
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-22
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-20
Survey response — 6 months, dose 3
MedDRA: Device dislocation — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: IUD fell out sometime after my first COVID-19 vaccination in January 2021

MedDRA releases: 2024-11 · check-in free text available
2022-06-20
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)
2022-06-21
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-02	Moderna
2	2021-01-30	Moderna
3	2021-12-18	Moderna	No

Call center

7 call center cases

7 successful

VAERS report filed, before or during a call: 5

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 2

2021-01-31

Systemic reaction (other): Loss of appetite

2021-02-01

Systemic reaction (other): Loss of appetite

2021-02-02

Systemic reaction (other): Loss of appetite

2021-02-03

Systemic reaction (other): Appetite still low

2021-02-04

Systemic reaction (other): Dizziness, low appetite

2021-02-05

Systemic reaction (other): Some loss of appetite

Release 4 — day 28, dose 2

2021-02-27

Symptoms: Headache, cough, sore throat, mild fever

Healthcare visit (other): Went in for COVID-19 tests; got two negative rapid tests

Release 10 — days 1–6 daily, dose 3

2021-12-22

Systemic reaction (other): Feeling a little bloated and a slight loss of appetite

Release 10 — day 21, dose 3

2022-01-08

Symptoms: Gastritis/GERD (I get these symptoms occasionally, but they've been particularly bad the past few days)

Release 11 — day 35, dose 3

2022-01-24

Symptoms: Gastritis, bloating, abdominal pain, diarrhea

Release 11 — 3 months, dose 3

2022-03-21

Symptoms: Occasional lower abdominal pain

Release 12 — 6 months, dose 3

2022-06-20

Symptoms: IUD fell out sometime after my first COVID-19 vaccination in January 2021

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	SARS-CoV-2 test negative	✓	✓	✓
SD	Abdominal distension	·	·	✓
SD	Abdominal pain	·	·	✓
SD	Abdominal pain lower	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Cough	✓	✓	✓
SD	Device dislocation	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Gastritis	·	·	✓
SD	Headache	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	✓	✓	✓
SRO	Abdominal distension	·	·	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dizziness	✓	✓	✓

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