YLA-12790-97268

3 vaccinations 12 coded responses 35 check-ins 12 free-text entries 6 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 774 / TX
Registered: 2021-02-14

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
1967516 (opens in a new window)	high	11 / 11	3	2 of 3 VAERS symptoms	same dose (1)	TX matches	2021-02-12 / 2021-02-19 / 2021-12-21 received 298 days after the last call	case 261788

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

2021-02-12
Dose 1 — Moderna
2021-02-14
Registered in v-safe
2021-02-14
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: I feel terrible, but it's worth it. Symptoms come and go.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · None

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

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-19
Health check-in — day 7, dose 1
Feeling: Fair · Site: Itching · None

Adult check-in
2021-02-26
Survey response — day 14, dose 1
MedDRA: Feeling abnormal, Herpes zoster, Neck pain, Office visit, Pain in extremity, Peripheral swelling, Pruritus, Rash, Rash erythematous, Rash papular — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: 1st dose of Moderna in left arm- 212. 2/20, arm began itching, swelling, & rash along with large patch of red swollen bumps on left chest, shoulder & bicep. Drs diagnosed it shingles. Been miserable. Pain from neck to fingertips on left side. · Healthcare visit (other): My GP & my Neurologist.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Report sent to call center — day 14, 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)
2021-03-05
Survey response — day 21, dose 1
MedDRA: Herpes zoster, Office visit, Pain in extremity — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I am still aching in the arm in which I got the vaccine. I also got shingles on that side of my bicep and chest. · Healthcare visit (other): I saw both my GP and Neurologist.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Report sent to call center — day 21, 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)
2021-03-12
Dose 2 — Moderna
2021-03-12
Survey response — day 0, dose 2
MedDRA: Herpes zoster — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: I still have shingles on my upper left side as a result of my 1st dose. "Covid Arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Limb discomfort — Feeling: Good

Free text: I'm still suffering with discomfort from my 1st moderna shot. Left arm on 2/12. Injection site & shingles on that side.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — day 7, dose 2
MedDRA: Herpes zoster, Tenderness — Feeling: Fair

Free text: I still have tenderness from 1st vax on 2/12. I also have shingles on my left side as, which my GP attributes to "Covid Arm".

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-09
Survey response — day 28, dose 2
MedDRA: Atelectasis, Chest pain, Office visit, SARS-CoV-2 test negative — 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: Chest pain. Had to go to ER. Atelectasis of lower lobe of left lung. I don't know if it's related to vaccine.I was tested for Covid in the ER, and my tests were negative. · Healthcare visit (other): Visit to my GP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Report sent to call center — day 28, 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)
2021-04-18
Survey response — day 35, dose 2
MedDRA: Blood pressure increased, Chest pain, Dyspnoea, Headache, Office visit — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Symptoms: Chest pains, breathing issues, higher blood pressure, headaches, just not myself. But, I'm not sure if it's related to my vaccine. My 1st vaccine was so much worse. Sick as a dog for 1st 4 days, then, covid arm & shingles from my 1st. · Healthcare visit (other): Saw my general practitioner

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
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)
2021-04-25
Survey response — day 42, dose 2
MedDRA: Arthritis, Chest pain, Diarrhoea, Office visit, Pre-existing disease — Feeling: Fair · 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: Chest pains, severe diarrhea, general arthritic pain · Healthcare visit (other): GP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
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)
2021-06-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-10
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-13
Call 1 — Left Voicemail
2021-12-17
Dose 3 — Moderna
Co-administered: Flu
2021-12-19
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-12-20
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Itching · Fever · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-12-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Itching · Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-12-21
Call successful
Completed over the phone
2021-12-22
Survey response — days 1–6 daily, dose 3
MedDRA: Malaise — Feeling: Fair · Site: Redness, Itching · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: I just feel sick.

