YHA-21944-08860

2 vaccinations 5 coded responses 23 check-ins 5 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 780 / TX
Registered: 2021-01-13

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
1554305 (opens in a new window)	low	10 / 11	10	5 of 11 VAERS symptoms	same dose (2)	TX matches	2021-02-09 / 2021-02-01 / 2021-08-13 received the same day as the last call	case 924951

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

2021-01-12
Dose 1 — Moderna
2021-01-13
Registered in v-safe
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Abdominal pain

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-16
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-18
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-19
Health check-in — day 7, dose 1
Feeling: Good · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-26
Survey response — day 14, dose 1
MedDRA: Injection site rash, Injection site swelling, Peripheral swelling, Self-medication — Feeling: Good

Free text: Evening of the eighth day after vaccination my injection sight swole up 4x3 inches with rash. That night my same side hand became swollen. Used cortisone cream that didnt help much. Started taking Benadryl next morning and had no further symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-09
Dose 2 — Moderna
2021-02-09
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Joint pains

Free text: No. Feel so much better so far than I felt after my first dose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache · Be unable to do your normal daily activities

Adult check-in
2021-02-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-23
Survey response — day 42, dose 2
MedDRA: Abdominal distension, Abdominal pain, Flatulence — Feeling: Fair · Be unable to do your normal daily activities

Free text: Soon after I eat I have bloating and gas, sometimes abdominal pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-10
Survey response — 6 months, dose 2
MedDRA: Abdominal pain lower, Diarrhoea, Emergency care, Gastrointestinal disorder, Pain, Pyelocaliectasis, Self-medication, Ultrasound abdomen abnormal, Unevaluable event, Weight decreased — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Symptoms: Severe GI symptoms (diarrhea, lower abdominal pain, burning pain across stomach) w/trip to ER midMay. Pelvic CT, followed by endoscopy w/biopsies & colonoscopy. Lost 15lb. Abdominal ultrasound midJuly. Slight renal pelvic dilation. Omeprazole helping · Healthcare visit (other): Outpatient for endoscopy and colonoscopy

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-10
Report sent to call center — 6 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

1 call case(s)
2021-08-12
Call 1 — Requested Callback
2021-08-13
Call successful
Completed over the phone
2022-02-09
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Office visit, Spinal pain — 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

Free text: Symptoms: About 2 months ago started having terrible pain in my hips and lumbar spine. X-rays of both and MRI of hips were normal. MRI of lumbar to be on February 17 and follow up with doctor on 22nd. · Healthcare visit (other): In office visit with doctor

MedDRA releases: 2024-11 · check-in free text available
2022-02-09
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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-10
Call 1 — Left Voicemail
2022-02-10
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-12	Moderna
2	2021-02-09	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-16	priority 2/3
2021-01-18	priority 2/3
2021-08-10	Successful 2021-08-13	Completed over the phone
2022-02-09	Successful 2022-02-10	Participant prefers to complete VAERS report online

Free text

Release 2 — day 14, dose 1

2021-01-26

Symptoms: Evening of the eighth day after vaccination my injection sight swole up 4x3 inches with rash. That night my same side hand became swollen. Used cortisone cream that didnt help much. Started taking Benadryl next morning and had no further symptoms

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): No. Feel so much better so far than I felt after my first dose.

Release 6 — day 42, dose 2

2021-03-23

Symptoms: Soon after I eat I have bloating and gas, sometimes abdominal pain.

Release 9 — 6 months, dose 2

2021-08-10

Symptoms: Severe GI symptoms (diarrhea, lower abdominal pain, burning pain across stomach) w/trip to ER midMay. Pelvic CT, followed by endoscopy w/biopsies & colonoscopy. Lost 15lb. Abdominal ultrasound midJuly. Slight renal pelvic dilation. Omeprazole helping cut off by CDC

Healthcare visit (other): Outpatient for endoscopy and colonoscopy

Release 11 — 12 months, dose 2

2022-02-09

Symptoms: About 2 months ago started having terrible pain in my hips and lumbar spine. X-rays of both and MRI of hips were normal. MRI of lumbar to be on February 17 and follow up with doctor on 22nd.

Healthcare visit (other): In office visit with doctor

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	Unevaluable event	✓	·	✓
SD	Abdominal distension	✓	✓	✓
SD	Abdominal pain	✓	✓	✓
SD	Abdominal pain lower	✓	·	✓
SD	Arthralgia	·	·	✓
SD	Diarrhoea	✓	·	✓
SD	Emergency care	✓	·	✓
SD	Flatulence	✓	✓	✓
SD	Gastrointestinal disorder	✓	·	✓
SD	Injection site rash	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Pain	✓	·	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pyelocaliectasis	✓	·	✓
SD	Self-medication	✓	✓	✓
SD	Spinal pain	·	·	✓
SD	Ultrasound abdomen abnormal	✓	·	✓
SD	Weight decreased	✓	·	✓
SRO	Unevaluable event	✓	✓	✓

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