XZQ-25440-30267

5 vaccinations 7 coded responses 39 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 112 / NY
Registered: 2021-01-17

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
2096009 (opens in a new window)	high	8 / 11	—	0 of 2 VAERS symptoms	same dose (3)	NY matches	2021-10-31 / 2021-11-03 / 2022-02-08 received the same day as the last call	case 155438

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

2021-01-17
Registered in v-safe
2021-01-17
Dose 1 — Moderna
2021-01-17
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-18
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Fatigue or tiredness

Free text: Yes my husband which was vaccinated on Sunday too just tested positive for covid and now Im going to get tested

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — day 7, dose 1
MedDRA: SARS-CoV-2 test negative — Feeling: Poor · Fever · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: My husband got tested yesterday and the result was positive . I got the rapid test and it was negative but I need to repeat wednesday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-07
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-14
Dose 2 — Moderna
2021-02-14
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-19
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain, Nephrolithiasis — Feeling: Fair · Abdominal pain · Be unable to do your normal daily activities

Free text: I was taken to the hospital yesterday and stayed overnight because of severe abdominal pain which the doctors diagnosed as a kidney stone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-21
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-28
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-31
Dose 3 — Moderna
2022-02-03
Survey response — 3 months, dose 3
MedDRA: Office visit, Sudden hearing loss — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Sudden hearing loss in left ear · Healthcare visit (other): Ear doctor

MedDRA releases: 2024-11 · check-in free text available
2022-02-03
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-08
Call successful
Completed over the phone
2022-05-01
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-03
Dose 4 — Moderna
2022-05-21
Survey response — day 14, dose 4
MedDRA: Chronic cutaneous lupus erythematosus — Feeling: Good

Free text: I was diagnosed 4 weeks ago with discoid lupus

MedDRA releases: 2024-11 · check-in free text available
2022-05-24
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-31
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-09
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-14
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-02
Survey response — 3 months, dose 4
MedDRA: Chronic cutaneous lupus erythematosus, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Discoid lupus · Healthcare visit (other): Dermatologist

MedDRA releases: 2024-11 · check-in free text available
2022-08-02
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-08-03
Call 1 — Left Voicemail
2022-08-03
Call 1 — Left Voicemail
2022-08-03
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-21
Dose 5 — Moderna
2022-09-27
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-09-28
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-05
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-12
Survey response — day 21, dose 5
MedDRA: Cough, Pyrexia — Feeling: Fair

Free text: Cough, fever. Better now

MedDRA releases: 2024-11 · check-in free text available
2022-10-19
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-26
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-02
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-21
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-22
Health check-in — 6 months, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-17	Moderna
2	2021-02-14	Moderna
3	2021-10-31	Moderna	No
4	2022-05-03	Moderna	No
5	2022-09-21	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-18	priority 2/3
2022-02-03	Successful 2022-02-08	Completed over the phone
2022-08-02	Successful 2022-08-03	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): Yes my husband which was vaccinated on Sunday too just tested positive for covid and now Im going to get tested

Release 2 — day 7, dose 1

2021-01-24

Systemic reaction (other): My husband got tested yesterday and the result was positive . I got the rapid test and it was negative but I need to repeat wednesday

Release 4 — days 1–6 daily, dose 2

2021-02-19

Systemic reaction (other): I was taken to the hospital yesterday and stayed overnight because of severe abdominal pain which the doctors diagnosed as a kidney stone

Release 11 — 3 months, dose 3

2022-02-03

Symptoms: Sudden hearing loss in left ear

Healthcare visit (other): Ear doctor

Release 11 — day 14, dose 4

2022-05-21

Symptoms: I was diagnosed 4 weeks ago with discoid lupus

Release 12 — 3 months, dose 4

2022-08-02

Symptoms: Discoid lupus

Healthcare visit (other): Dermatologist

Release 12 — day 21, dose 5

2022-10-12

Symptoms: Cough, fever. Better now

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	Chronic cutaneous lupus erythematosus	·	·	✓
SD	Cough	·	·	✓
SD	Pyrexia	·	·	✓
SD	Sudden hearing loss	·	·	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Nephrolithiasis	✓	✓	✓
SRO	SARS-CoV-2 test negative	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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