8TF-16065-92007

3 vaccinations 6 coded responses 34 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 902 / CA
Registered: 2021-01-22

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Registered dependents

X8N-28305-11696 Child or adolescent in my care · Female · 2022-06-21

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
2514236 (opens in a new window)	high	11 / 11	3	8 of 13 VAERS symptoms	same dose (3)	CA matches	2021-11-21 / 2022-07-14 / 2022-11-22 received the same day as the last call	case 1184650

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

2021-01-21
Dose 1 — Moderna
2021-01-22
Registered in v-safe
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling, Itching · Joint pains

Adult check-in
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising — Feeling: Good · Fatigue or tiredness

Free text: Bruise at the injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-04
Survey response — day 14, dose 1
MedDRA: Headache, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: I had a two day throbbing headache with nausea have felt tired for the past three days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-18
Dose 2 — Moderna
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Cold sweat, Fatigue, Headache — Feeling: Good · Headache · Be unable to work, Be unable to do your normal daily activities

Free text: The night of the shot, 2/18 I had a headache, chills and cold sweats and was very tired for 24 Hours

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-19
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-21
Dose 3 — Moderna
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · None

Adult check-in
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2021-11-28
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-05
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-12
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-20
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-28
Survey response — day 35, dose 3
MedDRA: Dysphonia, Nasal congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Stuffy nose and raspy throat.

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Survey response — day 42, dose 3
MedDRA: Ear pain, Nasal congestion, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Ear ache, sore throat, stuffy nose.

MedDRA releases: 2024-11 · check-in free text available
2022-02-20
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-05-24
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-11-21
Survey response — 12 months, dose 3
MedDRA: Ageusia, Anosmia, Cough, Dyspnoea, Headache, Nasal congestion, Pain, Pyrexia — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Cough, shortness of breath, fever, body aches, stuffy nose, headache, loss of taste and loss of smell

MedDRA releases: 2024-11 · check-in free text available
2022-11-21
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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-22
Call 1 — Left Voicemail
2022-11-22
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Moderna
2	2021-02-18	Moderna
3	2021-11-21	Moderna	No

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 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): Bruise at the injection site.

Release 3 — day 14, dose 1

2021-02-04

Symptoms: I had a two day throbbing headache with nausea have felt tired for the past three days.

Release 4 — days 1–6 daily, dose 2

2021-02-20

Systemic reaction (other): The night of the shot, 2/18 I had a headache, chills and cold sweats and was very tired for 24 Hours

Release 10 — day 35, dose 3

2021-12-28

Symptoms: Stuffy nose and raspy throat.

Release 10 — day 42, dose 3

2022-01-04

Symptoms: Ear ache, sore throat, stuffy nose.

Release 12 — 12 months, dose 3

2022-11-21

Symptoms: Cough, shortness of breath, fever, body aches, stuffy nose, headache, loss of taste and loss of smell

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	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Cough	·	·	✓
SD	Dysphonia	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Ear pain	·	·	✓
SD	Headache	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Cold sweat	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓

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