RZJ-17400-18910

2 vaccinations 10 coded responses 21 check-ins 10 free-text entries 5 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 902 / CA
Registered: 2020-12-28

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
995684 (opens in a new window)	high	10 / 11	3	3 of 8 VAERS symptoms	same dose (1)	CA matches	2020-12-28 / 2021-01-03 / 2021-02-02 received the same day as the last call	case 52458

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

2020-12-28
Registered in v-safe
2020-12-28
Dose 1 — Moderna
2020-12-28
Survey response — day 0, dose 1
MedDRA: Feeling jittery — Feeling: Good

Free text: A little jittery

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-29
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Free text: Coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2020-12-30
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Poor · Site: Itching · Fatigue or tiredness

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Good · Site: Swelling, Itching · Headache

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling, Itching · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Swelling, Itching · Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-01-03
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-04
Survey response — day 7, dose 1
MedDRA: Medical counselling — Feeling: Poor · Site: Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Sent Dr a message to determine what I should do

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-13
Survey response — day 14, dose 1
MedDRA: Blood pressure increased, Cough, Immediate post-injection reaction, Nausea, Pruritus, Swelling, Vomiting — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Blood pressure up and cough within 5 min of the vaccine but over about an hour. . Then 1 week later Coughing, nausea, vomiting, swelling, itching starting 1 week after the vaccine and lasting for about 5 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Report sent to call center — day 14, dose 1
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)
2021-01-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-25
Dose 2 — Moderna
2021-01-25
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-01
Call 1 — Left Voicemail
2021-02-02
Call successful
Completed over the phone
2021-02-03
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-08
Survey response — day 14, dose 2
MedDRA: Cough — Feeling: Poor · Be unable to do your normal daily activities

Free text: Coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-26
Survey response — 6 months, dose 2
MedDRA: Pruritus, Urticaria — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Itching with no apparent source, ongoing allergic response that has now become hives. Seen immunologist and now in allergy clinic

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-26
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-27
Call 1 — Could Not Reach Participant
2021-07-30
Call 2 — Could Not Reach Participant
2022-01-27
Survey response — 12 months, dose 2
MedDRA: Cough, Unevaluable event, Vomiting — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cough, distress, vomiting

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Moderna
2	2021-01-25	Moderna

Call center

5 call center cases

4 successful · 1 unsuccessful

VAERS report filed, before or during a call: 5

See the call center timeline

Free text

Release 1 — day 0, dose 1

2020-12-28

Systemic reaction (other): A little jittery

Release 1 — days 1–6 daily, dose 1

2020-12-29

Systemic reaction (other): Coughing

2020-12-31

Systemic reaction (other): Cough

2021-01-01

Systemic reaction (other): Cough

Release 1 — day 7, dose 1

2021-01-04

Healthcare visit (other): Sent Dr a message to determine what I should do

Release 1 — day 14, dose 1

2021-01-13

Symptoms: Blood pressure up and cough within 5 min of the vaccine but over about an hour. . Then 1 week later Coughing, nausea, vomiting, swelling, itching starting 1 week after the vaccine and lasting for about 5 days

Release 3 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): Cough

Release 3 — day 14, dose 2

2021-02-08

Symptoms: Coughing

Release 9 — 6 months, dose 2

2021-07-26

Symptoms: Itching with no apparent source, ongoing allergic response that has now become hives. Seen immunologist and now in allergy clinic

Release 11 — 12 months, dose 2

2022-01-27

Symptoms: Cough, distress, vomiting

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	✓	✓	✓
HCVO	Specialist consultation	○	○	○
SD	Blood pressure increased	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Immediate post-injection reaction	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Swelling	✓	✓	✓
SD	Unevaluable event	·	·	✓
SD	Urticaria	✓	·	✓
SD	Vomiting	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Feeling jittery	✓	✓	✓

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