VAW-20614-01112

3 vaccinations 6 coded responses 26 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 973 / OR
Registered: 2021-04-20

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

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
2525539 (opens in a new window)	high	9 / 11	1	2 of 14 VAERS symptoms	same dose (3)	OR matches	2021-12-04 / 2022-06-07 / 2022-12-07 received the same day as the last call	case 1206811

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

2021-04-20
Registered in v-safe
2021-04-22
Dose 1 — Moderna
2021-04-22
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Muscle or body aches

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-29
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-20
Dose 2 — Moderna
2021-05-20
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-05-21
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Neck pain, Pain in extremity — Feeling: Fair · Site: Pain, Swelling

Free text: Pretty intense pain in my upper arm, neck and back.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-27
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-17
Survey response — day 28, dose 2
MedDRA: Asthenia, Decreased appetite, Dizziness, Dyspepsia, Nausea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Nausea, digestive upset, lack of appetite, dizzy, very weak

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Survey response — day 35, dose 2
MedDRA: Nausea — Feeling: Good · Be unable to do your normal daily activities

Free text: Random bouts of nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-19
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-18
Survey response — 6 months, dose 2
MedDRA: Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Heart palpitations

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-22
Call successful
Does not wish to fill out VAERS report
2021-12-04
Dose 3 — Moderna
2022-06-04
Survey response — 6 months, dose 3
MedDRA: Nasopharyngitis — Feeling: Good · Be unable to do your normal daily activities

Free text: A few colds

MedDRA releases: 2024-11 · check-in free text available
2022-12-06
Survey response — 12 months, dose 3
MedDRA: Conjunctivitis, Food poisoning, Influenza — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I feel like I have food poisoning. I've also had the flu, about 3 weeks ago. I also had pinkeye around the same time.

MedDRA releases: 2024-11 · check-in free text available
2022-12-06
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-07
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-22	Moderna
2	2021-05-20	Moderna
3	2021-12-04	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-11-18	Successful 2021-11-22	Does not wish to fill out VAERS report
2022-12-06	Successful 2022-12-07	Completed over the phone

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-21

Systemic reaction (other): Pretty intense pain in my upper arm, neck and back.

Release 9 — day 28, dose 2

2021-06-17

Symptoms: Nausea, digestive upset, lack of appetite, dizzy, very weak

Release 9 — day 35, dose 2

2021-06-24

Symptoms: Random bouts of nausea

Release 10 — 6 months, dose 2

2021-11-18

Symptoms: Heart palpitations

Release 11 — 6 months, dose 3

2022-06-04

Symptoms: A few colds

Release 12 — 12 months, dose 3

2022-12-06

Symptoms: I feel like I have food poisoning. I've also had the flu, about 3 weeks ago. I also had pinkeye around the same time.

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	Asthenia	✓	✓	✓
SD	Conjunctivitis	·	·	✓
SD	Decreased appetite	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dyspepsia	✓	✓	✓
SD	Food poisoning	·	·	✓
SD	Influenza	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	✓	✓	✓
SD	Palpitations	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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