VTE-76804-27817

4 vaccinations 9 coded responses 51 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 201 / VA
Registered: 2021-02-27

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

Registered dependents

3CC-23760-67473 Child or adolescent in my care · Male · 2022-06-23

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
2597562 (opens in a new window)	high	10 / 11	—	1 of 4 VAERS symptoms	same dose (4)	VA matches	2022-09-14 / 2022-12-23 / 2023-03-16 received 139 days after the last call	case 1128479

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

2021-02-27
Registered in v-safe
2021-02-27
Dose 1 — Moderna
2021-02-27
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

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

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-02
Dose 2 — Moderna
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

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

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-02
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Dose 3 — Moderna
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Headache

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Itching · Headache

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Itching · Headache, Muscle or body aches

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Itching · Fatigue or tiredness

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · Headache

Adult check-in
2021-11-05
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-12
Survey response — day 14, dose 3
MedDRA: Injection site pruritus, Muscle spasms — Feeling: Good

Free text: Itchiness at injection site and muscle cramps at shoulders, neck and lower back.

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Survey response — day 21, dose 3
MedDRA: Headache — Feeling: Good

Free text: Headache

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Survey response — day 28, dose 3
MedDRA: Headache, Muscle spasms, Paranasal sinus discomfort — Feeling: Fair

Free text: Sinus pressure, headache, neck / upper shoulder cramps

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-10
Survey response — day 42, dose 3
MedDRA: Dehydration, Diarrhoea, Fatigue, Gastrooesophageal reflux disease, Vomiting — Feeling: Good · Be unable to do your normal daily activities

Free text: Vomiting, diarrhea, acid reflux, dehydration, exhaustion

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-01
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-14
Dose 4 — Moderna
Co-administered: Flu
2022-09-16
Survey response — days 1–6 daily, dose 4
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Muscle or body aches, Abdominal pain

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-09-17
Survey response — days 1–6 daily, dose 4
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-09-18
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2022-09-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Diarrhea, Abdominal pain

Adult check-in
2022-09-20
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Nausea, Abdominal pain

Adult check-in
2022-09-23
Health check-in — day 7, dose 4
Feeling: Good · Headache

Adult check-in
2022-09-28
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-05
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-12
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-10-19
Survey response — day 35, dose 4
MedDRA: Ear discomfort, Nasopharyngitis, Paranasal sinus discomfort — Feeling: Poor · Be unable to do your normal daily activities

Free text: Head cold, ear and sinus pressure

MedDRA releases: 2024-11 · check-in free text available
2022-10-26
Survey response — day 42, dose 4
MedDRA: Pregnancy, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Pregnant and sinus infection

MedDRA releases: 2024-11 · check-in free text available
2022-10-26
Report sent to call center — day 42, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-28
Call successful
Completed over the phone
2022-12-14
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-03-15
Survey response — 6 months, dose 4
MedDRA: Nasopharyngitis, Pre-existing disease, Sinus congestion — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-03-15
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-03-16
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-27	Moderna
2	2021-04-02	Moderna
3	2021-10-29	Moderna	No
4	2022-09-14	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2022-10-26	Successful 2022-10-28	Completed over the phone
2023-03-15	Successful 2023-03-16	Completed over the phone

Free text

Release 10 — day 14, dose 3

2021-11-12

Symptoms: Itchiness at injection site and muscle cramps at shoulders, neck and lower back.

Release 10 — day 21, dose 3

2021-11-19

Symptoms: Headache

Release 10 — day 28, dose 3

2021-11-26

Symptoms: Sinus pressure, headache, neck / upper shoulder cramps

Release 10 — day 42, dose 3

2021-12-10

Symptoms: Vomiting, diarrhea, acid reflux, dehydration, exhaustion

Release 12 — days 1–6 daily, dose 4

2022-09-16

Systemic reaction (other): Sore throat

2022-09-17

Systemic reaction (other): Sore throat

Release 12 — day 35, dose 4

2022-10-19

Symptoms: Head cold, ear and sinus pressure

Release 12 — day 42, dose 4

2022-10-26

Symptoms: Pregnant and sinus infection

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	Dehydration	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Ear discomfort	·	·	✓
SD	Fatigue	·	·	✓
SD	Gastrooesophageal reflux disease	·	·	✓
SD	Headache	·	·	✓
SD	Injection site pruritus	·	·	✓
SD	Muscle spasms	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pregnancy	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Sinusitis	·	·	✓
SD	Vomiting	·	·	✓
SRO	Oropharyngeal pain	·	·	✓

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