Y49-27862-81444

5 vaccinations 21 coded responses 50 check-ins 16 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 323 / FL
Registered: 2021-03-21

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
2394919 (opens in a new window)	high	11 / 11	—	5 of 9 VAERS symptoms	same dose (4)	FL matches	2022-07-13 / 2022-07-18 / 2022-07-28 received 77 days before the last call	case 1087865

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

2021-03-21
Registered in v-safe
2021-03-21
Dose 1 — Moderna
2021-03-21
Health check-in — day 0, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Survey response — days 1–6 daily, dose 1
MedDRA: Contusion — Feeling: Fair · Site: Pain

Free text: Bruising

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Contusion — Feeling: Fair

Free text: Bruising

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Contusion — Feeling: Good

Free text: Bruising

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — day 7, dose 1
MedDRA: Contusion — Feeling: Good

Free text: Bruising

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — day 14, dose 1
MedDRA: Injection site pruritus — Feeling: Fair

Free text: Itching near injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-19
Dose 2 — Moderna
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Chills, Headache, Muscle or body aches

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: eye pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-26
Health check-in — day 7, dose 2
Feeling: Fair · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-17
Survey response — day 28, dose 2
MedDRA: Fatigue, Myalgia — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Fatigue and muscle pain, both variable

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-31
Survey response — day 42, dose 2
MedDRA: Hallucination, visual — Feeling: Good

Free text: Seeing things (bugs)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-19
Survey response — 3 months, dose 2
MedDRA: Headache — Feeling: Fair

Free text: Headaches

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-30
Dose 3 — Moderna
2022-04-19
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-06-02
Survey response — 6 months, dose 3
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: My throat occasionally hurts, not like your usual sore throat but more like a dullish ache in my throat.

MedDRA releases: 2024-11 · check-in free text available
2022-07-13
Dose 4 — Moderna
2022-07-15
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Itching · Muscle or body aches

Adult check-in
2022-07-16
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2022-07-17
Survey response — days 1–6 daily, dose 4
MedDRA: Injection site warmth — Feeling: Good · Site: Redness, Swelling, Itching

Free text: Warmth at injection site

MedDRA releases: 2024-11 · check-in free text available
2022-07-18
Survey response — days 1–6 daily, dose 4
MedDRA: Injection site warmth — Feeling: Good · Site: Swelling

Free text: tiny bit of warmth at injection site

MedDRA releases: 2024-11 · check-in free text available
2022-07-19
Survey response — days 1–6 daily, dose 4
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-07-20
Survey response — day 7, dose 4
MedDRA: Dyspnoea — Feeling: Poor · Site: Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2022-07-27
Survey response — day 14, dose 4
MedDRA: Cough, Dyspnoea, Exercise tolerance decreased, Lymph node pain, SARS-CoV-2 test, Sneezing — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Coughing, sneezing, shortness of breath, lack of endurance (more than usual), painful lymph node. · Healthcare visit (other): also got tested for COVID, awaiting results

MedDRA releases: 2024-11 · check-in free text available
2022-07-27
Report sent to call center — day 14, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-28
Call successful
Completed over the phone
2022-08-03
Health check-in — day 21, dose 4
Feeling: Fair

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

Adult check-in
2022-08-17
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-08-24
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-10-12
Survey response — 3 months, dose 4
MedDRA: Cough, Infection, Nasopharyngitis, Upper respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Cold/cough/upper chest congestion/infection.

MedDRA releases: 2024-11 · check-in free text available
2022-10-12
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-13
Call successful
Reported to VAERS during previous contact from GDIT
2023-01-11
Survey response — 6 months, dose 4
MedDRA: Disturbance in attention, Fatigue, Office visit, Somnolence, Speech disorder, Unevaluable event — 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 · Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-01-11
Report sent to call center — 6 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2023-01-12
Call 1 — Left Voicemail
2023-02-24
Call successful
Does not wish to fill out VAERS report
2023-04-18
Dose 5 — Moderna
2023-04-19
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2023-04-20
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2023-04-21
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2023-04-22
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fatigue or tiredness

Adult check-in
2023-04-23
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2023-04-24
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2023-04-28
Health check-in — day 7, dose 5
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2023-05-02
Survey response — day 14, dose 5
MedDRA: Depression, Pain — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-05-09
Survey response — day 21, dose 5
MedDRA: Parosmia — Feeling: Fair

MedDRA releases: 2024-11
2023-05-16
Survey response — day 28, dose 5
MedDRA: Condition aggravated, Irritable bowel syndrome, Medical counselling, Pre-existing disease, Withdrawal syndrome — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-05-25
Survey response — day 35, dose 5
MedDRA: Foot operation, Pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-05-30
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-21	Moderna
2	2021-04-19	Moderna
3	2021-11-30	Moderna	No
4	2022-07-13	Moderna	No
5	2023-04-18	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-07-27	Successful 2022-07-28	Completed over the phone
2022-10-12	Successful 2022-10-13	Reported to VAERS during previous contact from GDIT
2023-01-11	Successful 2023-02-24	Does not wish to fill out VAERS report

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-25

Systemic reaction (other): Bruising

2021-03-26

Systemic reaction (other): Bruising

2021-03-27

Systemic reaction (other): Bruising

Release 6 — day 7, dose 1

2021-03-28

Systemic reaction (other): Bruising

Release 6 — day 14, dose 1

2021-04-04

Symptoms: Itching near injection site

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): eye pain

Release 8 — day 28, dose 2

2021-05-17

Symptoms: Fatigue and muscle pain, both variable

Release 8 — day 42, dose 2

2021-05-31

Symptoms: Seeing things (bugs)

Release 9 — 3 months, dose 2

2021-07-19

Symptoms: Headaches

Release 11 — 6 months, dose 3

2022-06-02

Symptoms: My throat occasionally hurts, not like your usual sore throat but more like a dullish ache in my throat.

Release 12 — days 1–6 daily, dose 4

2022-07-17

Systemic reaction (other): Warmth at injection site

2022-07-18

Systemic reaction (other): tiny bit of warmth at injection site

2022-07-19

Systemic reaction (other): sore throat

Release 12 — day 7, dose 4

2022-07-20

Systemic reaction (other): shortness of breath

Release 12 — day 14, dose 4

2022-07-27

Symptoms: Coughing, sneezing, shortness of breath, lack of endurance (more than usual), painful lymph node.

Healthcare visit (other): also got tested for COVID, awaiting results

Release 12 — 3 months, dose 4

2022-10-12

Symptoms: Cold/cough/upper chest congestion/infection.

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	·	·	✓
HCVO	SARS-CoV-2 test	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Cough	·	·	✓
SD	Depression	·	·	✓
SD	Disturbance in attention	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Exercise tolerance decreased	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Foot operation	·	·	✓
SD	Hallucination	○	○	○
SD	Hallucination, visual	✓	✓	✓
SD	Headache	·	·	✓
SD	Infection	·	·	✓
SD	Injection site pruritus	✓	✓	✓
SD	Irritable bowel syndrome	·	·	✓
SD	Lymph node pain	·	·	✓
SD	Medical counselling	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Parosmia	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Sneezing	·	·	✓
SD	Somnolence	·	·	✓
SD	Speech disorder	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Upper respiratory tract congestion	·	·	✓
SD	Withdrawal syndrome	·	·	✓
SRO	Contusion	✓	✓	✓
SRO	Dyspnoea	·	·	✓
SRO	Eye pain	✓	✓	✓
SRO	Injection site warmth	·	·	✓
SRO	Oropharyngeal pain	·	·	✓

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