C9F-13859-58813

3 vaccinations 5 coded responses 23 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 782 / TX
Registered: 2021-02-04

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Registered dependents

4G8-61681-46040 Child or adolescent in my care · Male · 2021-11-22

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
1909917 (opens in a new window)	high	11 / 11	3	4 of 7 VAERS symptoms	same dose (3)	TX matches	2021-11-15 / 2021-11-21 / 2021-11-30 received the same day as the last call	case 1194750

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

2021-02-04
Registered in v-safe
2021-02-04
Dose 1 — Moderna
2021-02-04
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-05
Dose 2 — Moderna
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Nausea

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: Fair

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

Adult check-in
2021-09-03
Survey response — 6 months, dose 2
MedDRA: Headache, Oropharyngeal pain, Pyrexia — Feeling: Good · Be unable to work or attend school

Free text: Fever few times and sore throat and headache

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-15
Dose 3 — Pfizer-BioNTech
2021-11-22
Survey response — day 7, dose 3
MedDRA: Chills, Pyrexia — Feeling: Fair

Free text: Yes fever and chills the first 24 hours

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Survey response — day 14, dose 3
MedDRA: Eustachian tube dysfunction, Nasopharyngitis — Feeling: Poor · 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: Cold symptoms. Eustachian tube dysfunction.

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Report sent to call center — day 14, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-30
Call successful
Completed over the phone
2021-12-13
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-27
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-14
Survey response — 3 months, dose 3
MedDRA: COVID-19, Cough, Fatigue, Pyrexia, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I had COVID. Fever, cough, chest congestion, fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-11-17
Survey response — 12 months, dose 3
MedDRA: Cough, Fatigue, Headache, Influenza, Pyrexia, Respiratory tract congestion — Feeling: Good · 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: Influenza A, fever, cough, congestion , fatigue, headache.

MedDRA releases: 2024-11 · check-in free text available
2022-11-17
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 · 1 call case(s)
2022-11-18
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Moderna
2	2021-03-05	Moderna
3	2021-11-15	Pfizer-BioNTech	No

Call center

2 call center cases

1 successful · 1 unsuccessful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 9 — 6 months, dose 2

2021-09-03

Symptoms: Fever few times and sore throat and headache

Release 10 — day 7, dose 3

2021-11-22

Systemic reaction (other): Yes fever and chills the first 24 hours

Release 10 — day 14, dose 3

2021-11-29

Symptoms: Cold symptoms. Eustachian tube dysfunction.

Release 11 — 3 months, dose 3

2022-02-14

Symptoms: I had COVID. Fever, cough, chest congestion, fatigue.

Release 12 — 12 months, dose 3

2022-11-17

Symptoms: Influenza A, fever, cough, congestion , fatigue, headache.

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	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Eustachian tube dysfunction	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	·	✓
SD	Influenza	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pyrexia	✓	·	✓
SD	Respiratory tract congestion	·	·	✓
SRO	Chills	·	·	✓
SRO	Pyrexia	·	·	✓

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