LLA-35386-85094

2 vaccinations 13 coded responses 15 check-ins 13 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 631 / MO
Registered: 2021-06-18

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

Registered dependents

4Z5-49507-88642 Other · Male · 2021-08-12

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
1498326 (opens in a new window)	high	11 / 11	4	6 of 12 VAERS symptoms	same dose (2)	MO matches	2021-07-08 / 2021-07-09 / 2021-07-23 received the same day as the last call	case 855031

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

2021-05-20
Dose 1 — Moderna
2021-06-18
Registered in v-safe
2021-06-18
Survey response — day 28, dose 1
MedDRA: Fatigue, Irritability, Pain, Self-medication, Somnolence — Feeling: Fair · Be unable to do your normal daily activities

Free text: Tired, had to use ice pack on my arm, took Alkaseltzer to help pain, worked at first. Allergies to airborne particles- a bit worse, tired, sleepy, grouchy, thought about taking off from work another day. Physical therapist allowed both arm exerci

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Survey response — day 35, dose 1
MedDRA: Depression, Pre-existing disease, Rash — Feeling: Fair · Be unable to work or attend school

Free text: Allergies much worse, rash on legs and arms.Walking in the yard lets me see the Blooming Flowers, doesnt help with the allergies. Seasonal Depression should have been less..usually I get at least some relief before Solstice, not this year

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-01
Survey response — day 42, dose 1
MedDRA: Cough, Muscle spasms — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Leg cramps, coughing, death of close out of state friend, allergies continue to be a problem.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-08
Dose 2 — Moderna
2021-07-11
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Hypersensitivity, Pre-existing disease, Rash, Rhinorrhoea — Feeling: Good · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Allergies worse, coughing, dripping nose, continuing rash on hand

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-13
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Neck pain — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Soreness back of neck and both shoulders iced all night, moving the cold pack between areas

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-14
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms, Pain in extremity, Unevaluable event — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Monday I had to use my cane again. Have intermittent leg cramps, last night I had to ice my neck & both shoulders. Pain now in the right arm below the rotator cuff and above the elbow. I didnt lift or do anything that should give me pain there. · Healthcare visit (other): Scheduled for Friday Morning with my Doctor

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 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-15
Survey response — day 7, dose 2
MedDRA: Fatigue, Myalgia, Rash — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Worked 2:30 am to 6:30 am at Amazon. Muscles Sore, because I had a 4 hour workout, unlike the previous days with no workout and lots of soreness. Still sore in some areas that didnt get a Workout. Rash finally maybe under control still Exhausted

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-22
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-07-23
Call successful
Completed over the phone
2021-07-30
Survey response — day 21, dose 2
MedDRA: Bradykinesia, Dyspnoea, Memory impairment, Muscle spasms, Pre-existing disease, Walking aid user — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Memory, Wake up gasping, Cramps, Allergies Problem, intermittently used cane , Slow filling out form, keeps timing out

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-07
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-08-12
Survey response — day 35, dose 2
MedDRA: Fatigue, Hyperhidrosis, Muscle spasms, Onychoclasis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fingernails brittle, exhaustion and sweating through everything, Air Conditioner Broken. Work is Air conditioned Amazon Warehouse. Cramps dont seem to respond to diet changes, increased Cheese intake, and dried fruits/nuts , Water

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-19
Survey response — day 42, dose 2
MedDRA: Hyperhidrosis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sweating through everything, not sure if it is because l am Still messed up from the Vaccinations, or because the AirConditioner is still broken and it is 83-87 inside. Added Spouse as Dependent as he can no longer do lots. He had both vaccinations

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-07
Survey response — 3 months, dose 2
MedDRA: Abdominal discomfort, Dizziness, Fatigue, Hypersensitivity, Memory impairment, Pre-existing disease, Sinus headache — Feeling: Fair · Be unable to work or attend school

Free text: Dizzy, Exhausted, forgetting things more often. Sinus Headache, allergies worse, yucky stomach. Husband Raymond got the Booster, unable to login to list it. I don't remember anymore what I felt like before COVID shots

MedDRA releases: 2024-11 · check-in free text available
2022-01-06
Survey response — 6 months, dose 2
MedDRA: Oedema peripheral, Peripheral swelling, Skin infection — 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 · Emergency room or emergency department visit

Free text: Skin infection - Edema swelling In my feet and legs.

