XV4-19074-50736

4 vaccinations 13 coded responses 47 check-ins 13 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 837 / ID
Registered: 2021-03-01

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

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
2461998 (opens in a new window)	high	11 / 11	-2	2 of 2 VAERS symptoms	same dose (4)	ID matches	2022-09-10 / 2022-09-20 / 2022-09-27 received the same day as the last call	case 1030913

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

2021-02-25
Dose 1 — Moderna
2021-03-01
Registered in v-safe
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-04
Survey response — 7 day, dose 1
MedDRA: Chronic fatigue syndrome, Dissociative disorder, Fatigue, Headache, Pre-existing disease — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-11
Health check-in — 14 day, dose 1
Feeling: Fair

Adult check-in
2021-03-18
Survey response — 21 day, dose 1
MedDRA: Injection site pain — Feeling: Fair

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-25
Dose 2 — Moderna
2021-03-25
Health check-in — 0 day, dose 2
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Fatigue, Headache, Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Pre-existing disease — Feeling: Fair · Site: Pain · Fatigue or tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Site: Pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Diarrhea

Adult check-in
2021-04-01
Health check-in — 7 day, dose 2
Feeling: Fair · Diarrhea

Adult check-in
2021-04-08
Health check-in — 14 day, dose 2
Feeling: Fair

Adult check-in
2021-04-15
Health check-in — 21 day, dose 2
Feeling: Fair

Adult check-in
2021-04-22
Health check-in — 28 day, dose 2
Feeling: Fair

Adult check-in
2021-04-29
Health check-in — 35 day, dose 2
Feeling: Fair

Adult check-in
2021-05-06
Health check-in — 42 day, dose 2
Feeling: Fair

Adult check-in
2021-06-24
Health check-in — 3 month, dose 2
Feeling: Fair

Adult check-in
2021-09-23
Health check-in — 6 month, dose 2
Feeling: Fair

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

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-07
Survey response — 7 day, dose 3
MedDRA: Dizziness postural, Fatigue, Pre-existing disease — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2021-11-12
Health check-in — 14 day, dose 3
Feeling: Fair

Adult check-in
2021-11-19
Health check-in — 21 day, dose 3
Feeling: Fair

Adult check-in
2021-11-26
Health check-in — 28 day, dose 3
Feeling: Fair

Adult check-in
2021-12-03
Health check-in — 35 day, dose 3
Feeling: Fair

Adult check-in
2021-12-10
Health check-in — 42 day, dose 3
Feeling: Fair

Adult check-in
2022-01-28
Health check-in — 3 month, dose 3
Feeling: Fair

Adult check-in
2022-04-29
Survey response — 6 month, dose 3
MedDRA: Hypothyroidism, Vertigo — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-09-10
Dose 4 — Moderna
2022-09-10
Survey response — 0 day, dose 4
MedDRA: Dizziness, Dysgeusia — Feeling: Fair · Site: Pain · Nausea

MedDRA releases: 2024-11 · check-in answers available
2022-09-11
Survey response — days 1–6 daily, dose 4
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-09-12
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-14
Survey response — days 1–6 daily, dose 4
MedDRA: Condition aggravated, Fatigue, Office visit, Pre-existing disease — Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-09-16
Survey response — days 1–6 daily, dose 4
MedDRA: Fatigue, Pre-existing disease — Feeling: Fair · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-09-17
Survey response — 7 day, dose 4
MedDRA: Pre-existing disease — Feeling: Fair · Site: Redness, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-09-24
Survey response — 14 day, dose 4
MedDRA: Emergency care, Heart rate increased, Palpitations — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11 · check-in answers available
2022-09-24
Report sent to call center — 14 day, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-09-27
Call successful
Completed over the phone
2022-10-01
Health check-in — 21 day, dose 4
Feeling: Fair

Adult check-in
2022-10-08
Health check-in — 28 day, dose 4
Feeling: Fair

Adult check-in
2022-10-15
Health check-in — 35 day, dose 4
Feeling: Fair

Adult check-in
2022-10-22
Health check-in — 42 day, dose 4
Feeling: Fair

Adult check-in
2022-12-10
Health check-in — 3 month, dose 4
Feeling: Fair

Adult check-in
2023-03-11
Health check-in — 6 month, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-25	Moderna
2	2021-03-25	Moderna
3	2021-10-29	Moderna	Flu
4	2022-09-10	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-09-24	Successful 2022-09-27	Completed over the phone

Free text

Release 5

Systemic reaction (other): I have chronic fatigue syndrome and a dissociative disorder, so my fatigue and headaches may stem from that, respectively

Symptoms: Pain again at injection sight.

Release 6

Systemic reaction (other): I have chronic fatigue syndrome and a dissociative disorder so both conditions could explain prolonged fatigue and headaches.

Systemic reaction (other): I have chronic fatigue syndrome, so the fatigue could be from that

Systemic reaction (other): For the duration of this second vaccine, my PTSD, CFS, and nightmares have flared because of Asian hate news (I am part-Asian), so I am now reporting this separate from the vaccine

Release 10

Systemic reaction (other): Dizziness when moving neck, my chronic fatigue syndrome flared up

Release 11

Symptoms: Hypothyroidism, vertigo

Release 12

Systemic reaction (other): Strange taste in mouth after jab, a little lightheaded

Systemic reaction (other): Worsening of CFS/ME and Fibromyalgia

Systemic reaction (other): I have chronic fatigue syndrome and fibromyalgia, so my symptoms are naturally exacerbated by vaccines and the walk to and from the facility to get the vaccine.

Systemic reaction (other): The fatigue is part of my chronic fatigue syndrome and fibromyalgia, so I am generally in poor health

Systemic reaction (other): I have CFS/ME and fibromyalgia, so my health is generally fair to poor on a daily basis.

Symptoms: Heart palpitations and increased heart rate at rest.

Healthcare visit (other): Called 911 to check out my vitals to make sure it wasn't a heart attack

Free-text releases are not linked to a specific 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	Emergency care	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Hypothyroidism	·	·	✓
SD	Injection site pain	✓	✓	✓
SD	Palpitations	·	·	✓
SD	Vertigo	·	·	✓
SRO	Chronic fatigue syndrome	○	✓	○
SRO	Condition aggravated	✓	✓	✓
SRO	Dissociative disorder	○	✓	○
SRO	Dizziness	·	·	✓
SRO	Dizziness postural	·	·	✓
SRO	Dysgeusia	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Office visit	·	·	✓
SRO	Pre-existing disease	✓	✓	✓

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