YZG-16690-26674

5 vaccinations 19 coded responses 68 check-ins 17 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 922 / CA
Registered: 2021-03-23

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
2283432 (opens in a new window)	high	8 / 11	2	0 of 5 VAERS symptoms	same dose (1)	CA matches	2021-03-23 / 2021-03-30 / 2022-05-18 received the same day as the last call	case 465908

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

2021-03-23
Registered in v-safe
2021-03-23
Dose 1 — Moderna
2021-03-23
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Redness · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Sleep disorder — Feeling: Good · Site: Pain, Redness, Swelling · Headache, Muscle or body aches

Free text: A bit of heavy chest pain. Woke me up and lasted until early afternoon.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Oropharyngeal pain — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Free text: Slight cough, slight sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · Fatigue or tiredness

Adult check-in
2021-03-30
Health check-in — day 7, dose 1
Feeling: Fair · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-04-06
Survey response — day 14, dose 1
MedDRA: Dry skin, Skin hypertrophy, Vaccination site reaction, Vaccination site swelling — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I had a delayed local reaction at vaccination site w/swelling that started on day 7 and has lasted until today. I also had a 100 godet temp for 2 days. The skin over the swelling area is now rough, thickened and dry.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-20
Dose 2 — Moderna
2021-04-20
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Nausea, Abdominal pain

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Fever · Joint pains, 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
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-27
Health check-in — day 7, dose 2
Feeling: Good · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-19
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-04
Dose 3 — Moderna
2021-11-04
Health check-in — day 0, dose 3
Feeling: Good · Site: Itching · None

Adult check-in
2021-11-05
Survey response — days 1–6 daily, dose 3
MedDRA: Asthma, Pre-existing disease — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Free text: asthma symptoms - had to use 2 treatments in past 24hr

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Survey response — days 1–6 daily, dose 3
MedDRA: Asthma — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness

Free text: Severe asthma attack - no triggers

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Survey response — days 1–6 daily, dose 3
MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: Good · Site: Pain, Redness, Swelling

Free text: Runny nose, slight congestion

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site bruising — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Huge purple bruise at injection site - larger than half dollar.

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Abdominal pain

Adult check-in
2021-11-11
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-11-18
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-25
Survey response — day 21, dose 3
MedDRA: Cough, Dysphonia, Headache, Nasal congestion, Oropharyngeal pain, Rhinorrhoea — Feeling: Good

Free text: Cough, sore throat, runny/stuffy nose, hoarseness, headache - lasted 3 days.

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Survey response — day 28, dose 3
MedDRA: Headache, Oropharyngeal pain — Feeling: Fair

Free text: Every few days I get a sore throat, runny more and headache.

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-16
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-24
Call 1 — Could Not Reach Participant
2022-02-04
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-05
Survey response — 6 months, dose 3
MedDRA: Cough, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: Constant cough. Not new- but worsening. Bed. Going on for almost a year now.

MedDRA releases: 2024-11 · check-in free text available
2022-05-18
Call successful
Completed over the phone
2022-07-28
Dose 4 — Moderna
2022-07-29
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-07-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches

Adult check-in
2022-07-31
Survey response — days 1–6 daily, dose 4
MedDRA: Anxiety, Insomnia, Restlessness — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Complounable to sleepLast night - so anxious and restless

MedDRA releases: 2024-11 · check-in free text available
2022-08-01
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-08-02
Survey response — days 1–6 daily, dose 4
MedDRA: Decreased appetite, Eye swelling, Lacrimation increased, Rhinorrhoea — Feeling: Fair · Fever · Headache, Fatigue or tiredness, Abdominal pain

Free text: Runny nose, watery swollen eyes, no appetite

MedDRA releases: 2024-11 · check-in free text available
2022-08-03
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fever · Headache, Fatigue or tiredness

Adult check-in
2022-08-04
Survey response — day 7, dose 4
MedDRA: Decreased appetite — Feeling: Fair · Site: Itching · Fever · Headache, Muscle or body aches

Free text: No appetite

MedDRA releases: 2024-11 · check-in free text available
2022-08-11
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-08-18
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-08-25
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-09-01
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-09-08
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-10-27
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-12-05
Dose 5 — Moderna
2022-12-05
Health check-in — day 0, dose 5
Feeling: Good · Site: Redness · None

Adult check-in
2022-12-06
Survey response — days 1–6 daily, dose 5
MedDRA: Dizziness, Malaise — Feeling: Fair · Site: Pain, Redness, Swelling · Be unable to do your normal daily activities

Free text: Dizzy, general feeling of not well, something wrong.

