YLE-31428-85250

3 vaccinations 7 coded responses 12 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 982 / WA
Registered: 2021-01-15

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
1670553 (opens in a new window)	high	9 / 11	—	1 of 10 VAERS symptoms	same dose (2)	WA matches	2021-02-07 / 2021-02-07 / 2021-09-03 received the same day as the last call	case 920099

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

2021-01-10
Dose 1 — Moderna
2021-01-15
Registered in v-safe
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Headache, Lethargy, Myalgia — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-15
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-18
Health check-in — 7 day, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-07
Dose 2 — Moderna
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Dizziness, Night sweats, Paraesthesia — Feeling: Good · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Nausea · Be unable to work, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Epicondylitis, Inflammation, Muscle disorder, Pain, Pre-existing disease — Feeling: Good · Site: Pain · Fever · Muscle or body aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-08-08
Survey response — 6 month, dose 2
MedDRA: Condition aggravated, Injection site pain, Pre-existing disease, Reaction to previous exposure to any vaccine — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2021-09,2024-11 · check-in answers available
2021-08-08
Report sent to call center — 6 month, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-26
Call 1 — Left Voicemail
2021-08-30
Call 2 — Requested Callback
2021-09-03
Callback requested for
2021-09-03
Call successful
Completed over the phone
2021-10-15
Dose 3 — Moderna
2021-10-23
Health check-in — 7 day, dose 3
Feeling: Fair · Nausea

Adult check-in
2021-10-31
Survey response — 14 day, dose 3
MedDRA: Condition aggravated, Pre-existing disease, Vaccine positive rechallenge — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2021-11-05
Survey response — 21 day, dose 3
MedDRA: Arrhythmia, Condition aggravated, Extrasystoles, Office visit, Pre-existing disease, Reaction to previous exposure to any vaccine — Feeling: Good · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11 · check-in answers available
2021-11-05
Report sent to call center — 21 day, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-11
Call 1 — Could Not Reach Participant
2021-11-13
Health check-in — 28 day, dose 3
Feeling: Good

Adult check-in
2021-11-16
Call 2 — Could Not Reach Participant
2021-11-20
Health check-in — 35 day, dose 3
Feeling: Good

Adult check-in
2022-01-14
Survey response — 3 month, dose 3
MedDRA: Arrhythmia, Extrasystoles, Malaise, Office visit, SARS-CoV-2 test negative — 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 · check-in answers available
2022-01-14
Report sent to call center — 3 month, dose 3
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)
2022-01-17
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-10	Moderna
2	2021-02-07	Moderna
3	2021-10-15	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-15	priority 2/3
2021-08-08	Successful 2021-09-03	Completed over the phone
2021-11-05	Unsuccessful
2022-01-14	Unsuccessful

Free text

Release 2

Systemic reaction (other): Lethargy has been quite remarkable. Muscle and joint pain, as well as headache pain, jump around from one area to another.

Release 3

Systemic reaction (other): 12 hours after receiving the vaccine, I spent 24 hours having temperatures from 99-104, joint aches everywhere, skin and muscles feeling tingly/dizzy, then temp broke, then night sweats all night for second night

Release 4

Systemic reaction (other): You should know that I have a muscle illness with similar symptoms that those with MS, MD and Fibromyalgia have. The vaccine seems to heighten these symptoms, cause inflammation and pain. It did with the first one and with the second one now too. It also seems to heighten any injured areas in the body, I.e. tennis elbow, injured muscle, etc.

Release 9

Symptoms: It still hurts (minor but weird) in the spot the shot was given. That spot has just healed over. My muscle illness has been aggravated. Regardless, I want a booster now, even though I reacted badly with each shot.

Release 10

Symptoms: Mitochondrial myopathy symptoms are flared. This happened with the first two shots too.

Symptoms: This isn't new this time, but new altogether since the vaccines. I now have heart monitor diagnosed arrhythmias and rare ectopic beats since the second vaccine that have now increased since the booster. My ultrasound did not show inflammation.

Healthcare visit (other): In person and diagnostic evaluation

Symptoms: I have heart arrhythmias and ectopic beats. I never had heart issues in my life, plus recently had Covid symptoms for five days with 4 negative tests. Dr still felt I had it, just not enough to register

Healthcare visit (other): Cardiologist and heart tests, including heart monitor to diagnose

Free-text releases are not linked to a specific 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	Arrhythmia	·	·	✓
SD	Condition aggravated	✓	·	✓
SD	Extrasystoles	·	·	✓
SD	Injection site pain	✓	·	✓
SD	Malaise	·	·	✓
SD	Office visit	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Reaction to previous exposure to any vaccine	✓	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Vaccine positive rechallenge	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Epicondylitis	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Inflammation	✓	✓	✓
SRO	Lethargy	✓	✓	✓
SRO	Muscle disorder	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Night sweats	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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