XYF-52904-98800

4 vaccinations 11 coded responses 52 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 761 / TX
Registered: 2020-12-30

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
2396441 (opens in a new window)	high	11 / 11	1	6 of 10 VAERS symptoms	same dose (4)	TX matches	2022-04-28 / 2022-07-24 / 2022-07-29 received the same day as the last call	case 891975

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

2020-12-30
Registered in v-safe
2020-12-30
Dose 1 — Moderna
2020-12-30
Health check-in — 0 day, dose 1
Feeling: Good · None

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · Headache, Nausea

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Nausea

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Nausea

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-01-06
Health check-in — 7 day, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-01-13
Health check-in — 14 day, dose 1
Feeling: Fair

Adult check-in
2021-01-20
Health check-in — 21 day, dose 1
Feeling: Fair

Adult check-in
2021-01-27
Dose 2 — Moderna
2021-01-27
Health check-in — 0 day, dose 2
Feeling: Fair · Site: Pain, Redness · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain, Swollen tongue — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-01
Survey response — days 1–6 daily, dose 2
MedDRA: Oral mucosal blistering, Swollen tongue — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Tongue blistering — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-03
Survey response — 7 day, dose 2
MedDRA: Oropharyngeal pain, Tongue blistering — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-10
Health check-in — 14 day, dose 2
Feeling: Fair

Adult check-in
2021-02-17
Survey response — 21 day, dose 2
MedDRA: Cough, Oropharyngeal pain — Feeling: Fair

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-24
Health check-in — 28 day, dose 2
Feeling: Fair

Adult check-in
2021-03-03
Survey response — 35 day, dose 2
MedDRA: Cough, Fatigue, Oropharyngeal pain — Feeling: Fair

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-10
Survey response — 42 day, dose 2
MedDRA: Cough, Oropharyngeal pain, Wheezing — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-10
Report sent to call center — 42 day, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-28
Health check-in — 3 month, dose 2
Feeling: Fair

Adult check-in
2021-07-28
Health check-in — 6 month, dose 2
Feeling: Fair

Adult check-in
2021-11-16
Dose 3 — Moderna
2021-11-17
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Nausea

Adult check-in
2021-11-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Chills, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness, Diarrhea

Adult check-in
2021-11-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-11-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-11-23
Health check-in — 7 day, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-11-30
Health check-in — 14 day, dose 3
Feeling: Fair

Adult check-in
2021-12-07
Health check-in — 21 day, dose 3
Feeling: Good

Adult check-in
2021-12-08
Call 2 — Left Voicemail
2021-12-14
Health check-in — 28 day, dose 3
Feeling: Good

Adult check-in
2021-12-21
Survey response — 35 day, dose 3
MedDRA: Headache, Insomnia, Oropharyngeal pain — Feeling: Fair

MedDRA releases: 2024-11 · check-in answers available
2021-12-29
Survey response — 42 day, dose 3
MedDRA: Body temperature increased, Headache, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair

MedDRA releases: 2024-11 · check-in answers available
2022-02-15
Health check-in — 3 month, dose 3
Feeling: Good

Adult check-in
2022-04-28
Dose 4 — Moderna
2022-04-28
Health check-in — 0 day, dose 4
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-04-29
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-04-30
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Redness · Headache, Joint pains, Fatigue or tiredness, Nausea

Adult check-in
2022-05-01
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-05-02
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-03
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-05
Health check-in — 7 day, dose 4
Feeling: Good · Headache, Joint pains, Muscle or body aches

Adult check-in
2022-05-12
Health check-in — 14 day, dose 4
Feeling: Good

Adult check-in
2022-05-19
Health check-in — 21 day, dose 4
Feeling: Good

Adult check-in
2022-05-26
Survey response — 28 day, dose 4
MedDRA: Body temperature increased, Ear pain, Oropharyngeal pain — Feeling: Fair

MedDRA releases: 2024-11 · check-in answers available
2022-06-02
Health check-in — 35 day, dose 4
Feeling: Fair

Adult check-in
2022-06-09
Health check-in — 42 day, dose 4
Feeling: Fair

Adult check-in
2022-07-28
Survey response — 3 month, dose 4
MedDRA: Cough, Fatigue, Oropharyngeal pain, Pyrexia — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11 · check-in answers available
2022-07-28
Report sent to call center — 3 month, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-07-29
Call 1 — Left Voicemail
2022-07-29
Call 1 — Left Voicemail
2022-07-29
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-29
Call successful
Completed over the phone
2022-10-27
Health check-in — 6 month, dose 4
Feeling: Good

Adult check-in
2023-04-28
Health check-in — 12 month, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Moderna
2	2021-01-27	Moderna
3	2021-11-16	Moderna	No
4	2022-04-28	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-10	Successful 2022-07-29	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-28	Successful 2022-07-29	Completed over the phone

Free text

Release 3

Systemic reaction (other): Sore throat; swollen tongue

Systemic reaction (other): Swollen tongue, blister under the tongue r side of mouth

Systemic reaction (other): Blister under the tongue

Systemic reaction (other): Sore throat, blister under the tongue

Release 4

Symptoms: Sore throat, coughing

Release 5

Symptoms: Fatigue, coughing, and sore throat

Symptoms: Hard coughing with wheeze, sore throat

Release 10

Symptoms: Sore throat, worsen headache, difficulty sleeping

Symptoms: Headache, sore throat, low grade temperature, and congestion

Release 11

Symptoms: Sore throat, painful right ear, low grade temperature

Release 12

Symptoms: Cough, fever, sore throat, increased fatigue

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
SD	Body temperature increased	·	·	✓
SD	Cough	✓	✓	✓
SD	Ear pain	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Insomnia	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Wheezing	✓	✓	✓
SRO	Oral mucosal blistering	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Swollen tongue	✓	✓	✓
SRO	Tongue blistering	✓	✓	✓

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