6XK-20167-55777

4 vaccinations 8 coded responses 37 check-ins 8 free-text entries 7 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 950 / CA
Registered: 2021-02-01

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
2359708 (opens in a new window)	high	9 / 11	1	4 of 18 VAERS symptoms	same dose (4)	CA matches	2022-05-24 / 2022-05-27 / 2022-07-06 received the same day as the last call	case 828388

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

2021-01-30
Dose 1 — Moderna
2021-02-01
Registered in v-safe
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-05
Dose 2 — Moderna
2021-03-05
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-12
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-03
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-11
Dose 3 — Moderna
2022-03-05
Survey response — 12 months, dose 2
MedDRA: Cough, Headache, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair

Free text: Headache, sore throat, cough, congestion

MedDRA releases: 2024-11 · check-in free text available
2022-05-24
Dose 4 — Moderna
2022-05-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-05-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-05-29
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-30
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-05-31
Health check-in — day 7, dose 4
Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2022-06-08
Survey response — day 14, dose 4
MedDRA: Haemoptysis, Office visit, Oropharyngeal pain, Productive cough, Sinus congestion — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: extreme sore throat, lots of blood streaked phlegm, sinus clogged up · Healthcare visit (other): Saw two doctors at their offices

MedDRA releases: 2024-11 · check-in free text available
2022-06-08
Report sent to call center — day 14, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-06-09
Call 1 — Left Voicemail
2022-06-14
Survey response — day 21, dose 4
MedDRA: Dysphagia, Dyspnoea, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: difficulty breathing and swallowing · Healthcare visit (other): Office visit with ENT doctor

MedDRA releases: 2024-11 · check-in free text available
2022-06-14
Report sent to call center — day 21, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-06-15
Call 1 — Requested Callback
2022-06-15
Callback requested for
05:00PM ET
2022-06-15
Call successful
Does not wish to fill out VAERS report
2022-06-15
Call successful
Does not wish to fill out VAERS report
2022-06-21
Survey response — day 28, dose 4
MedDRA: Odynophagia, Office visit, Oropharyngeal pain, Sinus congestion — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: sore throat, clogged sinuses, painful swallowing · Healthcare visit (other): ENT doctor visit

MedDRA releases: 2024-11 · check-in free text available
2022-06-21
Report sent to call center — day 28, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-06-22
Call 1 — Left Voicemail
2022-06-29
Survey response — day 35, dose 4
MedDRA: Dyspnoea, Office visit, Oropharyngeal pain, Rash — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: Sore throat, rash, short of breath · Healthcare visit (other): In office doctor visit

MedDRA releases: 2024-11 · check-in free text available
2022-06-29
Report sent to call center — day 35, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-06-30
Call 2 — Left Voicemail
2022-06-30
Call 2 — Left Voicemail
2022-06-30
Call 2 — Left Voicemail
2022-06-30
Call 1 — Left Voicemail
2022-06-30
Call successful
Does not wish to fill out VAERS report
2022-06-30
Call successful
Does not wish to fill out VAERS report
2022-07-05
Survey response — day 42, dose 4
MedDRA: Pharyngeal cancer, Unevaluable event — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: Cancerous tumor in my throat · Healthcare visit (other): Biopsy June 23, 2022

MedDRA releases: 2024-11 · check-in free text available
2022-07-05
Report sent to call center — day 42, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-07-06
Call successful
Completed over the phone
2022-08-27
Survey response — 3 months, dose 4
MedDRA: Chemotherapy, Office visit, Oropharyngeal cancer stage III — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: Stage 3 cancer, oropharageal / tonsil · Healthcare visit (other): Office visit, chemotherapy

MedDRA releases: 2024-11 · check-in free text available
2022-08-27
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

Hospitalization · 1 call case(s)
2022-08-29
Call 1 — Left Voicemail
2022-11-22
Survey response — 6 months, dose 4
MedDRA: Pre-existing disease — Feeling: Poor · 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: Stage 3 cancer, pharongeal and neck cancer

MedDRA releases: 2024-11 · check-in free text available
2022-11-22
Report sent to call center — 6 months, 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)
2022-11-23
Call 2 — Left Voicemail
2022-11-23
Call 1 — Left Voicemail
2023-05-24
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-30	Moderna
2	2021-03-05	Moderna
3	2021-11-11	Moderna	No
4	2022-05-24	Moderna	No

Call center

7 call center cases

5 successful · 2 unsuccessful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 11 — 12 months, dose 2

2022-03-05

Symptoms: Headache, sore throat, cough, congestion

Release 11 — day 14, dose 4

2022-06-08

Symptoms: extreme sore throat, lots of blood streaked phlegm, sinus clogged up

Healthcare visit (other): Saw two doctors at their offices

Release 12 — day 21, dose 4

2022-06-14

Symptoms: difficulty breathing and swallowing

Healthcare visit (other): Office visit with ENT doctor

Release 12 — day 28, dose 4

2022-06-21

Symptoms: sore throat, clogged sinuses, painful swallowing

Healthcare visit (other): ENT doctor visit

Release 12 — day 35, dose 4

2022-06-29

Symptoms: Sore throat, rash, short of breath

Healthcare visit (other): In office doctor visit

Release 12 — day 42, dose 4

2022-07-05

Symptoms: Cancerous tumor in my throat

Healthcare visit (other): Biopsy June 23, 2022

Release 12 — 3 months, dose 4

2022-08-27

Symptoms: Stage 3 cancer, oropharageal / tonsil

Healthcare visit (other): Office visit, chemotherapy

Release 12 — 6 months, dose 4

2022-11-22

Symptoms: Stage 3 cancer, pharongeal and neck cancer

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	Chemotherapy	·	·	✓
HCVO	Office visit	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Cough	·	·	✓
SD	Dysphagia	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Haemoptysis	·	·	✓
SD	Headache	·	·	✓
SD	Odynophagia	·	·	✓
SD	Oropharyngeal cancer stage III	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pharyngeal cancer	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Productive cough	·	·	✓
SD	Rash	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinus congestion	·	·	✓

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