6SX-19304-88969

4 vaccinations 9 coded responses 37 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 329 / FL
Registered: 2021-02-16

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
1846830 (opens in a new window)	high	10 / 11	—	4 of 9 VAERS symptoms	same dose (3)	FL matches	2021-09-27 / 2021-09-28 / 2021-11-05 received the same day as the last call	case 1134181

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

2021-02-16
Registered in v-safe
2021-02-16
Dose 1 — Moderna
2021-02-16
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

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

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-02
Survey response — day 14, dose 1
MedDRA: Back disorder, Fatigue, Office visit, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Back problems. Extreme fatigue. Low-grade nightly fever. · Healthcare visit (other): My GP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-09
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-16
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-03-19
Dose 2 — Moderna
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Pyrexia — Feeling: Poor · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Fever 102.1 F from 3/20 to 3/22/21

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 7, dose 2
Feeling: Poor · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-02
Survey response — day 14, dose 2
MedDRA: Balance disorder, Dyspnoea, Fatigue, Headache, Loss of personal independence in daily activities, Weight decreased — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Nightly fever 100.0 F, shortness of breath, headaches, excessive fatigue, balance problems. I am unable to do much other than shower daily and eat a simple meal. Lost 12 lbs in past 3 weeks.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-16
Survey response — day 28, dose 2
MedDRA: Balance disorder, Dyspnoea, Glaucoma, Office visit, Pre-existing disease, Pyrexia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Glaucoma has gotten worse. Need laser surgery.Continue to have: nightly fevers 99.7-100.0F, balance problems, shortness of breath · Healthcare visit (other): Eye doctor office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Report sent to call center — day 28, 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)
2021-04-23
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-30
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-18
Health check-in — 3 months, dose 2
Feeling: Poor

Adult check-in
2021-09-17
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-09-27
Dose 3 — Moderna
2021-10-28
Survey response — day 28, dose 3
MedDRA: Brain fog, Dyspnoea, Office visit, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Fever 102 degrees, breathing difficulties, brain fog · Healthcare visit (other): My GP

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Report sent to call center — day 28, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-29
Call 1 — Left Voicemail
2021-11-01
Survey response — day 35, dose 3
MedDRA: Hernia — Feeling: Fair · Be unable to work or attend school

Free text: Diagnosed with 2 hernias

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Call 2 — Left Voicemail
2021-11-05
Call successful
Completed over the phone
2021-11-08
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-12-27
Health check-in — 3 months, dose 3
Feeling: Poor

Adult check-in
2022-03-28
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-05-08
Dose 4 — Moderna
2022-05-14
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-05-15
Health check-in — day 7, dose 4
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-22
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-29
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-06-05
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-06-12
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-06-19
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-08-07
Survey response — 3 months, dose 4
MedDRA: Brain fog, Dyspnoea, Fatigue, Joint swelling, Post-acute COVID-19 syndrome, Pyrexia, Respiratory disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: 6 weeks ago my long Covid symptoms significantly decreased (shortness of breath, brain fog, fevers, fatigue, swollen ankles). About a week ago some returned, especially breathing problems, extremely swollen ankles).

MedDRA releases: 2024-11 · check-in free text available
2022-11-06
Survey response — 6 months, dose 4
MedDRA: Erythema, Immunisation reaction, Peripheral swelling, Pre-existing disease, Rheumatoid arthritis, Skin ulcer — Feeling: Fair · Be unable to do your normal daily activities

Free text: Swollen feet with red spots & sores. Suspect rheumatoid arthritis flare Also, Side effects from Covid variant vaccination 10/26/23

MedDRA releases: 2024-11 · check-in free text available
2023-05-10
Survey response — 12 months, dose 4
MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Poor · Be unable to work or attend school, 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

MedDRA releases: 2024-11
2023-05-10
Report sent to call center — 12 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-05-11
Call 1 — Left Voicemail
2023-05-11
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-16	Moderna
2	2021-03-19	Moderna
3	2021-09-27	Moderna	No
4	2022-05-08	Moderna	No

Call center

4 call center cases

4 successful

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 4 — day 14, dose 1

2021-03-02

Symptoms: Back problems. Extreme fatigue. Low-grade nightly fever.

Healthcare visit (other): My GP

Release 6 — days 1–6 daily, dose 2

2021-03-25

Systemic reaction (other): Fever 102.1 F from 3/20 to 3/22/21

Release 6 — day 14, dose 2

2021-04-02

Symptoms: Nightly fever 100.0 F, shortness of breath, headaches, excessive fatigue, balance problems. I am unable to do much other than shower daily and eat a simple meal. Lost 12 lbs in past 3 weeks.

Release 7 — day 28, dose 2

2021-04-16

Symptoms: Glaucoma has gotten worse. Need laser surgery.Continue to have: nightly fevers 99.7-100.0F, balance problems, shortness of breath

Healthcare visit (other): Eye doctor office visit

Release 10 — day 28, dose 3

2021-10-28

Symptoms: Fever 102 degrees, breathing difficulties, brain fog

Healthcare visit (other): My GP

Release 10 — day 35, dose 3

2021-11-01

Symptoms: Diagnosed with 2 hernias

Release 12 — 3 months, dose 4

2022-08-07

Symptoms: 6 weeks ago my long Covid symptoms significantly decreased (shortness of breath, brain fog, fevers, fatigue, swollen ankles). About a week ago some returned, especially breathing problems, extremely swollen ankles).

Release 12 — 6 months, dose 4

2022-11-06

Symptoms: Swollen feet with red spots & sores. Suspect rheumatoid arthritis flare Also, Side effects from Covid variant vaccination 10/26/23

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	Office visit	✓	✓	✓
SD	Back disorder	✓	✓	✓
SD	Balance disorder	✓	✓	✓
SD	Brain fog	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Erythema	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Glaucoma	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hernia	·	·	✓
SD	Immunisation reaction	·	·	✓
SD	Joint swelling	·	·	✓
SD	Loss of personal independence in daily activities	✓	✓	✓
SD	Peripheral swelling	·	·	✓
SD	Post-acute COVID-19 syndrome	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory disorder	·	·	✓
SD	Rheumatoid arthritis	·	·	✓
SD	Skin ulcer	·	·	✓
SD	Weight decreased	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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