YMT-80558-82517

5 vaccinations 25 coded responses 51 check-ins 24 free-text entries 11 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 076 / NJ
Registered: 2020-12-28

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
2548922 (opens in a new window)	medium	10 / 11	9	2 of 5 VAERS symptoms	same dose (5)	NJ matches	2022-09-30 / 2022-12-10 / 2023-01-03 received the same day as the last call	case 1258606

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

2020-12-28
Registered in v-safe
2020-12-28
Dose 1 — Moderna
2020-12-28
Survey response — day 0, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness, Nausea

Free text: Nit sure they start so soon?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2020-12-29
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-30
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Foggy brain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Foggy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Foggy

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

1 call case(s)
2021-01-02
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Foggy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Foggy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-04
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-04
Report sent to call center — day 7, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-11
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-01-18
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-01-25
Dose 2 — Moderna
2021-01-25
Survey response — day 0, dose 2
MedDRA: Unevaluable event — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Quick I set as I had my vaccine at 12 p

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: It hit 6 hrs after vaccine (12p) and got very severe through 5a

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Blood urine present, Dysuria — Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Burning urinate tract blood in my urine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Urinary tract infection — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Urinate tract infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Urinary tract infection — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Urinary tract infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Urinary tract infection — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Urinary tract infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Urinary tract infection — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Urinary tract infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — day 7, dose 2
MedDRA: Urinary tract infection — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Urinary tract infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-15
Survey response — day 21, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities

Free text: Urinary tract

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-01
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-08
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-04-26
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-07-26
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-09
Dose 3 — Moderna
2022-01-25
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-04-01
Dose 4 — Moderna
2022-04-02
Health check-in — days 1–6 daily, dose 4
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

Adult check-in
2022-04-03
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-04
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-04-05
Survey response — days 1–6 daily, dose 4
MedDRA: Pruritus, Tremor — Feeling: Fair · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: A few itchy spots; shaky

MedDRA releases: 2024-11 · check-in free text available
2022-04-06
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-04-07
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-04-08
Health check-in — day 7, dose 4
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-04-17
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-24
Survey response — day 21, dose 4
MedDRA: Fatigue, Headache, Nasal congestion, Nausea, Pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Stuffy nose achy queasy headachy very tired

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Survey response — day 28, dose 4
MedDRA: Cough, Nausea, Pyrexia, Sinusitis, Upper respiratory tract infection — Feeling: Poor · 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

Free text: Upper respiratory infection cough fever sinusitis act nausea

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Report sent to call center — day 28, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-05-03
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-07
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-15
Survey response — day 42, dose 4
MedDRA: Fatigue, Headache, Pain — Feeling: Poor · 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

Free text: Fatigue headache achy

MedDRA releases: 2024-11 · check-in free text available
2022-05-15
Report sent to call center — day 42, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-16
Call 2 — Left Voicemail
2022-07-03
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-09-30
Dose 5 — Moderna
2022-10-02
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain, Redness · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-10-03
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-10-04
Survey response — days 1–6 daily, dose 5
MedDRA: Nausea — Feeling: Fair · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Queasy

MedDRA releases: 2024-11 · check-in free text available
2022-10-05
Survey response — days 1–6 daily, dose 5
MedDRA: Dizziness, Nausea, Visual impairment — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Queasy. Light headed wavy Visio. Slight

MedDRA releases: 2024-11 · check-in free text available
2022-10-06
Survey response — days 1–6 daily, dose 5
MedDRA: Nausea — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Queasy

MedDRA releases: 2024-11 · check-in free text available
2022-10-08
Health check-in — day 7, dose 5
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-10-16
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-10-21
Survey response — day 21, dose 5
MedDRA: Injection site pain, Injection site pruritus, Injection site reaction, Rash erythematous — Feeling: Poor · Be unable to do your normal daily activities

Free text: Two weeks after the last Covid vaccine bivalent? I received my senior Fluzone shot and I got an extreme reaction? At the side of the injection pain and itching and about a 4 to 5 inch in diameter red rash side effects -getting shots 2 weeks apar

MedDRA releases: 2024-11 · check-in free text available
2022-10-30
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-11-13
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2022-12-30
Survey response — 3 months, dose 5
MedDRA: COVID-19 — Feeling: Poor · 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

