YJJ-32191-72109

3 vaccinations 23 coded responses 37 check-ins 23 free-text entries 7 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 873 / NM
Registered: 2021-02-09

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
1389311 (opens in a new window)	high	11 / 11	4	2 of 3 VAERS symptoms	same dose (1)	NM matches	2021-02-05 / 2021-02-06 / 2021-06-10 received the same day as the last call	case 262287

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

2021-02-05
Dose 1 — Moderna
2021-02-09
Registered in v-safe
2021-02-09
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain — Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Pain in upper back between shoulder blades

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: No appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — day 7, dose 1
MedDRA: Rhinorrhoea — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Running nose since receiving the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site pruritus — 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: Intense Itching and redness at the injection site 8 days after the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-26
Survey response — day 21, dose 1
MedDRA: Pain in extremity, Vaccination site pain — Feeling: Good · 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: A sudden stabbing pain in my arm at the vaccination site, causing me to grab my arm. It happened 15 days after getting the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-05
Dose 2 — Moderna
2021-03-05
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Itching · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Feeling abnormal, Rhinorrhoea — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Runny nose , mind fog, dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis, Injection site swelling, Lacrimation increased, Malaise, Rhinorrhoea — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Swelling at injection site,Watery eyes, general feeling of malaise, sweating, runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia, Lacrimation increased, Pain in extremity — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site

Free text: Watery eyes, pain in arm- couldnt sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Itching · Headache, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-12
Health check-in — day 7, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · Joint pains, Muscle or body aches, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-19
Survey response — day 14, dose 2
MedDRA: Pruritus — Feeling: Good

Free text: Intense Itching on both arms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-02
Survey response — day 28, dose 2
MedDRA: Hypertension, Tinnitus — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I forgot to tell you that after the vaccination, my blood pressure went from normal to high. Its back to normal now. I also have tinnitus since receiving the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-09
Survey response — day 35, dose 2
MedDRA: Pruritus — Feeling: Good

Free text: I received the vaccine in both arms. I have intense itching/scratching in both lower arms midway between my elbows and wrists.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — day 42, dose 2
MedDRA: Rash — Feeling: Fair

Free text: Rash on face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Survey response — 3 months, dose 2
MedDRA: Pruritus — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: My arms continue to itch

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-10
Call 1 — Could Not Reach Participant
2021-06-10
Callback requested for
06:00PM ET
2021-06-10
Call successful
Completed over the phone
2021-06-10
Call successful
Completed over the phone
2021-06-10
Call successful
Does not wish to fill out VAERS report
2021-06-10
Call successful
Does not wish to fill out VAERS report
2021-09-03
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-28
Dose 3 — Moderna
2021-12-28
Survey response — day 0, dose 3
MedDRA: Injection site discolouration — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Skin around injection site looks bleached out

MedDRA releases: 2024-11 · check-in free text available
2021-12-29
Survey response — days 1–6 daily, dose 3
MedDRA: Ear pruritus, Pruritus — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Itching head and itchy ear canals

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Abdominal pain

Adult check-in
2021-12-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2022-01-01
Survey response — days 1–6 daily, dose 3
MedDRA: Pruritus — Feeling: Good · Site: Redness, Swelling · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Head itching

MedDRA releases: 2024-11 · check-in free text available
2022-01-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2022-01-03
Survey response — days 1–6 daily, dose 3
MedDRA: Urticaria — Feeling: Good · Fatigue or tiredness, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site

Free text: Hives

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2022-01-11
Survey response — day 14, dose 3
MedDRA: Blood pressure increased, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Rashes Increase in blood pressure

MedDRA releases: 2024-11 · check-in free text available
2022-01-11
Report sent to call center — day 14, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-12
Call 1 — Left Voicemail
2022-01-14
Call successful
Completed over the phone
2022-01-18
Survey response — day 21, dose 3
MedDRA: Fatigue, Rash pruritic — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lingering fatigue, increased itching of rashes

MedDRA releases: 2024-11 · check-in free text available
2022-01-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-01
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-08
Survey response — day 42, dose 3
MedDRA: Fatigue, Rash — Feeling: Good

Free text: Fatigue, rashes got worse

MedDRA releases: 2024-11 · check-in free text available
2022-03-29
Survey response — 3 months, dose 3
MedDRA: Injection site pruritus, Rash, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: My arm still itches where I got the vaccination. My rashes are getting worse. I see a dermatologist next week. I had to wait nine months to get an appointment with a dermatologist. · Healthcare visit (other): MyDermatologist appointment is next week

