YRK-21776-64187

1 vaccination 5 coded responses 13 check-ins 5 free-text entries 5 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 791 / TX
Registered: 2021-03-10

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
2173472 (opens in a new window)	high	10 / 11	—	2 of 6 VAERS symptoms	same dose (1)	TX matches	2021-03-10 / 2021-03-10 / 2022-03-11 received 183 days after the last call	case 996968

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

2021-03-10
Registered in v-safe
2021-03-10
Dose 1 — Moderna
2021-03-10
Health check-in — day 0, dose 1
Feeling: Fair · None

Adult check-in
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Dysphonia, Swollen tongue, Throat irritation — Feeling: Poor · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Had to go to the Emergency room at 4:00 am because swelling in my tongue itching throat & hoarseness pain & pressure in my chest they gave me a shot of benedryill & had to go bak nxt afternoon for more shots still having symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Emergency care, Heart rate increased, Loss of consciousness — Feeling: Fair · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Had to the ER room again yesterday for a racing heartbeat pain in my chest & passing out

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-03-16
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-17
Survey response — day 7, dose 1
MedDRA: Angina pectoris, Pulmonary pain — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Having pain in my heart & lungs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-02
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-07
Health check-in — day 28, dose 1
Feeling: Poor

Adult check-in
2021-04-15
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-09-08
Survey response — 6 months, dose 1
MedDRA: Fatigue, Insomnia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Fatigue & been having to use my Inhaler every day also severe insomnia

MedDRA releases: 2024-11 · check-in free text available
2021-09-08
Report sent to call center — 6 months, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-09-09
Call 1 — Left Voicemail
2022-03-10
Survey response — 12 months, dose 1
MedDRA: COVID-19, Malaise, Pre-existing disease, Surgery — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Covid on 1-21-22 I didn't have to to the hospital but I got very sick & thts even with the 2 moderna shots, I didn't get boosted because I became I'll with other health issues, &I ended up having a surgery & was barely recovering when I got Covid

MedDRA releases: 2024-11 · check-in free text available
2022-03-10
Report sent to call center — 12 months, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-03-11
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-03-11	Successful	Completed over the phone
2021-03-14	Successful	Completed over the phone
2021-03-16	Successful	Completed over the phone
2021-09-08	Successful	Completed over the phone
2022-03-10	Successful 2022-03-11	Completed over the phone

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-11

Systemic reaction (other): Had to go to the Emergency room at 4:00 am because swelling in my tongue itching throat & hoarseness pain & pressure in my chest they gave me a shot of benedryill & had to go bak nxt afternoon for more shots still having symptoms

2021-03-14

Systemic reaction (other): Had to the ER room again yesterday for a racing heartbeat pain in my chest & passing out

Release 5 — day 7, dose 1

2021-03-17

Systemic reaction (other): Having pain in my heart & lungs

Release 9 — 6 months, dose 1

2021-09-08

Symptoms: Fatigue & been having to use my Inhaler every day also severe insomnia

Release 11 — 12 months, dose 1

2022-03-10

Symptoms: Covid on 1-21-22 I didn't have to to the hospital but I got very sick & thts even with the 2 moderna shots, I didn't get boosted because I became I'll with other health issues, &I ended up having a surgery & was barely recovering when I got 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
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Insomnia	·	·	✓
SD	Malaise	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Surgery	·	·	✓
SRO	Angina pectoris	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Dysphonia	✓	✓	✓
SRO	Emergency care	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Loss of consciousness	✓	✓	✓
SRO	Pulmonary pain	✓	✓	✓
SRO	Swollen tongue	✓	✓	✓
SRO	Throat irritation	✓	✓	✓

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