YA3-16870-97665

4 vaccinations 9 coded responses 38 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 223 / VA
Registered: 2021-03-15

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
2521904 (opens in a new window)	high	11 / 11	2	3 of 5 VAERS symptoms	same dose (4)	VA matches	2022-10-27 / 2022-11-26 / 2022-12-02 received the same day as the last call	case 1198489

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

2021-02-14
Dose 1 — Moderna
2021-03-14
Dose 2 — Moderna
2021-03-15
Registered in v-safe
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-21
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-04
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-01
Dose 3 — Moderna
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-04
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site erythema — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness

Free text: Redness near injection site has increased in size

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site erythema — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness

Free text: Redness slightly below injection site increased last night to near the size of an apple. Today it's still there but has improved and not as red and showing improvement.

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site reaction, Rash erythematous, Rash pruritic — Feeling: Good · Site: Redness, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: The rash that was below the injection site isn't nearly as red as yesterday. Just itchy

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site erythema — Feeling: Fair · Site: Redness · Headache, Fatigue or tiredness

Free text: The red area below the injection site has improved more again. It's almost gone

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Survey response — day 7, dose 3
MedDRA: Dizziness — Feeling: Good · Fever · Headache, Fatigue or tiredness

Free text: I was dizzy this evening

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-23
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-29
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-07
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-13
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-31
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-05-02
Survey response — 6 months, dose 3
MedDRA: COVID-19, Tinnitus, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Tinnitus after having Covid in January. · Healthcare visit (other): And upcoming ENT appointment

MedDRA releases: 2024-11 · check-in free text available
2022-05-02
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-05-03
Call successful
Completed over the phone
2022-10-27
Dose 4 — Moderna
2022-10-29
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-10-30
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-10-31
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-11-02
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-11-03
Health check-in — day 7, dose 4
Feeling: Poor · Site: Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-11-10
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-11-17
Survey response — day 21, dose 4
MedDRA: Dizziness, Ear pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Dizziness, ears ache

MedDRA releases: 2024-11 · check-in free text available
2022-11-24
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-12-01
Survey response — day 35, dose 4
MedDRA: COVID-19, SARS-CoV-2 test positive — Feeling: Poor · 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: I now have Covid. Vaccine did not prevent me from getting Covid. Tested positive 11/26/22. One month after my booster.

MedDRA releases: 2024-11 · check-in free text available
2022-12-01
Report sent to call center — day 35, 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)
2022-12-02
Call successful
Completed over the phone
2022-12-08
Survey response — day 42, dose 4
MedDRA: Brain fog, COVID-19, Cough, Headache, Pain, Respiratory tract congestion, Unevaluable event — Feeling: Poor · 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: Symptoms: Covid. Cough congestion body aches brain fog. Headaches · Healthcare visit (other): Chest X-ray

MedDRA releases: 2024-11 · check-in free text available
2022-12-08
Report sent to call center — day 42, 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)
2022-12-09
Call 1 — Left Voicemail
2023-01-30
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-04-27
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-14	Moderna
2	2021-03-14	Moderna
3	2021-11-01	Moderna	No
4	2022-10-27	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-05-02	Successful 2022-05-03	Completed over the phone
2022-12-01	Successful 2022-12-02	Completed over the phone
2022-12-08	Unsuccessful

Free text

Release 10 — days 1–6 daily, dose 3

2021-11-04

Systemic reaction (other): Redness near injection site has increased in size

2021-11-05

Systemic reaction (other): Redness slightly below injection site increased last night to near the size of an apple. Today it's still there but has improved and not as red and showing improvement.

2021-11-06

Systemic reaction (other): The rash that was below the injection site isn't nearly as red as yesterday. Just itchy

2021-11-07

Systemic reaction (other): The red area below the injection site has improved more again. It's almost gone

Release 10 — day 7, dose 3

2021-11-08

Systemic reaction (other): I was dizzy this evening

Release 11 — 6 months, dose 3

2022-05-02

Symptoms: Tinnitus after having Covid in January.

Healthcare visit (other): And upcoming ENT appointment

Release 12 — day 21, dose 4

2022-11-17

Symptoms: Dizziness, ears ache

Release 12 — day 35, dose 4

2022-12-01

Symptoms: I now have Covid. Vaccine did not prevent me from getting Covid. Tested positive 11/26/22. One month after my booster.

Release 12 — day 42, dose 4

2022-12-08

Symptoms: Covid. Cough congestion body aches brain fog. Headaches

Healthcare visit (other): Chest X-ray

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	Brain fog	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Dizziness	·	·	✓
SD	Ear pain	·	·	✓
SD	Headache	·	·	✓
SD	Pain	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Tinnitus	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Injection site erythema	·	·	✓
SRO	Injection site reaction	·	·	✓
SRO	Rash erythematous	·	·	✓
SRO	Rash pruritic	·	·	✓

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