UV3-14626-89109

2 vaccinations 8 coded responses 20 check-ins 8 free-text entries 7 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 921 / CA
Registered: 2021-01-12

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

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
1388203 (opens in a new window)	high	10 / 11	3	6 of 16 VAERS symptoms	same dose (2)	CA matches	2021-02-09 / 2021-02-09 / 2021-06-10 received the same day as the last call	case 670931

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

2021-01-12
Registered in v-safe
2021-01-12
Dose 1 — Moderna
2021-01-13
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-13
Report sent to call center — day 0, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-13
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-14
Survey response — days 1–6 daily, dose 1
MedDRA: Gastric disorder — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Stomach issues, bubble gut.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Gastric disorder, Heart rate increased — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Increased heart rate, stomach issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-01-16
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-19
Survey response — day 7, dose 1
MedDRA: Chest discomfort, Heart rate increased — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Fast heart rate, chest tightness I

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-02
Survey response — day 21, dose 1
MedDRA: Abdominal pain, Chest discomfort, Chills, Nausea, Pain — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: My old symptoms post vaccine came back. It was mild to moderate. I had nausea, tightness in my chest, chills, body aches and abdominal pain. It lasted a couple days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Dose 2 — Moderna
2021-02-09
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Nausea

Adult check-in
2021-02-10
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, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-18
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-02-25
Survey response — day 14, dose 2
MedDRA: Abdominal pain, Headache, Nausea — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Abdominal pain, nausea, headache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-11
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-16
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-23
Survey response — day 42, dose 2
MedDRA: Abdominal pain upper, Diarrhoea, Nausea, Pain — Feeling: Poor · Be unable to work

Free text: Diarrhea for 4 days, stomach pain, body ache, nausea.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Survey response — 3 months, dose 2
MedDRA: Emergency care, Surgery, Uterine dilation and curettage, Vaginal haemorrhage — Feeling: Poor · Be unable to work, 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: Symptoms: Heavy vaginal hemmoraging that required a visit to the ER. I was on the verge of a blood transfusion. I had to have an emergency D&C procedure. I'm now on prescription strength iron medicine. · Healthcare visit (other): Surgery D&C

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Report sent to call center — 3 months, 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)
2021-06-10
Call successful
Completed over the phone
2021-08-12
Health check-in — 6 months, dose 2
Feeling: Poor

Adult check-in
2022-02-16
Health check-in — 12 months, dose 2
Feeling: Poor

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-12	Moderna
2	2021-02-09	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-13	priority 2/3
2021-01-13	priority 2/3
2021-01-14	priority 2/3
2021-01-15	priority 2/3
2021-01-16	priority 2/3
2021-01-17	priority 2/3
2021-05-11	Successful 2021-06-10	Completed over the phone

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-14

Systemic reaction (other): Stomach issues, bubble gut.

2021-01-15

Systemic reaction (other): Increased heart rate, stomach issues

2021-01-17

Systemic reaction (other): Coughing

Release 2 — day 7, dose 1

2021-01-19

Systemic reaction (other): Fast heart rate, chest tightness I

Release 3 — day 21, dose 1

2021-02-02

Symptoms: My old symptoms post vaccine came back. It was mild to moderate. I had nausea, tightness in my chest, chills, body aches and abdominal pain. It lasted a couple days.

Release 4 — day 14, dose 2

2021-02-25

Symptoms: Abdominal pain, nausea, headache.

Release 6 — day 42, dose 2

2021-03-23

Symptoms: Diarrhea for 4 days, stomach pain, body ache, nausea.

Release 8 — 3 months, dose 2

2021-05-11

Symptoms: Heavy vaginal hemmoraging that required a visit to the ER. I was on the verge of a blood transfusion. I had to have an emergency D&C procedure. I'm now on prescription strength iron medicine.

Healthcare visit (other): Surgery D&C

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	Surgery	✓	✓	✓
HCVO	Uterine dilation and curettage	✓	✓	✓
SD	Abdominal pain	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Uterine dilation and curettage	✓	✓	✓
SD	Vaginal haemorrhage	✓	✓	✓
SRO	Abdominal discomfort	○	○	○
SRO	Chest discomfort	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Gastric disorder	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓

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