6V9-11241-88615

4 vaccinations 9 coded responses 38 check-ins 9 free-text entries 8 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 222 / VA
Registered: 2021-03-05

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
2278163 (opens in a new window)	high	9 / 11	—	1 of 18 VAERS symptoms	same dose (4)	VA matches	2022-05-11 / 2022-05-11 / 2022-05-16 received the same day as the last call	case 692905

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

2021-03-05
Registered in v-safe
2021-03-05
Dose 1 — Moderna
2021-03-05
Survey response — day 0, dose 1
MedDRA: Pruritus — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Itchy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fever · Headache, Joint pains, Nausea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-03-08
Report sent to call center — days 1–6 daily, dose 1
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)
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Headache · Be unable to do your normal daily activities

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-03-10
Report sent to call center — days 1–6 daily, dose 1
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)
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-03-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-02
Dose 2 — Moderna
2021-04-02
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness, Vomiting · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Poor · Fever · Headache, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Brain Fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Hot flush, Menstruation irregular — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Very early menstrual cycle, rolling hot flashes without warning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2021-04-16
Survey response — day 14, dose 2
MedDRA: Condition aggravated, Feeling abnormal, Pre-existing disease — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Im on Xolair for MCAS. Today I got my routine medicine Ive had for years and Im experiencing the worst side effects ever since my vaccine. Extremely abnormal.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Report sent to call center — day 14, 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
Survey response — day 21, dose 2
MedDRA: Adverse drug reaction, Fatigue, Pre-existing disease, Urticaria — Feeling: Fair · Be unable to do your normal daily activities

Free text: My Xolair medicine has reacted differently now for the first time in years. Vaccine is the only variable. My hives are more difficult to manage and increased difficulty managing fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — day 28, dose 2
Feeling: Poor

Adult check-in
2021-05-07
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-14
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-02
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-20
Dose 3 — Moderna
2021-09-21
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-09-22
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Joint pains, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-09-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-09-29
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-21
Survey response — day 28, dose 3
MedDRA: Ear infection, Lymphadenopathy, Pharyngitis — 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

Free text: Ear infection, throat infection, swollen lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Report sent to call center — day 28, dose 3
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)
2021-10-22
Call 2 — Could Not Reach Participant
2021-10-25
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-27
Call 3 — Could Not Reach Participant
2021-11-02
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-20
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-03-21
Survey response — 6 months, dose 3
MedDRA: Hysterectomy — 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, Emergency room or emergency department visit, Hospitalization

Free text: Hysterectomy

MedDRA releases: 2024-11 · check-in free text available
2022-03-21
Report sent to call center — 6 months, dose 3
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 · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-03-22
Call 1 — Left Voicemail
2022-05-11
Dose 4 — Moderna
2022-05-12
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · 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

Adult check-in
2022-05-12
Report sent to call center — days 1–6 daily, 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 · 1 call case(s)
2022-05-13
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site · 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, Emergency room or emergency department visit

Adult check-in
2022-05-13
Report sent to call center — days 1–6 daily, 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 · Emergency room or emergency department visit · 1 call case(s)
2022-05-13
Call 1 — Left Voicemail
2022-05-13
Call 1 — Left Voicemail
2022-05-13
Call 1 — Left Voicemail
2022-05-13
Call 1 — Left Voicemail
2022-05-13
Call 2 — Left Voicemail
2022-05-13
Call 1 — Left Voicemail
2022-05-13
Callback requested for
06:00PM ET
2022-05-15
Survey response — days 1–6 daily, dose 4
MedDRA: Anaphylaxis treatment, Immunisation reaction — Feeling: Poor · Site: Redness · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, 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: The shot required an epi pen. I'm dealing with the aftermath of that which isn't pleasant

MedDRA releases: 2024-11 · check-in free text available
2022-05-15
Report sent to call center — days 1–6 daily, 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

Emergency room or emergency department visit · 1 call case(s)
2022-05-16
Survey response — days 1–6 daily, dose 4
MedDRA: Anaphylactic reaction — Feeling: Poor · Site: Redness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Still recovering from anaphylaxis

MedDRA releases: 2024-11 · check-in free text available
2022-05-16
Call successful
Does not wish to fill out VAERS report
2022-05-16
Call successful
Does not wish to fill out VAERS report
2022-05-16
Call successful
Does not wish to fill out VAERS report
2022-05-16
Call successful
Does not wish to fill out VAERS report
2022-05-16
Call successful
Does not wish to fill out VAERS report
2022-05-16
Call successful
Completed over the phone
2022-05-16
Call successful
Completed over the phone
2022-05-16
Call successful
Completed over the phone
2022-05-18
Health check-in — day 7, dose 4
Feeling: Fair · Fever · Headache, Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-06-08
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-08-10
Health check-in — 3 months, dose 4
Feeling: Poor

Adult check-in
2022-11-11
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Moderna
2	2021-04-02	Moderna
3	2021-09-20	Moderna	No
4	2022-05-11	Moderna	No

Call center

8 call center cases

8 successful

VAERS report filed, before or during a call: 3

3 waits over 3 months for a first call

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-05

Systemic reaction (other): Itchy

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Brain Fog

2021-04-07

Systemic reaction (other): Very early menstrual cycle, rolling hot flashes without warning.

Release 7 — day 14, dose 2

2021-04-16

Symptoms: Im on Xolair for MCAS. Today I got my routine medicine Ive had for years and Im experiencing the worst side effects ever since my vaccine. Extremely abnormal.

Release 7 — day 21, dose 2

2021-04-23

Symptoms: My Xolair medicine has reacted differently now for the first time in years. Vaccine is the only variable. My hives are more difficult to manage and increased difficulty managing fatigue.

Release 10 — day 28, dose 3

2021-10-21

Symptoms: Ear infection, throat infection, swollen lymph nodes

Release 11 — 6 months, dose 3

2022-03-21

Symptoms: Hysterectomy

Release 11 — days 1–6 daily, dose 4

2022-05-15

Healthcare visit (other): The shot required an epi pen. I'm dealing with the aftermath of that which isn't pleasant

2022-05-16

Systemic reaction (other): Still recovering from anaphylaxis

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	Anaphylaxis treatment	·	·	✓
HCVO	Immunisation reaction	·	·	✓
SD	Adverse drug reaction	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Ear infection	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Hysterectomy	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Pharyngitis	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Anaphylactic reaction	·	·	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Menstruation irregular	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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