YMC-18363-69825

5 vaccinations 11 coded responses 13 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 968 / HI
Registered: 2022-10-11

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

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
2613164 (opens in a new window)	high	10 / 11	2	1 of 3 VAERS symptoms	same dose (5)	HI matches	2022-10-10 / 2022-10-10 / 2023-04-11 received the same day as the last call	case 496811

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

2021-01-15
Dose 1 — Pfizer-BioNTech
2021-02-05
Dose 2 — Pfizer-BioNTech
2022-01-02
Dose 3 — Pfizer-BioNTech
2022-04-01
Dose 4 — Pfizer-BioNTech
2022-10-10
Dose 5 — Moderna
2022-10-11
Registered in v-safe
2022-10-12
Survey response — days 1–6 daily, dose 5
MedDRA: Paraesthesia — Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness

Free text: Tingling on left face, etc

MedDRA releases: 2024-11 · check-in free text available
2022-10-13
Survey response — days 1–6 daily, dose 5
MedDRA: Allergy to vaccine, Emergency care, Office visit, Paraesthesia — Feeling: Fair · Site: Itching · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Systemic reaction (other): Tingling face/head, left more than right since 10/10/22. On 10/10/22 also had to tingling in left lateral fore arm and fore leg. Went to ER, labs and brain MRI negative for symptoms cause · Healthcare visit (other): On 10/10/22 went to ER. 10/11/22, follow up with PCP. Allergy to covid vaccine. ASSUME only to mRNA vaccines since only got these. What to do next time? Will determine this at that time. Any recommendations?

MedDRA releases: 2024-11 · check-in free text available
2022-10-13
Report sent to call center — days 1–6 daily, dose 5
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-10-14
Survey response — days 1–6 daily, dose 5
MedDRA: Pre-existing disease — Feeling: Good

Free text: FYI: Due to arthritis, always have joint, muscle, body aches and pain; and fatigue. But these symptoms are at baseline.

MedDRA releases: 2024-11 · check-in free text available
2022-10-14
Call successful
Completed over the phone
2022-10-15
Survey response — days 1–6 daily, dose 5
MedDRA: Arthralgia, Myalgia — Feeling: Good

Free text: Joint pains and muscle aches within baseline

MedDRA releases: 2024-11 · check-in free text available
2022-10-16
Survey response — days 1–6 daily, dose 5
MedDRA: Adverse reaction — Feeling: Good

Free text: Same as 10/15/22

MedDRA releases: 2024-11 · check-in free text available
2022-10-17
Survey response — day 7, dose 5
MedDRA: Unevaluable event — Feeling: Good

Free text: Same as before

MedDRA releases: 2024-11 · check-in free text available
2022-10-24
Survey response — day 14, dose 5
MedDRA: Muscle strain — Feeling: Good

Free text: Left mid-medial thigh muscle strain

MedDRA releases: 2024-11 · check-in free text available
2022-10-31
Survey response — day 21, dose 5
MedDRA: Pyrexia, Throat irritation — Feeling: Good

Free text: Not sure if related to vaccine but when push myself and get tired get a slight rawness on my nasopharynx and a low grade fever that goes away with rest anf hydration.

MedDRA releases: 2024-11 · check-in free text available
2022-11-07
Survey response — day 28, dose 5
MedDRA: Chills, Fatigue, Malaise, Rhinitis, Self-medication, Throat irritation — Feeling: Good

Free text: Rhinitis, scratchy throat, fatigue, chilly, and just not feeling well. Took Airborne, kept warm till perspired, and increased rest/sleep. Next morning better.

MedDRA releases: 2024-11 · check-in free text available
2022-11-14
Survey response — day 35, dose 5
MedDRA: Dyspnoea, Fatigue, Pyrexia — Feeling: Fair

Free text: Fatigue, low grade fever, SOB

MedDRA releases: 2024-11 · check-in free text available
2022-11-21
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2023-01-09
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-10
Survey response — 6 months, dose 5
MedDRA: Office visit, Peripheral venous disease, Surgery — Feeling: Good · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-04-10
Report sent to call center — 6 months, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2023-04-11
Call 1 — Left Voicemail
2023-04-11
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Pfizer-BioNTech	No
2	2021-02-05	Pfizer-BioNTech	No
3	2022-01-02	Pfizer-BioNTech	No
4	2022-04-01	Pfizer-BioNTech	No
5	2022-10-10	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-10-13	Successful 2022-10-14	Completed over the phone
2023-04-10	Successful 2023-04-11	Completed over the phone

Free text

Release 12 — days 1–6 daily, dose 5

2022-10-12

Systemic reaction (other): Tingling on left face, etc

2022-10-13

Systemic reaction (other): Tingling face/head, left more than right since 10/10/22. On 10/10/22 also had to tingling in left lateral fore arm and fore leg. Went to ER, labs and brain MRI negative for symptoms cause

Healthcare visit (other): On 10/10/22 went to ER. 10/11/22, follow up with PCP. Allergy to covid vaccine. ASSUME only to mRNA vaccines since only got these. What to do next time? Will determine this at that time. Any recommendations?

2022-10-14

Systemic reaction (other): FYI: Due to arthritis, always have joint, muscle, body aches and pain; and fatigue. But these symptoms are at baseline.

2022-10-15

Systemic reaction (other): Joint pains and muscle aches within baseline

2022-10-16

Systemic reaction (other): Same as 10/15/22

Release 12 — day 7, dose 5

2022-10-17

Systemic reaction (other): Same as before

Release 12 — day 14, dose 5

2022-10-24

Symptoms: Left mid-medial thigh muscle strain

Release 12 — day 21, dose 5

2022-10-31

Symptoms: Not sure if related to vaccine but when push myself and get tired get a slight rawness on my nasopharynx and a low grade fever that goes away with rest anf hydration.

Release 12 — day 28, dose 5

2022-11-07

Symptoms: Rhinitis, scratchy throat, fatigue, chilly, and just not feeling well. Took Airborne, kept warm till perspired, and increased rest/sleep. Next morning better.

Release 12 — day 35, dose 5

2022-11-14

Symptoms: Fatigue, low grade fever, SOB

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	Allergy to vaccine	·	·	✓
HCVO	Emergency care	·	·	✓
HCVO	Office visit	·	·	✓
HCVO	Surgery	·	·	✓
SD	Chills	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Malaise	·	·	✓
SD	Muscle strain	·	·	✓
SD	Peripheral venous disease	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rhinitis	·	·	✓
SD	Self-medication	·	·	✓
SD	Throat irritation	·	·	✓
SRO	Adverse reaction	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Emergency care	·	·	✓
SRO	Myalgia	·	·	✓
SRO	Paraesthesia	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Unevaluable event	·	·	✓

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