WQG-30200-35747

2 vaccinations 8 coded responses 25 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 921 / CA
Registered: 2021-01-05

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
1292745 (opens in a new window)	high	8 / 11	3	0 of 3 VAERS symptoms	same dose (1)	CA matches	2021-01-05 / 2021-01-05 / 2021-05-06 received the same day as the last call	case 79156

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

2021-01-05
Registered in v-safe
2021-01-05
Dose 1 — Moderna
2021-01-05
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-07
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

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

Adult check-in
2021-01-11
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea, Sneezing — Feeling: Fair

Free text: Runny nose, sneezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Survey response — day 7, dose 1
MedDRA: Rhinorrhoea, Sneezing — Feeling: Fair · Fever · Chills, Muscle or body aches

Free text: Runny nose, sneezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Survey response — day 14, dose 1
MedDRA: Pancreatitis — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Inflammation of the Pancreas

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Report sent to call center — day 14, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-06
Call successful
Completed over the phone
2021-05-14
Dose 2 — Moderna
2021-05-15
Survey response — days 1–6 daily, dose 2
MedDRA: Agitation, Feeling hot, Neck pain, Pulmonary pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Side neck pain, Left leg pulsating, eyes hot, agitated, lung pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-05-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-05-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-21
Health check-in — day 7, dose 2
Feeling: Good · None

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

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

Adult check-in
2021-06-11
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-14
Survey response — 6 months, dose 2
MedDRA: Antiphospholipid syndrome, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Antiphospholipid Antibody syndrome · Healthcare visit (other): In clinic

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-22
Call 1 — Could Not Reach Participant
2021-11-29
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-05-16
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-05	Moderna
2	2021-05-14	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-19	Successful 2021-05-06	Completed over the phone
2021-11-14	Successful 2021-11-29	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 1 — day 0, dose 1

2021-01-05

Systemic reaction (other): Dizzy

Release 1 — days 1–6 daily, dose 1

2021-01-07

Systemic reaction (other): Dizziness

2021-01-11

Systemic reaction (other): Runny nose, sneezing

Release 1 — day 7, dose 1

2021-01-12

Systemic reaction (other): Runny nose, sneezing

Release 2 — day 14, dose 1

2021-01-19

Symptoms: Inflammation of the Pancreas

Release 8 — days 1–6 daily, dose 2

2021-05-15

Systemic reaction (other): Side neck pain, Left leg pulsating, eyes hot, agitated, lung pain

2021-05-16

Systemic reaction (other): Tired

Release 10 — 6 months, dose 2

2021-11-14

Symptoms: Antiphospholipid Antibody syndrome

Healthcare visit (other): In clinic

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	Antiphospholipid syndrome	·	·	✓
SD	Pancreatitis	✓	✓	✓
SRO	Agitation	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pulmonary pain	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sneezing	✓	✓	✓

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