URQ-15754-38262

5 vaccinations 3 coded responses 33 check-ins 1 free-text entry 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 100 / NY
Registered: 2021-03-19

Relationship: Self
Race: N/A
Ethnicity: Not Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
2616276 (opens in a new window)	high	9 / 11	-1	1 of 9 VAERS symptoms	same dose (5)	NY matches	2022-10-14 / 2022-10-15 / 2023-04-17 received the same day as the last call	case 521897

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

2021-03-19
Registered in v-safe
2021-03-19
Dose 1 — Moderna
2021-03-19
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-16
Dose 2 — Moderna
2021-04-16
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Swelling, Itching · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · 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

Adult check-in
2021-04-22
Report sent to call center — days 1–6 daily, 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)
2021-04-23
Health check-in — day 7, dose 2
Feeling: Good · Site: Swelling · Chills · Be unable to do your normal daily activities

Adult check-in
2021-04-30
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-15
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-19
Dose 3 — Pfizer-BioNTech
2022-04-02
Call 1 — Left Voicemail
2022-04-18
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-19
Dose 4 — Pfizer-BioNTech
2022-10-14
Dose 5 — Pfizer-BioNTech
2022-10-19
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-10-21
Health check-in — day 7, dose 5
Feeling: Good · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2022-10-28
Survey response — day 14, dose 5
MedDRA: Blepharospasm, Diarrhoea, Dyspnoea, Fatigue, Headache — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Shortness of breath, fatigue, eye twitching, headaches, diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-11-04
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-11-11
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-11-18
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-25
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-13
Survey response — 3 months, dose 5
MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-04-14
Survey response — 6 months, dose 5
MedDRA: Blood prolactin increased, Cortisol increased, Office visit — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-04-14
Report sent to call center — 6 months, dose 5
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)
2023-04-17
Call successful
Completed over the phone
2023-04-17
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Moderna
2	2021-04-16	Moderna
3	2021-12-19	Pfizer-BioNTech	No
4	2022-05-19	Pfizer-BioNTech	No
5	2022-10-14	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-22	Successful 2023-04-17	Completed over the phone
2023-04-14	Successful 2023-04-17	Completed over the phone

Free text

Release 12 — day 14, dose 5

2022-10-28

Symptoms: Shortness of breath, fatigue, eye twitching, headaches, diarrhea

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	Office visit	·	·	✓
SD	Blepharospasm	·	·	✓
SD	Blood prolactin increased	·	·	✓
SD	Cortisol increased	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓

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