KDF-15301-13787

4 vaccinations 7 coded responses 48 check-ins 5 free-text entries 3 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 470 / IN
Registered: 2021-01-05

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

Registered dependents

YTH-17708-43456 Child or adolescent in my care · Female · 2022-08-01

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
1135928 (opens in a new window)	high	11 / 11	4	4 of 5 VAERS symptoms	same dose (1)	IN matches	2021-01-05 / 2021-01-13 / 2021-03-25 received the same day as the last call	case 79038

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

2021-01-05
Registered in v-safe
2021-01-05
Dose 1 — Moderna
2021-01-05
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Fatigue or tiredness

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia, Specialist consultation — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: 8 days post vaccination I developed increased swelling and redness at the injection site. The site was also warm, and I had a low grade fever - 99.8. I went to my primary care physician and he ordered Keflex for possible cellulitis at injection site. · Healthcare visit (other): Primary care also

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-02
Dose 2 — Moderna
2021-02-02
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-04
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Dizziness — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Shivering dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Abdominal pain

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Nausea

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-18
Survey response — day 42, dose 2
MedDRA: Cough, Ear pain, Headache, Influenza, Nasopharyngitis, Rhinorrhoea, Sneezing — Feeling: Poor · Be unable to work, 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/flu symptoms - cough, sneeze, runny nose, headache, earache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Report sent to call center — day 42, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-25
Call successful
Completed over the phone
2021-05-05
Survey response — 3 months, dose 2
MedDRA: SARS-CoV-2 test negative, Sinusitis — Feeling: Good · Be unable to work

Free text: Two sinus infections. Tested negative for covid during both incidents.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-15
Dose 3 — Moderna
2021-12-15
Health check-in — day 0, dose 3
Feeling: Good · Headache

Adult check-in
2021-12-16
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-17
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-12-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-12-22
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-29
Survey response — day 14, dose 3
MedDRA: Fatigue, Headache, Nasopharyngitis, Rhinorrhoea, Sneezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: Developed a cold this last weekend. Sneezing, runny nose, headache, fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-01-05
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-01-12
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-19
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-26
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-18
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-16
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-13
Dose 4 — Pfizer-BioNTech
2022-12-14
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Adult check-in
2022-12-15
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Adult check-in
2022-12-18
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache

Adult check-in
2022-12-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-12-22
Health check-in — day 7, dose 4
Feeling: Good · Diarrhea

Adult check-in
2022-12-27
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2023-01-05
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2023-01-11
Survey response — day 28, dose 4
MedDRA: Pharyngitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-01-11
Report sent to call center — day 28, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-12
Call 1 — Left Voicemail
2023-01-19
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2023-01-26
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-03-20
Survey response — 3 months, dose 4
MedDRA: COVID-19, Chest pain, Cough, Dyspnoea, Fatigue, Headache, Pleurisy — Feeling: Fair · Be unable to work or attend school

MedDRA releases: 2024-11
2023-06-15
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-05	Moderna
2	2021-02-02	Moderna
3	2021-12-15	Moderna	No
4	2022-12-13	Pfizer-BioNTech	No

Call center

3 call center cases

2 successful · 1 unsuccessful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-19

Symptoms: 8 days post vaccination I developed increased swelling and redness at the injection site. The site was also warm, and I had a low grade fever - 99.8. I went to my primary care physician and he ordered Keflex for possible cellulitis at injection site. cut off by CDC

Healthcare visit (other): Primary care also

Release 3 — days 1–6 daily, dose 2

2021-02-04

Systemic reaction (other): Shivering dizziness

Release 5 — day 42, dose 2

2021-03-18

Symptoms: Cold/flu symptoms - cough, sneeze, runny nose, headache, earache

Release 8 — 3 months, dose 2

2021-05-05

Symptoms: Two sinus infections. Tested negative for covid during both incidents.

Release 10 — day 14, dose 3

2021-12-29

Symptoms: Developed a cold this last weekend. Sneezing, runny nose, headache, fatigue.

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	Specialist consultation	✓	✓	✓
SD	Chest pain	·	·	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Ear pain	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Influenza	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Pharyngitis	·	·	✓
SD	Pleurisy	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SD	Sneezing	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Dizziness	✓	✓	✓

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