Y5C-23305-83189

4 vaccinations 15 coded responses 52 check-ins 14 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 640 / MO
Registered: 2021-04-14

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
2379434 (opens in a new window)	high	11 / 11	—	7 of 9 VAERS symptoms	same dose (4)	MO matches	2022-07-18 / 2022-07-19 / 2022-07-22 received the same day as the last call	case 873523

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

2021-04-13
Dose 1 — Moderna
2021-04-14
Registered in v-safe
2021-04-14
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Pain

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-16
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — day 7, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-11
Dose 2 — Moderna
2021-05-11
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-05-12
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Pre-existing disease — Feeling: Fair · Site: Pain, Redness, Swelling · Headache

Free text: Not sure that headache is related to vaccine, because it is similar to other sinus headaches I get around eyes and brows

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-05-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-05-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-09
Survey response — 6 months, dose 2
MedDRA: Cough, Fatigue, Headache, Nasopharyngitis, SARS-CoV-2 test negative, Secretion discharge, Sinusitis, Viral infection — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cold virus/sinus infection for about 2 weeks now. Lots of mucus & cough, occasional headache, tire easily. Took a home COVID test and a few days later as symptoms continued to get worse, I got a PCR test. Both were negative. Otherwise I've been well.

MedDRA releases: 2024-11 · check-in free text available
2021-12-21
Dose 3 — Moderna
Co-administered: Flu
2021-12-21
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-28
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-04
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-11
Survey response — day 21, dose 3
MedDRA: Paranasal sinus hypersecretion, Rhinorrhoea — Feeling: Fair

Free text: Nasal/sinus drainage

MedDRA releases: 2024-11 · check-in free text available
2022-01-18
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-01-25
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-01
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-22
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-21
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-07-18
Dose 4 — Moderna
2022-07-20
Survey response — days 1–6 daily, dose 4
MedDRA: Rhinorrhoea — Feeling: Fair · Fatigue or tiredness

Free text: Runny nose just began

MedDRA releases: 2024-11 · check-in free text available
2022-07-21
Survey response — days 1–6 daily, dose 4
MedDRA: Fatigue, Laboratory test abnormal, Medical counselling, Rhinorrhoea, SARS-CoV-2 test positive — Feeling: Fair · Site: Redness · Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): I tested positive for COVID last night. Symptoms thus far are mild: runny nose, fatigue. · Healthcare visit (other): Reported positive at-home antigen test to my doctor and received guidance via phone.

MedDRA releases: 2024-11 · check-in free text available
2022-07-21
Report sent to call center — days 1–6 daily, 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)
2022-07-22
Survey response — days 1–6 daily, dose 4
MedDRA: Malaise, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: Fair · Site: Redness · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Congestion (I began showing signs of COVID about 30 hours after getting my booster, and tested positive.)

MedDRA releases: 2024-11 · check-in free text available
2022-07-22
Call 1 — Left Voicemail
2022-07-22
Call successful
Completed over the phone
2022-07-23
Survey response — days 1–6 daily, dose 4
MedDRA: COVID-19, Fatigue — Feeling: Fair · Site: Redness · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: As previously stated, I currently have COVID, so my fatigue is understandable. I was called by CDC V-Safe and submitted an official VAERS Report.

MedDRA releases: 2024-11 · check-in free text available
2022-07-24
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Redness · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-07-25
Survey response — day 7, dose 4
MedDRA: COVID-19, Fatigue — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Mild Tiredness as a result of getting COVID shortly afyer my vaccine as previously and officially reported, otherwise doing well.

MedDRA releases: 2024-11 · check-in free text available
2022-08-01
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-08-08
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-08-15
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-08-22
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-08-29
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-10-17
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-01-18
Survey response — 6 months, dose 4
MedDRA: Respiratory tract congestion, Sinus congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-13	Moderna
2	2021-05-11	Moderna
3	2021-12-21	Moderna	Flu
4	2022-07-18	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-07-21	Successful 2022-07-22	Completed over the phone

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-14

Systemic reaction (other): No

2021-04-16

Systemic reaction (other): No

2021-04-17

Systemic reaction (other): No

2021-04-18

Systemic reaction (other): No

2021-04-19

Systemic reaction (other): No

Release 7 — day 7, dose 1

2021-04-20

Systemic reaction (other): No

Release 8 — days 1–6 daily, dose 2

2021-05-12

Systemic reaction (other): Not sure that headache is related to vaccine, because it is similar to other sinus headaches I get around eyes and brows

Release 10 — 6 months, dose 2

2021-11-09

Symptoms: Cold virus/sinus infection for about 2 weeks now. Lots of mucus & cough, occasional headache, tire easily. Took a home COVID test and a few days later as symptoms continued to get worse, I got a PCR test. Both were negative. Otherwise I've been well. cut off by CDC

Release 10 — day 21, dose 3

2022-01-11

Symptoms: Nasal/sinus drainage

Release 12 — days 1–6 daily, dose 4

2022-07-20

Systemic reaction (other): Runny nose just began

2022-07-21

Systemic reaction (other): I tested positive for COVID last night. Symptoms thus far are mild: runny nose, fatigue.

Healthcare visit (other): Reported positive at-home antigen test to my doctor and received guidance via phone.

2022-07-22

Systemic reaction (other): Congestion (I began showing signs of COVID about 30 hours after getting my booster, and tested positive.)

2022-07-23

Systemic reaction (other): As previously stated, I currently have COVID, so my fatigue is understandable. I was called by CDC V-Safe and submitted an official VAERS Report.

Release 12 — day 7, dose 4

2022-07-25

Systemic reaction (other): Mild Tiredness as a result of getting COVID shortly afyer my vaccine as previously and officially reported, otherwise doing well.

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	Laboratory test abnormal	·	·	✓
HCVO	Medical counselling	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Paranasal sinus hypersecretion	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Secretion discharge	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Sinusitis	·	·	✓
SD	Viral infection	·	·	✓
SRO	COVID-19	·	·	✓
SRO	Fatigue	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Malaise	·	·	✓
SRO	No adverse event	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Rhinorrhoea	·	·	✓
SRO	SARS-CoV-2 test positive	·	·	✓

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