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Y8S-15161-90522

3 vaccinations 8 coded responses 39 check-ins 8 free-text entries 2 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
781 / TX
Registered
2021-02-24
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Possible VAERS report

VAERS IDConfidenceScoreRunner-upShared symptomsDose StateVAERS vaccinated / onset / receivedCall case
2010658 (opens in a new window) high 10 / 11 3 2 of 6 VAERS symptoms same dose (3) TX matches 2021-12-01 / 2021-12-01 / 2022-01-06
received the same day as the last call
 case 15485

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

  1. 2021-02-24
    Registered in v-safe
  2. 2021-02-24
    Dose 1 — Moderna
  3. 2021-02-24
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Muscle ache at the site of the injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-03
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-10
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-19
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-26
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-30
    Dose 2 — Moderna
  13. 2021-03-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2021-04-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-04-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness, Nausea
    Adult check-in
  18. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-07
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-21
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-27
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-04
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-11
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-01
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-09-28
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-12-01
    Dose 3 — Moderna
  28. 2021-12-01
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  29. 2021-12-02
    Survey response — days 1–6 daily, dose 3
    MedDRA: Paraesthesia, Sensitive skin — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Skin feels sensitive/prickly
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-12-03
    Survey response — days 1–6 daily, dose 3
    MedDRA: Decreased appetite — Feeling: Good · Site: Pain
    Free text: Don't have an appetite
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-12-04
    Survey response — days 1–6 daily, dose 3
    MedDRA: Diarrhoea, Dyspnoea, Poor quality sleep — Feeling: Fair · Fatigue or tiredness, Nausea
    Free text: Didn't sleep well, looser stool (not quite diarrhea), a little short of breath, but it's probably the allergens here.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-12-05
    Survey response — days 1–6 daily, dose 3
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Nausea
    Free text: I already have chronic GI issues (GERDS, slow emptying) and it seems that since I've had the vaccine, things have flared up again. It could coincidence, but just wanted to report it.
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-12-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Nausea
    Adult check-in
  34. 2021-12-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Nausea
    Adult check-in
  35. 2021-12-08
    Health check-in — day 7, dose 3
    Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  36. 2021-12-15
    Survey response — day 14, dose 3
    MedDRA: Herpes zoster, Medical counselling, Nausea — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Shingles, nausea. I had shingles in Oct this year and got it again on the other side this past week. I have a mild case, probably because I had vaccine. Dr. said it could be related to getting the booster.
    MedDRA releases: 2024-11 · check-in free text available
  37. 2021-12-22
    Health check-in — day 21, dose 3
    Feeling: Fair
    Adult check-in
  38. 2021-12-29
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-01-05
    Survey response — day 35, dose 3
    MedDRA: Oropharyngeal pain, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Sore throat · Healthcare visit (other): Went to urgent care but unable to be seen until Friday due to higher patient volume
    MedDRA releases: 2024-11 · check-in free text available
  40. 2022-01-05
    Report sent to call center — day 35, dose 3
    Get care from a doctor or other healthcare professional
    1 call case(s)
  41. 2022-01-06
    Call successful
    Completed over the phone
  42. 2022-01-12
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-03-02
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-06-01
    Survey response — 6 months, dose 3
    MedDRA: Herpes zoster — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Shingles 5/19/22. This is the 3rd time since October 2021
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-06-01
    Report sent to call center — 6 months, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  46. 2022-06-02
    Call successful
    Does not wish to fill out VAERS report
  47. 2022-12-02
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-24Moderna
22021-03-30Moderna
32021-12-01Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-01-05 Successful
2022-01-06
 Completed over the phone
2022-06-01 Successful
2022-06-02
 Does not wish to fill out VAERS report

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-25

Systemic reaction (other): Muscle ache at the site of the injection

Release 10 — days 1–6 daily, dose 3

2021-12-02

Systemic reaction (other): Skin feels sensitive/prickly

2021-12-03

Systemic reaction (other): Don't have an appetite

2021-12-04

Systemic reaction (other): Didn't sleep well, looser stool (not quite diarrhea), a little short of breath, but it's probably the allergens here.

2021-12-05

Systemic reaction (other): I already have chronic GI issues (GERDS, slow emptying) and it seems that since I've had the vaccine, things have flared up again. It could coincidence, but just wanted to report it.

Release 10 — day 14, dose 3

2021-12-15

Symptoms: Shingles, nausea. I had shingles in Oct this year and got it again on the other side this past week. I have a mild case, probably because I had vaccine. Dr. said it could be related to getting the booster.

Release 10 — day 35, dose 3

2022-01-05

Symptoms: Sore throat
Healthcare visit (other): Went to urgent care but unable to be seen until Friday due to higher patient volume

Release 11 — 6 months, dose 3

2022-06-01

Symptoms: Shingles 5/19/22. This is the 3rd time since October 2021

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

FieldPreferred term2021-092023-042024-11
HCVOUnevaluable event · · ✓
SDHerpes zoster · · ✓
SDMedical counselling · · ✓
SDNausea · · ✓
SDOropharyngeal pain · · ✓
SROCondition aggravated · · ✓
SRODecreased appetite · · ✓
SRODiarrhoea · · ✓
SRODyspnoea · · ✓
SROInjection site pain ✓ ✓ ✓
SROParaesthesia · · ✓
SROPoor quality sleep · · ✓
SROPre-existing disease · · ✓
SROSensitive skin · · ✓

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

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