MedDRA releases: 2024-11 · check-in free text available
2022-03-29
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-30
Call 1 — Left Voicemail
2022-07-01
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-07-01
Call successful
Reported to VAERS during previous contact from GDIT
2022-12-28
Survey response — 12 months, dose 3
MedDRA: Blood pressure increased, Lichen sclerosus, Office visit, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Lichen sclerosis, increased blood pressure and increased rashes due to an immune system response sent to overdrive (as per my doctors) · Healthcare visit (other): Gyn visit

MedDRA releases: 2024-11 · check-in free text available
2022-12-28
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-12-29
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-05	Moderna
2	2021-03-05	Moderna
3	2021-12-28	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-02-19	Successful 2021-06-10	Completed over the phone
2021-02-26	Successful 2021-06-10	Completed over the phone
2021-04-02	Successful 2021-06-10	Does not wish to fill out VAERS report
2021-06-04	Successful 2021-06-10	Does not wish to fill out VAERS report
2022-01-11	Successful 2022-01-14	Completed over the phone
2022-03-29	Successful 2022-07-01	Reported to VAERS during previous contact from GDIT
2022-12-28	Unsuccessful	Reported to VAERS during previous contact from GDIT

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-09

Systemic reaction (other): Dizzy

2021-02-10

Systemic reaction (other): Pain in upper back between shoulder blades

Release 4 — days 1–6 daily, dose 1

2021-02-11

Systemic reaction (other): No appetite

Release 4 — day 7, dose 1

2021-02-12

Systemic reaction (other): Running nose since receiving the vaccine

Release 4 — day 14, dose 1

2021-02-19

Symptoms: Intense Itching and redness at the injection site 8 days after the vaccine

Release 4 — day 21, dose 1

2021-02-26

Symptoms: A sudden stabbing pain in my arm at the vaccination site, causing me to grab my arm. It happened 15 days after getting the vaccine

Release 5 — days 1–6 daily, dose 2

2021-03-06

Systemic reaction (other): Runny nose , mind fog, dizziness

2021-03-07

Systemic reaction (other): Swelling at injection site,Watery eyes, general feeling of malaise, sweating, runny nose

2021-03-08

Systemic reaction (other): Watery eyes, pain in arm- couldnt sleep

Release 5 — day 14, dose 2

2021-03-19

Symptoms: Intense Itching on both arms

Release 6 — day 28, dose 2

2021-04-02

Symptoms: I forgot to tell you that after the vaccination, my blood pressure went from normal to high. Its back to normal now. I also have tinnitus since receiving the vaccine.

Release 7 — day 35, dose 2

2021-04-09

Symptoms: I received the vaccine in both arms. I have intense itching/scratching in both lower arms midway between my elbows and wrists.

Release 7 — day 42, dose 2

2021-04-16

Symptoms: Rash on face

Release 8 — 3 months, dose 2

2021-06-04

Symptoms: My arms continue to itch

Release 10 — day 0, dose 3

2021-12-28

Systemic reaction (other): Skin around injection site looks bleached out

Release 10 — days 1–6 daily, dose 3

2021-12-29

Systemic reaction (other): Itching head and itchy ear canals

2022-01-01

Systemic reaction (other): Head itching

2022-01-03

Systemic reaction (other): Hives

Release 10 — day 14, dose 3

2022-01-11

Symptoms: Rashes Increase in blood pressure

Release 10 — day 21, dose 3

2022-01-18

Symptoms: Lingering fatigue, increased itching of rashes

Release 11 — day 42, dose 3

2022-02-08

Symptoms: Fatigue, rashes got worse

Release 11 — 3 months, dose 3

2022-03-29

Symptoms: My arm still itches where I got the vaccination. My rashes are getting worse. I see a dermatologist next week. I had to wait nine months to get an appointment with a dermatologist.

Healthcare visit (other): MyDermatologist appointment is next week

Release 12 — 12 months, dose 3

2022-12-28

Symptoms: Lichen sclerosis, increased blood pressure and increased rashes due to an immune system response sent to overdrive (as per my doctors)

Healthcare visit (other): Gyn visit

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	Blood pressure increased	·	·	✓
SD	Fatigue	·	·	✓
SD	Hypertension	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Lichen sclerosus	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash pruritic	·	·	✓
SD	Tinnitus	✓	✓	✓
SD	Vaccination site pain	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Ear pruritus	·	·	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Injection site discolouration	·	·	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Lacrimation increased	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pruritus	·	·	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Urticaria	·	·	✓

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