Y9L-20983-70421

3 vaccinations 5 coded responses 28 check-ins 4 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 553 / MN
Registered: 2021-03-20

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
2593136 (opens in a new window)	high	11 / 11	—	1 of 2 VAERS symptoms	same dose (3)	MN matches	2022-03-07 / 2023-02-09 / 2023-03-08 received the same day as the last call	case 767333

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

2021-03-20
Registered in v-safe
2021-03-20
Dose 1 — Moderna
2021-03-20
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-17
Dose 2 — Moderna
2021-04-17
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Nausea

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-24
Survey response — day 7, dose 2
MedDRA: Arthralgia, Body temperature increased, Chills, Fatigue, Headache, Malaise, Nausea, Pain — Feeling: Good

Free text: I missed the check in on my 2nd day after the vaccine because I was very sick. Nausea, aches, chills, headache, extreme fatigue, joints hurting and a 103.5 temp. Just thought that info might be import for records.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-22
Survey response — day 35, dose 2
MedDRA: Dizziness, Vertigo — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: Dizzy, lightheaded · Healthcare visit (other): Vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Report sent to call center — day 35, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-29
Survey response — day 42, dose 2
MedDRA: Emergency care, Migraine with aura, Office visit, Vertigo — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Vertigo bout landed me in ER on May 21. Went to neurologist. Experiencing migraines with aura

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Report sent to call center — day 42, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-16
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-24
Call 1 — Left Voicemail
2022-01-26
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-03-07
Dose 3 — Moderna
2022-04-17
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-06-06
Survey response — 3 months, dose 3
MedDRA: Fatigue, Malaise, Office visit, Pain, Thrombosis, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Not sure if I already reported, but after my booster, I got sick (temp, fatigue and aches). I also had a vein flare up and it turned out to be a blood clot (superficial). Followed up at vein clinic and having surgery tomorrow.

MedDRA releases: 2024-11 · check-in free text available
2022-06-06
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-06-07
Call 1 — Left Voicemail
2022-06-07
Call 2 — Left Voicemail
2022-06-07
Call 1 — Left Voicemail
2022-09-05
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-03-07
Survey response — 12 months, dose 3
MedDRA: COVID-19 — 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 · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-03-07
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-03-08
Call successful
Completed over the phone
2023-03-08
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-20	Moderna
2	2021-04-17	Moderna
3	2022-03-07	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-22	Successful	Not applicable - Accidental Reporting
2021-05-29	Successful 2022-01-26	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-06	Successful 2023-03-08	Completed over the phone
2023-03-07	Successful 2023-03-08	Completed over the phone

Free text

Release 7 — day 7, dose 2

2021-04-24

Systemic reaction (other): I missed the check in on my 2nd day after the vaccine because I was very sick. Nausea, aches, chills, headache, extreme fatigue, joints hurting and a 103.5 temp. Just thought that info might be import for records.

Release 8 — day 35, dose 2

2021-05-22

Symptoms: Dizzy, lightheaded

Healthcare visit (other): Vertigo

Release 8 — day 42, dose 2

2021-05-29

Symptoms: Vertigo bout landed me in ER on May 21. Went to neurologist. Experiencing migraines with aura

Release 11 — 3 months, dose 3

2022-06-06

Symptoms: Not sure if I already reported, but after my booster, I got sick (temp, fatigue and aches). I also had a vein flare up and it turned out to be a blood clot (superficial). Followed up at vein clinic and having surgery tomorrow.

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	Vertigo	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Malaise	·	·	✓
SD	Migraine with aura	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Pain	·	·	✓
SD	Thrombosis	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Vertigo	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Body temperature increased	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pain	✓	✓	✓

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