SSU-12790-13007

3 vaccinations 5 coded responses 30 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 923 / CA
Registered: 2021-01-09

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

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
2014196 (opens in a new window)	high	11 / 11	—	1 of 2 VAERS symptoms	same dose (3)	CA matches	2021-12-21 / 2021-12-24 / 2022-01-07 received the same day as the last call	case 11941

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

2021-01-09
Registered in v-safe
2021-01-09
Dose 1 — Moderna
2021-01-09
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

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

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-16
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Survey response — day 14, dose 1
MedDRA: Lymphadenopathy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Swollen lymph node near my neck, above my clavicle

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-30
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-07
Dose 2 — Moderna
2021-02-07
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site erythema, Injection site swelling, Injection site warmth — Feeling: Good · Site: Redness, Swelling · Rash, not including the immediate area around the injection site

Free text: The redness and swelling is located on my upper arm, about 2 inches x 1 1/2 inches, between my elbow and the injection site. I discovered it yesterday, and was warm to the touch. It is still present today, but is improving.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-01
Call successful
Completed over the phone
2021-05-09
Health check-in — 3 months, dose 2
Feeling: Good

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

Adult check-in
2021-12-21
Dose 3 — Moderna
2022-01-04
Survey response — day 14, dose 3
MedDRA: Pre-existing disease, Pregnancy, Thrombosis — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: I'm pregnant, and I released a large blood clot 3 days after receiving the Moderna Booster. It may not necessarily be connected due to the brown discharge I've been having since before receiving the shot, but I still wanted to mention it.

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Report sent to call center — day 14, dose 3
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-01-06
Call 1 — Requested Callback
2022-01-07
Callback requested for
11:00AM ET
2022-01-07
Call successful
Completed over the phone
2022-01-11
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-19
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-25
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-03
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-22
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-21
Survey response — 6 months, dose 3
MedDRA: Palpitations — Feeling: Good

Free text: Heart Palpitations, believed to come from stress

MedDRA releases: 2024-11 · check-in free text available
2022-12-21
Survey response — 12 months, dose 3
MedDRA: Respiratory syncytial virus infection, Viral infection — Feeling: Good

Free text: RSV and some other virus went through my household recently.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-09	Moderna
2	2021-02-07	Moderna
3	2021-12-21	Moderna	No

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-23

Symptoms: Swollen lymph node near my neck, above my clavicle

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): The redness and swelling is located on my upper arm, about 2 inches x 1 1/2 inches, between my elbow and the injection site. I discovered it yesterday, and was warm to the touch. It is still present today, but is improving.

Release 10 — day 14, dose 3

2022-01-04

Symptoms: I'm pregnant, and I released a large blood clot 3 days after receiving the Moderna Booster. It may not necessarily be connected due to the brown discharge I've been having since before receiving the shot, but I still wanted to mention it.

Release 12 — 6 months, dose 3

2022-06-21

Symptoms: Heart Palpitations, believed to come from stress

Release 12 — 12 months, dose 3

2022-12-21

Symptoms: RSV and some other virus went through my household recently.

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
SD	Lymphadenopathy	✓	✓	✓
SD	Palpitations	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pregnancy	·	·	✓
SD	Respiratory syncytial virus infection	·	·	✓
SD	Thrombosis	·	·	✓
SD	Viral infection	·	·	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓

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