YER-17608-58756

5 vaccinations 11 coded responses 37 check-ins 10 free-text entries 7 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 925 / CA
Registered: 2021-02-11

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
1400203 (opens in a new window)	high	8 / 11	3	0 of 2 VAERS symptoms	same dose (1)	CA matches	2021-02-11 / 2021-02-11 / 2021-06-15 received 123 days after the last call	case 198484

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

2021-02-11
Registered in v-safe
2021-02-11
Dose 1 — Moderna
2021-02-11
Survey response — day 0, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Site: Pain

Free text: Eyes wayering a bit more tban normal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — days 1–6 daily, dose 1
MedDRA: Oxygen saturation decreased — Feeling: Poor · Fever · Chills, Fatigue or tiredness, Nausea · 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: Low O2 level for a bit.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Report sent to call center — days 1–6 daily, dose 1
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)
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-02-18
Health check-in — day 7, dose 1
Feeling: Fair · None

Adult check-in
2021-02-25
Survey response — day 14, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Afib with rhr, pretty sure it is not vaccine related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-11
Dose 2 — Moderna
2021-03-11
Survey response — day 0, dose 2
MedDRA: Unevaluable event — Feeling: Good · Site: Pain

Free text: Only got it five hours sgo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site bruising — Feeling: Good

Free text: Bruise at injection site, no pain though

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-15
Survey response — day 35, dose 2
MedDRA: Transient ischaemic attack — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Tia, really do not think it was the vaccine though.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-23
Survey response — day 42, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Tia, not related to the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-12
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-06-15
Call successful
Does not wish to fill out VAERS report
2021-09-09
Survey response — 6 months, dose 2
MedDRA: Chest pain, Fatigue, Lacrimation increased — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Tired, eyes watering, chest hurts

MedDRA releases: 2024-11 · check-in free text available
2021-09-09
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-11
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-12
Dose 3 — Pfizer-BioNTech
2022-03-11
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Atrial fibrillation, Hypersensitivity, Joint swelling, Office visit, Physiotherapy, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Swollen and painful joints, afib, and allergy issues · Healthcare visit (other): Doctor offices and physical therapy

MedDRA releases: 2024-11 · check-in free text available
2022-03-11
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-14
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-15
Dose 4 — Pfizer-BioNTech
2022-09-30
Dose 5 — Pfizer-BioNTech
2022-10-04
Survey response — days 1–6 daily, dose 5
MedDRA: Hypersomnia — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Slept 15 hours the day after the shot

MedDRA releases: 2024-11 · check-in free text available
2022-10-05
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-06
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Itching · None

Adult check-in
2022-10-07
Health check-in — day 7, dose 5
Feeling: Fair · Muscle or body aches

Adult check-in
2022-10-14
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-23
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-10-28
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-04
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-13
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-30
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-03-31
Survey response — 6 months, dose 5
MedDRA: COVID-19, Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-03-31
Report sent to call center — 6 months, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-04-03
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-11	Moderna
2	2021-03-11	Moderna
3	2021-11-12	Pfizer-BioNTech	No
4	2022-04-15	Pfizer-BioNTech	No
5	2022-09-30	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-02-12	Successful	Completed over the phone
2021-02-25	Successful	Completed over the phone
2021-04-15	Successful	Does not wish to fill out VAERS report
2021-04-23	Successful 2021-06-15	Does not wish to fill out VAERS report
2021-09-09	Successful 2021-09-11	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-11	Successful 2022-03-14	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2023-03-31	Unsuccessful

Free text

Release 4 — day 0, dose 1

2021-02-11

Systemic reaction (other): Eyes wayering a bit more tban normal

Release 4 — days 1–6 daily, dose 1

2021-02-12

Systemic reaction (other): Low O2 level for a bit.

Release 4 — day 14, dose 1

2021-02-25

Symptoms: Afib with rhr, pretty sure it is not vaccine related.

Release 5 — day 0, dose 2

2021-03-11

Systemic reaction (other): Only got it five hours sgo

Release 5 — days 1–6 daily, dose 2

2021-03-16

Systemic reaction (other): Bruise at injection site, no pain though

Release 7 — day 35, dose 2

2021-04-15

Symptoms: Tia, really do not think it was the vaccine though.

Release 7 — day 42, dose 2

2021-04-23

Symptoms: Tia, not related to the vaccine

Release 9 — 6 months, dose 2

2021-09-09

Symptoms: Tired, eyes watering, chest hurts

Release 11 — 12 months, dose 2

2022-03-11

Symptoms: Swollen and painful joints, afib, and allergy issues

Healthcare visit (other): Doctor offices and physical therapy

Release 12 — days 1–6 daily, dose 5

2022-10-04

Systemic reaction (other): Slept 15 hours the day after the shot

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	Office visit	·	·	✓
HCVO	Physiotherapy	·	·	✓
SD	Arthralgia	·	·	✓
SD	Atrial fibrillation	·	·	✓
SD	Chest pain	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Hypersensitivity	·	·	✓
SD	Joint swelling	·	·	✓
SD	Lacrimation increased	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Transient ischaemic attack	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Hypersomnia	·	·	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Oxygen saturation decreased	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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