H4G-13913-05219

2 vaccinations 7 coded responses 21 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 140 / NY
Registered: 2021-07-10

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

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
1502293 (opens in a new window)	high	10 / 11	—	3 of 11 VAERS symptoms	same dose (1)	NY matches	2021-07-09 / 2021-07-09 / 2021-07-26 received 13 days after the last call	case 850628

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

2021-07-09
Dose 1 — Moderna
2021-07-10
Registered in v-safe
2021-07-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-07-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Nausea

Adult check-in
2021-07-13
Survey response — days 1–6 daily, dose 1
MedDRA: Emergency care, Pre-existing disease — Feeling: Fair · Site: Swelling · Fever · 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: ER visit cellulitis BLE

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-13
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-14
Survey response — days 1–6 daily, dose 1
MedDRA: Cellulitis, Emergency care — Feeling: Fair · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Cellulitis in both lower extremities getting better on clindamycin · Healthcare visit (other): I will be seeing my primary care physician for follow up from ER visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-14
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-15
Survey response — days 1–6 daily, dose 1
MedDRA: Cellulitis, Hospitalisation, Lung infiltration, Office visit — Feeling: Good · Be unable to do your normal daily activities

Free text: Cellulitis is getting better. The hospital doctor referred me to a pulmonologist for infiltrate in right lung

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-16
Survey response — day 7, dose 1
MedDRA: Cellulitis, Pain in extremity, Skin swelling — Feeling: Good

Free text: Cellulitis is better. Legs still puffy but not as sore

MedDRA releases: 2024-11 · check-in free text available
2021-07-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-07-26
Call 1 — Left Voicemail
2021-07-26
Call successful
Completed over the phone
2021-07-30
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-08-06
Dose 2 — Moderna
2021-08-06
Health check-in — day 0, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-08-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-08-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-08-11
Survey response — days 1–6 daily, dose 2
MedDRA: Intra-uterine contraceptive device insertion, Office visit, Pre-existing disease, Uterine dilation and curettage — Feeling: Poor · Site: Itching · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Systemic reaction (other): I had a ptocedure at (b)(6) with Dr (b)(6) it was a hyterscopy D and C and rrinstall of IUD as a checl to see if my pre cancerous condition had changed due to IUD progesterone · Healthcare visit (other): Outpatient but i had trouble in recovery and had to be sent home on continuous oxygen

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-11
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-08-13
Survey response — day 7, dose 2
MedDRA: Medical procedure — Feeling: Good · Fatigue or tiredness

Free text: On oxygen recovering from procedure 2 L

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-17
Call 1 — Left Voicemail
2021-08-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-08-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-09-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-09-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-09-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-11-05
Survey response — 3 months, dose 2
MedDRA: Office visit, Pigmentation disorder — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Skin on edge of my face has pigment change i am still on oxygen from recovery room experience at Roswell Park Cancer Institute · Healthcare visit (other): Pulmonologist

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-08
Call 1 — Left Voicemail
2021-11-10
Call 2 — Left Voicemail
2022-02-06
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-07-09	Moderna	No
2	2021-08-06	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-07-13	Successful	Completed over the phone
2021-07-14	Successful 2021-07-26	Completed over the phone
2021-08-11	Unsuccessful
2021-11-05	Unsuccessful

Free text

Release 9 — days 1–6 daily, dose 1

2021-07-13

Systemic reaction (other): ER visit cellulitis BLE

2021-07-14

Systemic reaction (other): Cellulitis in both lower extremities getting better on clindamycin

Healthcare visit (other): I will be seeing my primary care physician for follow up from ER visit

2021-07-15

Systemic reaction (other): Cellulitis is getting better. The hospital doctor referred me to a pulmonologist for infiltrate in right lung

Release 9 — day 7, dose 1

2021-07-16

Systemic reaction (other): Cellulitis is better. Legs still puffy but not as sore

Release 9 — days 1–6 daily, dose 2

2021-08-11

Systemic reaction (other): I had a ptocedure at (b)(6) with Dr (b)(6) it was a hyterscopy D and C and rrinstall of IUD as a checl to see if my pre cancerous condition had changed due to IUD progesterone

Healthcare visit (other): Outpatient but i had trouble in recovery and had to be sent home on continuous oxygen

redacted (b)(6)

Release 9 — day 7, dose 2

2021-08-13

Systemic reaction (other): On oxygen recovering from procedure 2 L

Release 10 — 3 months, dose 2

2021-11-05

Symptoms: Skin on edge of my face has pigment change i am still on oxygen from recovery room experience at Roswell Park Cancer Institute

Healthcare visit (other): Pulmonologist

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	Emergency care	✓	✓	✓
HCVO	Office visit	✓	·	✓
SD	Pigmentation disorder	·	·	✓
SRO	Cellulitis	✓	✓	✓
SRO	Emergency care	✓	✓	✓
SRO	Hospitalisation	✓	·	✓
SRO	Intra-uterine contraceptive device insertion	✓	·	✓
SRO	Lung infiltration	✓	·	✓
SRO	Medical procedure	✓	·	✓
SRO	Office visit	✓	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Skin swelling	·	·	✓
SRO	Uterine dilation and curettage	✓	·	✓

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