MedDRA releases: 2024-11 · check-in free text available
2022-01-06
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2022-01-10
Call 1 — Could Not Reach Participant
2022-01-13
Call 2 — Could Not Reach Participant
2022-07-08
Survey response — 12 months, dose 2
MedDRA: Death of relative, Stress — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Stress Husband Died

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-20	Moderna
2	2021-07-08	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 9 — day 28, dose 1

2021-06-18

Symptoms: Tired, had to use ice pack on my arm, took Alkaseltzer to help pain, worked at first. Allergies to airborne particles- a bit worse, tired, sleepy, grouchy, thought about taking off from work another day. Physical therapist allowed both arm exerci

Release 9 — day 35, dose 1

2021-06-24

Symptoms: Allergies much worse, rash on legs and arms.Walking in the yard lets me see the Blooming Flowers, doesnt help with the allergies. Seasonal Depression should have been less..usually I get at least some relief before Solstice, not this year

Release 9 — day 42, dose 1

2021-07-01

Symptoms: Leg cramps, coughing, death of close out of state friend, allergies continue to be a problem.

Release 9 — days 1–6 daily, dose 2

2021-07-11

Systemic reaction (other): Allergies worse, coughing, dripping nose, continuing rash on hand

2021-07-13

Systemic reaction (other): Soreness back of neck and both shoulders iced all night, moving the cold pack between areas

2021-07-14

Systemic reaction (other): Monday I had to use my cane again. Have intermittent leg cramps, last night I had to ice my neck & both shoulders. Pain now in the right arm below the rotator cuff and above the elbow. I didnt lift or do anything that should give me pain there.

Healthcare visit (other): Scheduled for Friday Morning with my Doctor

Release 9 — day 7, dose 2

2021-07-15

Systemic reaction (other): Worked 2:30 am to 6:30 am at Amazon. Muscles Sore, because I had a 4 hour workout, unlike the previous days with no workout and lots of soreness. Still sore in some areas that didnt get a Workout. Rash finally maybe under control still Exhausted

Release 9 — day 21, dose 2

2021-07-30

Symptoms: Memory, Wake up gasping, Cramps, Allergies Problem, intermittently used cane , Slow filling out form, keeps timing out

Release 9 — day 35, dose 2

2021-08-12

Symptoms: Fingernails brittle, exhaustion and sweating through everything, Air Conditioner Broken. Work is Air conditioned Amazon Warehouse. Cramps dont seem to respond to diet changes, increased Cheese intake, and dried fruits/nuts , Water

Release 9 — day 42, dose 2

2021-08-19

Symptoms: Sweating through everything, not sure if it is because l am Still messed up from the Vaccinations, or because the AirConditioner is still broken and it is 83-87 inside. Added Spouse as Dependent as he can no longer do lots. He had both vaccinations cut off by CDC

Release 10 — 3 months, dose 2

2021-10-07

Symptoms: Dizzy, Exhausted, forgetting things more often. Sinus Headache, allergies worse, yucky stomach. Husband Raymond got the Booster, unable to login to list it. I don't remember anymore what I felt like before COVID shots

Release 10 — 6 months, dose 2

2022-01-06

Symptoms: Skin infection - Edema swelling In my feet and legs.

Release 12 — 12 months, dose 2

Reports this person's death

2022-07-08

Symptoms: Stress Husband Died

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	Unevaluable event	✓	✓	✓
SD	Abdominal discomfort	·	·	✓
SD	Bradykinesia	✓	·	✓
SD	Cough	✓	✓	✓
SD	Death of relative	·	·	✓
SD	Depression	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Dyspnoea	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Hyperhidrosis	✓	·	✓
SD	Hypersensitivity	·	·	✓
SD	Irritability	✓	✓	✓
SD	Memory impairment	✓	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Oedema peripheral	·	·	✓
SD	Onychoclasis	✓	·	✓
SD	Pain	✓	✓	✓
SD	Peripheral swelling	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Sinus headache	·	·	✓
SD	Skin infection	·	·	✓
SD	Somnolence	✓	✓	✓
SD	Stress	·	·	✓
SD	Walking aid user	✓	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Fatigue	✓	·	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Myalgia	✓	·	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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