MedDRA releases: 2024-11 · check-in free text available
2022-12-07
Survey response — days 1–6 daily, dose 5
MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore throat and cough

MedDRA releases: 2024-11 · check-in free text available
2022-12-08
Survey response — days 1–6 daily, dose 5
MedDRA: Cough, Ear discomfort, Ear pain, Oropharyngeal pain — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Sore throat, cough, ears vlogged and painful

MedDRA releases: 2024-11 · check-in free text available
2022-12-09
Survey response — days 1–6 daily, dose 5
MedDRA: Cough — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Cough

MedDRA releases: 2024-11 · check-in free text available
2022-12-10
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-12-11
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-12-12
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-12-19
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-12-26
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2023-01-02
Survey response — day 28, dose 5
MedDRA: Bronchial oedema, Bronchospasm, Drug hypersensitivity — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-01-09
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2023-01-16
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-03-06
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-06-05
Survey response — 6 months, dose 5
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-06-05
Call case (no matching report) — Successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-06-06
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-23	Moderna
2	2021-04-20	Moderna
3	2021-11-04	Moderna	No
4	2022-07-28	Moderna	No
5	2022-12-05	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-06	Successful 2022-05-18	Completed over the phone
2023-06-05	Successful 2023-06-06	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-24

Systemic reaction (other): A bit of heavy chest pain. Woke me up and lasted until early afternoon.

2021-03-27

Systemic reaction (other): Slight cough, slight sore throat

Release 7 — day 14, dose 1

2021-04-06

Symptoms: I had a delayed local reaction at vaccination site w/swelling that started on day 7 and has lasted until today. I also had a 100 godet temp for 2 days. The skin over the swelling area is now rough, thickened and dry.

Release 10 — days 1–6 daily, dose 3

2021-11-05

Systemic reaction (other): asthma symptoms - had to use 2 treatments in past 24hr

2021-11-06

Systemic reaction (other): Severe asthma attack - no triggers

2021-11-07

Systemic reaction (other): Runny nose, slight congestion

2021-11-08

Systemic reaction (other): Huge purple bruise at injection site - larger than half dollar.

Release 10 — day 21, dose 3

2021-11-25

Symptoms: Cough, sore throat, runny/stuffy nose, hoarseness, headache - lasted 3 days.

Release 10 — day 28, dose 3

2021-12-02

Symptoms: Every few days I get a sore throat, runny more and headache.

Release 11 — 6 months, dose 3

2022-05-05

Symptoms: Constant cough. Not new- but worsening. Bed. Going on for almost a year now.

Release 12 — days 1–6 daily, dose 4

2022-07-31

Systemic reaction (other): Complounable to sleepLast night - so anxious and restless

2022-08-02

Systemic reaction (other): Runny nose, watery swollen eyes, no appetite

Release 12 — day 7, dose 4

2022-08-04

Systemic reaction (other): No appetite

Release 12 — days 1–6 daily, dose 5

2022-12-06

Systemic reaction (other): Dizzy, general feeling of not well, something wrong.

2022-12-07

Systemic reaction (other): Sore throat and cough

2022-12-08

Systemic reaction (other): Sore throat, cough, ears vlogged and painful

2022-12-09

Systemic reaction (other): Cough

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	Bronchial oedema	·	·	✓
SD	Bronchospasm	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Cough	·	·	✓
SD	Drug hypersensitivity	·	·	✓
SD	Dry skin	✓	✓	✓
SD	Dysphonia	·	·	✓
SD	Headache	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Skin hypertrophy	✓	✓	✓
SD	Vaccination site reaction	✓	✓	✓
SD	Vaccination site swelling	✓	✓	✓
SRO	Anxiety	·	·	✓
SRO	Asthma	·	·	✓
SRO	Chest pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Decreased appetite	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Ear discomfort	·	·	✓
SRO	Ear pain	·	·	✓
SRO	Eye swelling	·	·	✓
SRO	Injection site bruising	·	·	✓
SRO	Insomnia	·	·	✓
SRO	Lacrimation increased	·	·	✓
SRO	Malaise	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pre-existing disease	·	·	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Restlessness	·	·	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Sleep disorder	✓	✓	✓

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