Free text: Covid

MedDRA releases: 2024-11 · check-in free text available
2022-12-30
Report sent to call center — 3 months, dose 5
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-03
Call successful
Completed over the phone
2023-03-31
Survey response — 6 months, dose 5
MedDRA: Arthralgia, Back pain, COVID-19, Muscular weakness, Office visit, Physiotherapy, Sinusitis — Feeling: Poor · 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

MedDRA releases: 2024-11
2023-03-31
Report sent to call center — 6 months, dose 5
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-04-03
Call 1 — Left Voicemail
2023-04-03
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Moderna
2	2021-01-25	Moderna
3	2021-11-09	Moderna	No
4	2022-04-01	Moderna	No
5	2022-09-30	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2020-12-29	priority 2/3
2020-12-30	priority 2/3
2020-12-31	priority 2/3
2021-01-01	priority 2/3
2021-01-02	priority 2/3
2021-01-03	priority 2/3
2021-01-04	priority 2/3
2022-04-29	Successful 2022-05-03	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-15	Unsuccessful
2022-12-30	Successful 2023-01-03	Completed over the phone
2023-03-31	Unsuccessful	Reported to VAERS during previous contact from GDIT

Free text

Release 1 — day 0, dose 1

2020-12-28

Systemic reaction (other): Nit sure they start so soon?

Release 1 — days 1–6 daily, dose 1

2020-12-30

Systemic reaction (other): Foggy brain

2020-12-31

Systemic reaction (other): Foggy

2021-01-01

Systemic reaction (other): Foggy

2021-01-02

Systemic reaction (other): Foggy

2021-01-03

Systemic reaction (other): Foggy

Release 2 — day 0, dose 2

2021-01-25

Systemic reaction (other): Quick I set as I had my vaccine at 12 p

Release 2 — days 1–6 daily, dose 2

2021-01-26

Systemic reaction (other): It hit 6 hrs after vaccine (12p) and got very severe through 5a

2021-01-27

Systemic reaction (other): Burning urinate tract blood in my urine

2021-01-28

Systemic reaction (other): Urinate tract infection

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Urinary tract infection

2021-01-30

Systemic reaction (other): Urinary tract infection

2021-01-31

Systemic reaction (other): Urinary tract infection

Release 3 — day 7, dose 2

2021-02-01

Systemic reaction (other): Urinary tract infection

Release 4 — day 21, dose 2

2021-02-15

Symptoms: Urinary tract

Release 11 — days 1–6 daily, dose 4

2022-04-05

Systemic reaction (other): A few itchy spots; shaky

Release 11 — day 21, dose 4

2022-04-24

Symptoms: Stuffy nose achy queasy headachy very tired

Release 11 — day 28, dose 4

2022-04-29

Symptoms: Upper respiratory infection cough fever sinusitis act nausea

Release 11 — day 42, dose 4

2022-05-15

Symptoms: Fatigue headache achy

Release 12 — days 1–6 daily, dose 5

2022-10-04

Systemic reaction (other): Queasy

2022-10-05

Systemic reaction (other): Queasy. Light headed wavy Visio. Slight

2022-10-06

Systemic reaction (other): Queasy

Release 12 — day 21, dose 5

2022-10-21

Symptoms: Two weeks after the last Covid vaccine bivalent? I received my senior Fluzone shot and I got an extreme reaction? At the side of the injection pain and itching and about a 4 to 5 inch in diameter red rash side effects -getting shots 2 weeks apar

Release 12 — 3 months, dose 5

2022-12-30

Symptoms: Covid

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	Physiotherapy	·	·	✓
SD	Arthralgia	·	·	✓
SD	Back pain	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Injection site pain	·	·	✓
SD	Injection site pruritus	·	·	✓
SD	Injection site reaction	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nausea	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rash erythematous	·	·	✓
SD	Sinusitis	·	·	✓
SD	Unevaluable event	✓	✓	✓
SD	Upper respiratory tract infection	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Blood urine present	✓	✓	✓
SRO	Dizziness	·	·	✓
SRO	Dysuria	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Nausea	·	·	✓
SRO	Pruritus	·	·	✓
SRO	Tremor	·	·	✓
SRO	Unevaluable event	✓	✓	✓
SRO	Urinary tract infection	✓	✓	✓
SRO	Visual impairment	·	·	✓

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