6RM-24122-95528

5 vaccinations 11 coded responses 33 check-ins 11 free-text entries 7 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 953 / CA
Registered: 2021-01-15

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
1592310 (opens in a new window)	high	9 / 11	5	1 of 8 VAERS symptoms	same dose (2)	CA matches	2021-02-12 / 2021-08-01 / 2021-08-20 received the same day as the last call	case 687099

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

2021-01-15
Registered in v-safe
2021-01-15
Dose 1 — Moderna
2021-01-15
Health check-in — day 0, dose 1
Feeling: Good · Fever · Chills

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-12
Dose 2 — Moderna
2021-02-12
Survey response — day 0, dose 2
MedDRA: Hyperhidrosis — Feeling: Good · Site: Pain · Fever

Free text: Mildly diaphoretic

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Vomiting

Free text: diaphoretic- no fever or chills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-28
Survey response — day 42, dose 2
MedDRA: Surgery, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: Surgery fiber optic hiatal hernia diaphragm and esophagus · Healthcare visit (other): But no surprising complications. Expected possiblity.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-14
Survey response — 3 months, dose 2
MedDRA: Pulmonary congestion, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Lung congestion on steroids for 2nd time. · Healthcare visit (other): With in person coming up this next week 19th

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-13
Survey response — 6 months, dose 2
MedDRA: Anaemia, Haemorrhage, Iron deficiency, Occult blood positive, Vitamin B12 deficiency — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Anemia both iron and b-12 deficient with positive guiac. Assumed active bleed

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-13
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-20
Call successful
Completed over the phone
2021-08-20
Call successful
Completed over the phone
2021-08-20
Call successful
Completed over the phone
2021-10-25
Dose 3 — Moderna
2022-02-12
Survey response — 12 months, dose 2
MedDRA: Cancer surgery, Colon cancer — Feeling: Good · Be unable to do your normal daily activities

Free text: colon cancer with surgery 12/28/2021.

MedDRA releases: 2024-11 · check-in free text available
2022-03-29
Dose 4 — Pfizer-BioNTech
2022-04-24
Survey response — day 21, dose 4
MedDRA: Colon cancer, Surgery — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: Colon cancer · Healthcare visit (other): Surgery 12/28/2021

MedDRA releases: 2024-11 · check-in free text available
2022-04-24
Report sent to call center — day 21, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-04-25
Call 1 — Left Voicemail
2022-04-26
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-03
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-10
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-06-28
Survey response — 3 months, dose 4
MedDRA: Bronchiectasis, Condition aggravated, Pneumonia, Pre-existing disease, Respiratory tract infection — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Respiratory infection/pneumonia/Bronchiectasis flare

MedDRA releases: 2024-11 · check-in free text available
2022-06-28
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-29
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-29
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-21
Dose 5 — Pfizer-BioNTech
2022-09-28
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-09-28
Survey response — day 7, dose 5
MedDRA: Erythema, Mass, Pyrexia, Skin warm, Swelling — Feeling: Good

Free text: I had red swollen hot egg lump for about 1 week after shot. Had fever the first night only

MedDRA releases: 2024-11 · check-in free text available
2022-10-06
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-12
Survey response — day 21, dose 5
MedDRA: Ear infection, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Ear infection and tic la rue

MedDRA releases: 2024-11 · check-in free text available
2022-10-12
Report sent to call center — day 21, dose 5
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-13
Call successful
Participant prefers to complete VAERS report online
2022-10-29
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-03
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-22
Survey response — 3 months, dose 5
MedDRA: Pneumonia, Wheezing — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Increased wheezing or lung infection

MedDRA releases: 2024-11 · check-in free text available
2022-12-22
Report sent to call center — 3 months, dose 5
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-12-23
Call 1 — Left Voicemail
2023-03-25
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Moderna
2	2021-02-12	Moderna
3	2021-10-25	Moderna	No
4	2022-03-29	Pfizer-BioNTech	No
5	2022-09-21	Pfizer-BioNTech	No

Call center

7 call center cases

6 successful · 1 unsuccessful

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 4 — day 0, dose 2

2021-02-12

Systemic reaction (other): Mildly diaphoretic

Release 4 — days 1–6 daily, dose 2

2021-02-14

Systemic reaction (other): diaphoretic- no fever or chills

Release 6 — day 42, dose 2

2021-03-28

Symptoms: Surgery fiber optic hiatal hernia diaphragm and esophagus

Healthcare visit (other): But no surprising complications. Expected possiblity.

Release 8 — 3 months, dose 2

2021-05-14

Symptoms: Lung congestion on steroids for 2nd time.

Healthcare visit (other): With in person coming up this next week 19th

Release 9 — 6 months, dose 2

2021-08-13

Symptoms: Anemia both iron and b-12 deficient with positive guiac. Assumed active bleed

Release 11 — 12 months, dose 2

2022-02-12

Symptoms: colon cancer with surgery 12/28/2021.

Release 11 — day 21, dose 4

2022-04-24

Symptoms: Colon cancer

Healthcare visit (other): Surgery 12/28/2021

Release 12 — 3 months, dose 4

2022-06-28

Symptoms: Respiratory infection/pneumonia/Bronchiectasis flare

Release 12 — day 7, dose 5

2022-09-28

Systemic reaction (other): I had red swollen hot egg lump for about 1 week after shot. Had fever the first night only

Release 12 — day 21, dose 5

2022-10-12

Symptoms: Ear infection and tic la rue

Release 12 — 3 months, dose 5

2022-12-22

Symptoms: Increased wheezing or lung 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	Surgery	·	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Anaemia	✓	·	✓
SD	Bronchiectasis	·	·	✓
SD	Cancer surgery	·	·	✓
SD	Colon cancer	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Ear infection	·	·	✓
SD	Haemorrhage	✓	·	✓
SD	Iron deficiency	✓	·	✓
SD	Occult blood positive	✓	·	✓
SD	Pneumonia	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pulmonary congestion	✓	✓	✓
SD	Respiratory tract infection	·	·	✓
SD	Surgery	✓	✓	✓
SD	Unevaluable event	·	·	✓
SD	Vitamin B12 deficiency	✓	·	✓
SD	Wheezing	·	·	✓
SRO	Erythema	·	·	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Mass	·	·	✓
SRO	Pyrexia	·	·	✓
SRO	Skin warm	·	·	✓
SRO	Swelling	·	·	✓

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