6TX-11438-79222

3 vaccinations 5 coded responses 31 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 601 / IL
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
1893738 (opens in a new window)	high	10 / 11	—	2 of 6 VAERS symptoms	same dose (3)	IL matches	2021-11-04 / 2021-11-07 / 2021-11-23 received 12 days after the last call	case 1165112

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

2021-02-14
Dose 1 — Moderna
2021-02-16
Registered in v-safe
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Nausea

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-21
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-07
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-14
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-15
Dose 2 — Moderna
2021-03-15
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-29
Survey response — day 14, dose 2
MedDRA: Diarrhoea, Headache, Impaired work ability — Feeling: Good · Be unable to work

Free text: HeadachesDiarrhea Missed 1 day of work

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-15
Survey response — 3 months, dose 2
MedDRA: Heavy menstrual bleeding — Feeling: Good · Be unable to work or attend school

Free text: I had 2 heavy periods right after 2nd dose and a mammogram i had to have a 2nd ultrasound done

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-14
Survey response — 6 months, dose 2
MedDRA: Heavy menstrual bleeding — Feeling: Good

Free text: I just wanted to note that in March and april I had heavy periods (after 2nd dose)Also I had to have a 2nd mammogram Otherwise feeling good!

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Dose 3 — Moderna
2021-11-11
Survey response — day 7, dose 3
MedDRA: Ear infection — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I received my booster shot last thursday and today i have an ear infection that started Monday

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Report sent to call center — day 7, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-18
Survey response — day 14, dose 3
MedDRA: Bell's palsy — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: I was dignosed with Bels Palsy on Saturday

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Report sent to call center — day 14, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2021-11-19
Call 1 — Left Voicemail
2021-11-21
Call 2 — Requested Callback
2021-11-22
Call 3 — Requested Callback
2021-11-23
Call successful
Completed over the phone
2021-11-25
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-04
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-09
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-16
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-05
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-14	Moderna
2	2021-03-15	Moderna
3	2021-11-04	Moderna	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 6 — day 14, dose 2

2021-03-29

Symptoms: HeadachesDiarrhea Missed 1 day of work

Release 9 — 3 months, dose 2

2021-06-15

Symptoms: I had 2 heavy periods right after 2nd dose and a mammogram i had to have a 2nd ultrasound done

Release 9 — 6 months, dose 2

2021-09-14

Symptoms: I just wanted to note that in March and april I had heavy periods (after 2nd dose)Also I had to have a 2nd mammogram Otherwise feeling good!

Release 10 — day 7, dose 3

2021-11-11

Systemic reaction (other): I received my booster shot last thursday and today i have an ear infection that started Monday

Release 10 — day 14, dose 3

2021-11-18

Symptoms: I was dignosed with Bels Palsy on Saturday

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
SD	Bell's palsy	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Impaired work ability	✓	✓	✓
SRO	Ear infection	·	·	✓

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