Y5Z-23378-26542

2 vaccinations 11 coded responses 25 check-ins 11 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 775 / TX
Registered: 2021-06-18

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
1798130 (opens in a new window)	high	10 / 11	—	2 of 8 VAERS symptoms	same dose (1)	TX matches	2021-06-18 / 2021-06-24 / 2021-10-19 received 274 days before the last call	case 798503

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

2021-06-18
Registered in v-safe
2021-06-18
Dose 1 — Moderna
2021-06-18
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-06-19
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling hot, Hyperhidrosis — Feeling: Fair · Site: Pain · Fever · Muscle or body aches

Free text: I just feel a little hotter and sweatier than normal when doing chores but cool right off when I stop to rest.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-06-21
Survey response — days 1–6 daily, dose 1
MedDRA: Pigmentation disorder, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): New pigmentation -like moles in the groin area? · Healthcare visit (other): I am scheduled to see a dermatologist on the 28th already

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-21
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-22
Survey response — days 1–6 daily, dose 1
MedDRA: Pigmentation disorder — Feeling: Good · Muscle or body aches

Free text: Pigmentation in groin area like moles is better today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-23
Survey response — days 1–6 daily, dose 1
MedDRA: Skin discolouration — Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to work or attend school

Free text: I don't have an itchy rash but I do have some areas that have pink or dark pigmentation? Ankles, arms, etc?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-06-25
Survey response — day 7, dose 1
MedDRA: Hypertension — Feeling: Good · Fatigue or tiredness

Free text: High blood pressure!! I've probably had this for awhile and didn't know it!!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
Call 1 — Left Voicemail
2021-07-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-07-09
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-07-16
Dose 2 — Moderna
2021-07-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-07-18
Survey response — days 1–6 daily, dose 2
MedDRA: Visual impairment — Feeling: Fair · Site: Swelling · Muscle or body aches

Free text: Eye sight isn't great?

MedDRA releases: 2024-11 · check-in free text available
2021-07-19
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenopia, Lacrimation increased — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Free text: Eye strain, watering

MedDRA releases: 2024-11 · check-in free text available
2021-07-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Headache

Adult check-in
2021-07-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-07-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-07-23
Health check-in — day 7, dose 2
Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-07-30
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-08-06
Survey response — day 21, dose 2
MedDRA: Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Leg pain!!

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-06
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-08-15
Call 2 — Left Voicemail
2021-08-20
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-08-27
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-10-15
Survey response — 3 months, dose 2
MedDRA: Anxiety, Hypertension — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Anxiety, high blood pressure.

MedDRA releases: 2024-11 · check-in free text available
2021-10-15
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-19
Call 2 — Left Voicemail
2021-10-19
Call successful
Completed over the phone
2022-01-14
Survey response — 6 months, dose 2
MedDRA: Chills, Headache, Hyperhidrosis, Malaise, SARS-CoV-2 test negative — Feeling: Fair

Free text: I thought I had covid as I was exposed to my mom who was hospitalized however my test came back negative I do have what I might consider fuzzy brain though. The fifth and sixth day after exposure to my mom I actually did feel ill chills sweats headac

MedDRA releases: 2024-11 · check-in free text available
2022-07-18
Survey response — 12 months, dose 2
MedDRA: Anxiety, Unevaluable event — Feeling: Good · Be unable to work or attend school, 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: Horrible anxiety · Healthcare visit (other): Medication

MedDRA releases: 2024-11 · check-in free text available
2022-07-18
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-19
Call 2 — Left Voicemail
2022-07-19
Call 1 — Left Voicemail
2022-07-19
Call 1 — Left Voicemail
2022-07-19
Call 1 — Left Voicemail
2022-07-20
Call successful
Completed over the phone
2022-07-20
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-18	Moderna
2	2021-07-16	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-06-21	Successful 2022-07-20	Completed over the phone
2021-08-06	Successful	Completed over the phone
2021-10-15	Successful 2021-10-19	Completed over the phone
2022-07-18	Successful 2022-07-20	Completed over the phone

Free text

Release 9 — days 1–6 daily, dose 1

2021-06-19

Systemic reaction (other): I just feel a little hotter and sweatier than normal when doing chores but cool right off when I stop to rest.

2021-06-21

Systemic reaction (other): New pigmentation -like moles in the groin area?

Healthcare visit (other): I am scheduled to see a dermatologist on the 28th already

2021-06-22

Systemic reaction (other): Pigmentation in groin area like moles is better today.

2021-06-23

Systemic reaction (other): I don't have an itchy rash but I do have some areas that have pink or dark pigmentation? Ankles, arms, etc?

Release 9 — day 7, dose 1

2021-06-25

Systemic reaction (other): High blood pressure!! I've probably had this for awhile and didn't know it!!

Release 9 — days 1–6 daily, dose 2

2021-07-18

Systemic reaction (other): Eye sight isn't great?

2021-07-19

Systemic reaction (other): Eye strain, watering

Release 9 — day 21, dose 2

2021-08-06

Symptoms: Leg pain!!

Release 10 — 3 months, dose 2

2021-10-15

Symptoms: Anxiety, high blood pressure.

Release 10 — 6 months, dose 2

2022-01-14

Symptoms: I thought I had covid as I was exposed to my mom who was hospitalized however my test came back negative I do have what I might consider fuzzy brain though. The fifth and sixth day after exposure to my mom I actually did feel ill chills sweats headac cut off by CDC

Release 12 — 12 months, dose 2

2022-07-18

Symptoms: Horrible anxiety

Healthcare visit (other): Medication

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	Unevaluable event	✓	✓	✓
SD	Anxiety	·	·	✓
SD	Chills	·	·	✓
SD	Headache	·	·	✓
SD	Hyperhidrosis	·	·	✓
SD	Hypertension	·	·	✓
SD	Malaise	·	·	✓
SD	Pain in extremity	✓	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Asthenopia	·	·	✓
SRO	Feeling hot	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Hypertension	✓	✓	✓
SRO	Lacrimation increased	·	·	✓
SRO	Pigmentation disorder	✓	✓	✓
SRO	Skin discolouration	✓	✓	✓
SRO	Visual impairment	·	·	✓

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