XZN-23570-61610

2 vaccinations 12 coded responses 22 check-ins 12 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 148 / NY
Registered: 2021-09-09

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
2470619 (opens in a new window)	high	9 / 11	-2	2 of 18 VAERS symptoms	same dose (2)	NY matches	2021-10-05 / 2021-10-06 / 2022-10-06 received the same day as the last call	case 461740

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

2021-09-07
Dose 1 — Moderna
2021-09-09
Registered in v-safe
2021-09-09
Survey response — days 1–6 daily, dose 1
MedDRA: Brain fog, Dizziness — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Dizziness, brain not functioning well.

MedDRA releases: 2024-11 · check-in free text available
2021-09-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-09-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · Fever · Chills

Adult check-in
2021-09-12
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good

Free text: My lymph gland by my ear on the side of my body that I got the shot has been swollen & sore to the touch since day one of the shot.

MedDRA releases: 2024-11 · check-in free text available
2021-09-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · None

Adult check-in
2021-09-15
Survey response — day 7, dose 1
MedDRA: Headache, Mobility decreased — Feeling: Good · Headache · Be unable to work or attend school

Free text: Even though I stayed hydrated with electrolytes, I had a stronger headache late afternoon where I couldn't function for about an hour.

MedDRA releases: 2024-11 · check-in free text available
2021-09-21
Survey response — day 14, dose 1
MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activities

Free text: Headaches

MedDRA releases: 2024-11 · check-in free text available
2021-09-29
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-10-05
Dose 2 — Moderna
2021-10-05
Survey response — day 0, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Breathing is depressed like I can't breathe fully unless I focus on taking each breath.

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Survey response — days 1–6 daily, dose 2
MedDRA: Balance disorder — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Not stable, wobbly at times

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-11
Survey response — days 1–6 daily, dose 2
MedDRA: Bradyphrenia, Memory impairment — Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My thinking has been slow & forgetful all week like after the first vaccine.

MedDRA releases: 2024-11 · check-in free text available
2021-10-12
Survey response — day 7, dose 2
MedDRA: Brain fog — Feeling: Fair · Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Brain fog

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-10-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-11-02
Survey response — day 28, dose 2
MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activities

Free text: Achy joints but don't know if it's related.

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-11-17
Survey response — day 42, dose 2
MedDRA: Headache — Feeling: Good

Free text: Sharp pains in my head.

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2022-04-05
Survey response — 6 months, dose 2
MedDRA: Office visit, Postmenopausal haemorrhage — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Vaginal bleeding postmenapausal · Healthcare visit (other): OB/GYN & intervaginal ultrasound

MedDRA releases: 2024-11 · check-in free text available
2022-04-05
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-06
Call 1 — Left Voicemail
2022-10-05
Survey response — 12 months, dose 2
MedDRA: Pericarditis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Idiopathic acute pericarditis

MedDRA releases: 2024-11 · check-in free text available
2022-10-05
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Hospitalization · 1 call case(s)
2022-10-06
Call successful
Completed over the phone
2022-10-06
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-09-07	Moderna	No
2	2021-10-05	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-04-05	Successful 2022-10-06	Completed over the phone
2022-10-05	Successful 2022-10-06	Completed over the phone

Free text

Release 9 — days 1–6 daily, dose 1

2021-09-09

Systemic reaction (other): Dizziness, brain not functioning well.

2021-09-12

Systemic reaction (other): My lymph gland by my ear on the side of my body that I got the shot has been swollen & sore to the touch since day one of the shot.

Release 9 — day 7, dose 1

2021-09-15

Systemic reaction (other): Even though I stayed hydrated with electrolytes, I had a stronger headache late afternoon where I couldn't function for about an hour.

Release 9 — day 14, dose 1

2021-09-21

Symptoms: Headaches

Release 10 — day 0, dose 2

2021-10-05

Systemic reaction (other): Breathing is depressed like I can't breathe fully unless I focus on taking each breath.

Release 10 — days 1–6 daily, dose 2

2021-10-07

Systemic reaction (other): Not stable, wobbly at times

2021-10-11

Systemic reaction (other): My thinking has been slow & forgetful all week like after the first vaccine.

Release 10 — day 7, dose 2

2021-10-12

Systemic reaction (other): Brain fog

Release 10 — day 28, dose 2

2021-11-02

Symptoms: Achy joints but don't know if it's related.

Release 10 — day 42, dose 2

2021-11-17

Symptoms: Sharp pains in my head.

Release 11 — 6 months, dose 2

2022-04-05

Symptoms: Vaginal bleeding postmenapausal

Healthcare visit (other): OB/GYN & intervaginal ultrasound

Release 12 — 12 months, dose 2

2022-10-05

Symptoms: Idiopathic acute pericarditis

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	Arthralgia	·	·	✓
SD	Headache	·	·	✓
SD	Pericarditis	·	·	✓
SD	Postmenopausal haemorrhage	·	·	✓
SRO	Balance disorder	·	·	✓
SRO	Bradyphrenia	·	·	✓
SRO	Brain fog	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Dyspnoea	·	·	✓
SRO	Headache	·	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Memory impairment	·	·	✓
SRO	Mobility decreased	·	·	✓

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