YRW-26871-80305

3 vaccinations 13 coded responses 18 check-ins 13 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 111 / NY
Registered: 2021-03-11

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

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
1399500 (opens in a new window)	high	10 / 11	3	3 of 7 VAERS symptoms	same dose (2)	NY matches	2021-03-12 / 2021-03-14 / 2021-06-15 received the same day as the last call	case 532951

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
2021-03-11
Registered in v-safe
2021-03-11
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-12
Dose 2 — Moderna
2021-03-12
Survey response — day 0, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: Only has been 2 hours

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Gastrointestinal sounds abnormal, Limb discomfort, Pruritus, Urticaria — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: From 1st shot I forgot to mention the burning itchy needle like sensation on cheeks & couldnt put anything on my face for 3 weeks until I found a yogurt probiotic face cream that soothed it away. For 2nd shot I also have stomach gurgling for few hours until I fell asleep and I have all over heaviness. A small itchy hive on chest area not bad.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Flatulence, Limb discomfort — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Whole body feels heavy. Intestinal gas.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Sleep disorder — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Sleep is interrupted

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Burning sensation, Pruritus — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work

Free text: Sides of Face by hairline and cheeks burning hot and itchy!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Feeling hot, Pruritus — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work

Free text: Red hot itchy face this afternoon

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — day 7, dose 2
MedDRA: Erythema, Pruritus — Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: A little bit of red itchy face but less than other days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — day 14, dose 2
MedDRA: Herpes zoster — 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, Hospitalization

Free text: Shingles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Report sent to call center — day 14, 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)
2021-04-02
Survey response — day 21, dose 2
MedDRA: Herpes zoster, Pain — Feeling: Poor · 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, Hospitalization

Free text: Still have painful shingles.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Report sent to call center — day 21, 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)
2021-04-09
Survey response — day 28, dose 2
MedDRA: Herpes zoster — Feeling: Poor · 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

Free text: Still painful shingles

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)
2021-04-16
Survey response — day 35, dose 2
MedDRA: Herpes zoster, Pain — Feeling: Poor · 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

Free text: Still have painful shingles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
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)
2021-04-24
Survey response — day 42, dose 2
MedDRA: Herpes zoster, Pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Still painful shingles

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

Adult check-in
2021-06-11
Call 1 — Left Voicemail
2021-06-11
Call 1 — Left Voicemail
2021-06-11
Call 1 — Left Voicemail
2021-06-15
Call successful
Completed over the phone
2021-09-10
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Herpes zoster, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Pain in my right knee. And still have the shingles. · Healthcare visit (other): Doctors office

MedDRA releases: 2024-11 · check-in free text available
2021-09-10
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-13
Call 1 — Left Voicemail
2022-02-04
Dose 3 — Pfizer-BioNTech
2022-05-08
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-08-07
Health check-in — 6 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	2022-02-04	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-26	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-04-02	Successful
2021-04-09	Successful
2021-04-16	Successful 2021-06-15	Completed over the phone
2021-09-10	Unsuccessful

Free text

Release 5 — day 0, dose 2

2021-03-12

Systemic reaction (other): Only has been 2 hours

Release 5 — days 1–6 daily, dose 2

2021-03-13

Systemic reaction (other): From 1st shot I forgot to mention the burning itchy needle like sensation on cheeks & couldnt put anything on my face for 3 weeks until I found a yogurt probiotic face cream that soothed it away. For 2nd shot I also have stomach gurgling for few hours until I fell asleep and I have all over heaviness. A small itchy hive on chest area not bad.

2021-03-14

Systemic reaction (other): Whole body feels heavy. Intestinal gas.

2021-03-15

Systemic reaction (other): Sleep is interrupted

2021-03-16

Systemic reaction (other): Sides of Face by hairline and cheeks burning hot and itchy!

2021-03-18

Systemic reaction (other): Red hot itchy face this afternoon

Release 6 — day 7, dose 2

2021-03-21

Systemic reaction (other): A little bit of red itchy face but less than other days.

Release 6 — day 14, dose 2

2021-03-26

Symptoms: Shingles

Release 6 — day 21, dose 2

2021-04-02

Symptoms: Still have painful shingles.

Release 7 — day 28, dose 2

2021-04-09

Symptoms: Still painful shingles

Release 7 — day 35, dose 2

2021-04-16

Symptoms: Still have painful shingles

Release 7 — day 42, dose 2

2021-04-24

Symptoms: Still painful shingles

Release 9 — 6 months, dose 2

2021-09-10

Symptoms: Pain in my right knee. And still have the shingles.

Healthcare visit (other): Doctors office

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	Arthralgia	·	·	✓
SD	Herpes zoster	✓	✓	✓
SD	Pain	✓	✓	✓
SRO	Burning sensation	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Feeling hot	✓	·	✓
SRO	Flatulence	✓	✓	✓
SRO	Gastrointestinal sounds abnormal	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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