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6VT-11442-52486

2 vaccinations 4 coded responses 16 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
206 / MD
Registered
2021-01-05
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Possible VAERS report

VAERS IDConfidenceScoreRunner-upShared symptomsDose StateVAERS vaccinated / onset / receivedCall case
1160363 (opens in a new window) high 11 / 11 1 2 of 4 VAERS symptoms same dose (1) MD matches 2021-01-05 / 2021-01-12 / 2021-04-02
received the same day as the last call
 case 79077

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

  1. 2021-01-05
    Registered in v-safe
  2. 2021-01-05
    Dose 1 — Moderna
  3. 2021-01-05
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-01-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site erythema, Injection site swelling — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness
    Free text: Redness and swelling is two inches below injection site.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  7. 2021-01-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-01-13
    Survey response — day 7, dose 1
    MedDRA: Tenderness — Feeling: Good · Site: Pain, Redness, Swelling, Itching
    Free text: Tenderness in arm pit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-19
    Survey response — day 14, dose 1
    MedDRA: Office visit, Pain in extremity, Peripheral swelling, Skin discolouration — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Pain, swelling, redness upper right arm. 4.4cm by 5cm developing on 1/12 that worsened and required Primary Care Physician visit steroids and antihistamines. Ten day course of steroids. Arm back to normal today except for some skin discoloration. · Healthcare visit (other): Primary care visit in office.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-19
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-01-28
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-02
    Dose 2 — Moderna
  13. 2021-02-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Headache, Pain, Pyrexia, Retching, Urine odour abnormal — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness
    Free text: Change in urine smell since 2/4/21. Fever, chills, HA, body aches, dry heaves that began evening of 2/4/21 that subsided 2/5/21 1530.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness
    Adult check-in
  15. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling · Fatigue or tiredness
    Adult check-in
  16. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling · None
    Adult check-in
  17. 2021-02-11
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-16
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-24
  20. 2021-04-02
    Call successful
    Completed over the phone
  21. 2021-08-05
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2022-02-02
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-05Moderna
22021-02-02Moderna

Call center

1 call center case

1 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-07

Systemic reaction (other): Redness and swelling is two inches below injection site.

Release 1 — day 7, dose 1

2021-01-13

Systemic reaction (other): Tenderness in arm pit

Release 2 — day 14, dose 1

2021-01-19

Symptoms: Pain, swelling, redness upper right arm. 4.4cm by 5cm developing on 1/12 that worsened and required Primary Care Physician visit steroids and antihistamines. Ten day course of steroids. Arm back to normal today except for some skin discoloration.
Healthcare visit (other): Primary care visit in office.

Release 3 — days 1–6 daily, dose 2

2021-02-04

Systemic reaction (other): Change in urine smell since 2/4/21. Fever, chills, HA, body aches, dry heaves that began evening of 2/4/21 that subsided 2/5/21 1530.

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDOffice visit ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPeripheral swelling ✓ ✓ ✓
SDSkin discolouration ✓ ✓ ✓
SROAxillary pain ○ ○ ○
SROChills ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SRORetching ✓ ✓ ✓
SROTenderness ✓ ✓ ✓
SROUrine odour abnormal ✓ ✓ ✓

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

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