MedDRA releases: 2024-11 · check-in free text available
2021-12-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness · Joint pains

Adult check-in
2021-12-26
Survey response — day 7, dose 3
MedDRA: Adverse reaction — Feeling: Poor · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I don't know if the symptoms are related to my booster.

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Survey response — day 14, dose 3
MedDRA: SARS-CoV-2 test positive — Feeling: Fair · 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: I tested positive for Covid-19 on 12/27/21- 10 days after getting my Moderna booster shot.

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Report sent to call center — day 14, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-01-05
Call 1 — Left Voicemail
2022-01-05
Call successful
Participant prefers to complete VAERS report online
2022-01-08
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-01-14
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-21
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-28
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-03-19
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-12-17
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-12	Moderna
2	2021-03-12	Moderna
3	2021-12-17	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-02-26	Successful	Completed over the phone
2021-03-05	Successful	Completed over the phone
2021-04-09	Successful	Completed over the phone
2021-04-18	Successful	Completed over the phone
2021-04-25	Successful 2021-12-21	Completed over the phone
2021-12-31	Successful 2022-01-05	Participant prefers to complete VAERS report online

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-14

Systemic reaction (other): I feel terrible, but it's worth it. Symptoms come and go.

Release 4 — day 14, dose 1

2021-02-26

Symptoms: 1st dose of Moderna in left arm- 212. 2/20, arm began itching, swelling, & rash along with large patch of red swollen bumps on left chest, shoulder & bicep. Drs diagnosed it shingles. Been miserable. Pain from neck to fingertips on left side.

Healthcare visit (other): My GP & my Neurologist.

Release 5 — day 21, dose 1

2021-03-05

Symptoms: I am still aching in the arm in which I got the vaccine. I also got shingles on that side of my bicep and chest.

Healthcare visit (other): I saw both my GP and Neurologist.

Release 5 — day 0, dose 2

2021-03-12

Systemic reaction (other): I still have shingles on my upper left side as a result of my 1st dose. "Covid Arm

Release 5 — days 1–6 daily, dose 2

2021-03-18

Systemic reaction (other): I'm still suffering with discomfort from my 1st moderna shot. Left arm on 2/12. Injection site & shingles on that side.

Release 6 — day 7, dose 2

2021-03-19

Systemic reaction (other): I still have tenderness from 1st vax on 2/12. I also have shingles on my left side as, which my GP attributes to "Covid Arm".

Release 7 — day 28, dose 2

2021-04-09

Symptoms: Chest pain. Had to go to ER. Atelectasis of lower lobe of left lung. I don't know if it's related to vaccine.I was tested for Covid in the ER, and my tests were negative.

Healthcare visit (other): Visit to my GP

Release 7 — day 35, dose 2

2021-04-18

Symptoms: Chest pains, breathing issues, higher blood pressure, headaches, just not myself. But, I'm not sure if it's related to my vaccine. My 1st vaccine was so much worse. Sick as a dog for 1st 4 days, then, covid arm & shingles from my 1st.

Healthcare visit (other): Saw my general practitioner

Release 7 — day 42, dose 2

2021-04-25

Symptoms: Chest pains, severe diarrhea, general arthritic pain

Healthcare visit (other): GP

Release 10 — days 1–6 daily, dose 3

2021-12-22

Systemic reaction (other): I just feel sick.

Release 10 — day 7, dose 3

2021-12-26

Systemic reaction (other): I don't know if the symptoms are related to my booster.

Release 10 — day 14, dose 3

2021-12-31

Symptoms: I tested positive for Covid-19 on 12/27/21- 10 days after getting my Moderna booster 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	✓	✓	✓
SD	Arthritis	✓	✓	✓
SD	Atelectasis	✓	✓	✓
SD	Blood pressure increased	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Herpes zoster	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash erythematous	✓	✓	✓
SD	Rash papular	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Herpes zoster	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Malaise	·	·	✓
SRO	Tenderness	✓	✓	✓

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