6XK-33694-51396

3 vaccinations 4 coded responses 22 check-ins 4 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 770 / TX
Registered: 2021-04-09

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
2552430 (opens in a new window)	high	11 / 11	5	5 of 7 VAERS symptoms	same dose (2)	TX matches	2021-05-07 / 2021-05-10 / 2023-01-06 received the same day as the last call	case 1158328

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

2021-04-09
Registered in v-safe
2021-04-09
Dose 1 — Moderna
2021-04-09
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · Muscle or body aches

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-04-19
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-30
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-07
Dose 2 — Moderna
2021-05-07
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-05-16
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-07
Survey response — 6 months, dose 2
MedDRA: Chills, Cough, Dyspnoea, Headache, Pyrexia, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Congestion, cough, fever, headache, chills, breathing difficulties

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-08
Call 3 — Left Voicemail
2021-12-28
Dose 3 — Moderna
2022-06-28
Survey response — 6 months, dose 3
MedDRA: Dizziness, Nausea — Feeling: Fair · 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: Dizzy lightheaded nauseous

MedDRA releases: 2024-11 · check-in free text available
2022-06-28
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

Emergency room or emergency department visit · 1 call case(s)
2022-06-29
Call 2 — Left Voicemail
2022-06-29
Call 2 — Left Voicemail
2022-12-31
Survey response — 12 months, dose 3
MedDRA: Cough, Migraine, Oedema, Pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Edema, frequent migraines, body aches all the time, nagging cough.

MedDRA releases: 2024-11 · check-in free text available
2022-12-31
Report sent to call center — 12 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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2023-01-03
Call 1 — Could Not Reach Participant
2023-01-03
Call 1 — Could Not Reach Participant
2023-01-03
Call 1 — Could Not Reach Participant
2023-01-06
Call successful
Completed over the phone
2023-01-06
Call successful
Does not wish to fill out VAERS report
2023-01-06
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-09	Moderna
2	2021-05-07	Moderna
3	2021-12-28	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-11-07	Successful 2023-01-06	Completed over the phone
2022-06-28	Successful 2023-01-06	Does not wish to fill out VAERS report
2022-12-31	Successful 2023-01-06	Does not wish to fill out VAERS report

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-08

Systemic reaction (other): Coughing

Release 10 — 6 months, dose 2

2021-11-07

Symptoms: Congestion, cough, fever, headache, chills, breathing difficulties

Release 12 — 6 months, dose 3

2022-06-28

Symptoms: Dizzy lightheaded nauseous

Release 12 — 12 months, dose 3

2022-12-31

Symptoms: Edema, frequent migraines, body aches all the time, nagging cough.

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	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Dizziness	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Headache	·	·	✓
SD	Migraine	·	·	✓
SD	Nausea	·	·	✓
SD	Oedema	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SRO	Cough	✓	✓	✓

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