J5C-38918-00935

3 vaccinations 9 coded responses 34 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 836 / ID
Registered: 2021-01-19

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
1975063 (opens in a new window)	high	9 / 11	—	1 of 6 VAERS symptoms	same dose (3)	ID matches	2021-12-19 / 2021-12-20 / 2021-12-23 received the same day as the last call	case 1232917

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

2021-01-19
Registered in v-safe
2021-01-21
Dose 1 — Moderna
2021-01-21
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Headache

Adult check-in
2021-01-25
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 · Fever · Headache

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

Adult check-in
2021-02-05
Survey response — day 14, dose 1
MedDRA: Dizziness — Feeling: Good

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Survey response — day 21, dose 1
MedDRA: Headache — Feeling: Good

Free text: Headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-20
Dose 2 — Moderna
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-03-01
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-03-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-22
Survey response — day 28, dose 2
MedDRA: Diarrhoea — Feeling: Good · Be unable to do your normal daily activities

Free text: Diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-19
Dose 3 — Moderna
2021-12-19
Survey response — day 0, dose 3
MedDRA: Dysgeusia, Paraesthesia — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache

Free text: Tingling, metallic taste

MedDRA releases: 2024-11 · check-in free text available
2021-12-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-12-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-12-21
Report sent to call center — days 1–6 daily, 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)
2021-12-22
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Fatigue or tiredness

Free text: Swollen lymphnodes

MedDRA releases: 2024-11 · check-in free text available
2021-12-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Headache

Adult check-in
2021-12-23
Call successful
Completed over the phone
2021-12-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-12-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-12-26
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-02
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-09
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-16
Survey response — day 28, dose 3
MedDRA: Headache, Nausea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Headache nausea

MedDRA releases: 2024-11 · check-in free text available
2022-01-23
Survey response — day 35, dose 3
MedDRA: Malaise — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sick

MedDRA releases: 2024-11 · check-in free text available
2022-01-31
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-03-20
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-19
Survey response — 6 months, dose 3
MedDRA: Headache, Rhinorrhoea — Feeling: Fair

Free text: Runny nose and headache

MedDRA releases: 2024-11 · check-in free text available
2022-12-19
Survey response — 12 months, dose 3
MedDRA: Headache, Medical counselling, Pyrexia, Respiratory tract irritation — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Headache, chest irritation, fever · Healthcare visit (other): In home urgent care visit

MedDRA releases: 2024-11 · check-in free text available
2022-12-19
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

1 call case(s)
2022-12-21
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Moderna
2	2021-02-20	Moderna
3	2021-12-19	Moderna	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 3 — day 14, dose 1

2021-02-05

Symptoms: Dizziness

Release 4 — day 21, dose 1

2021-02-13

Symptoms: Headaches

Release 6 — day 28, dose 2

2021-03-22

Symptoms: Diarrhea

Release 10 — day 0, dose 3

2021-12-19

Systemic reaction (other): Tingling, metallic taste

Release 10 — days 1–6 daily, dose 3

2021-12-22

Systemic reaction (other): Swollen lymphnodes

Release 10 — day 28, dose 3

2022-01-16

Symptoms: Headache nausea

Release 11 — day 35, dose 3

2022-01-23

Symptoms: Sick

Release 12 — 6 months, dose 3

2022-06-19

Symptoms: Runny nose and headache

Release 12 — 12 months, dose 3

2022-12-19

Symptoms: Headache, chest irritation, fever

Healthcare visit (other): In home urgent care visit

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	Medical counselling	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Malaise	·	·	✓
SD	Nausea	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract irritation	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Dysgeusia	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Paraesthesia	·	·	✓

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