Z3B-16937-69635

3 vaccinations 12 coded responses 28 check-ins 12 free-text entries 3 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 857 / AZ
Registered: 2021-01-23

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
1843642 (opens in a new window)	high	11 / 11	—	3 of 6 VAERS symptoms	same dose (3)	AZ matches	2021-10-31 / 2021-10-31 / 2021-11-04 received the same day as the last call	case 1146763

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 — Moderna
2021-01-23
Registered in v-safe
2021-01-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Survey response — day 14, dose 1
MedDRA: Chills, Dizziness, Dyspnoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Shortness of breath. Light headedness. Chills.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — day 21, dose 1
MedDRA: Fatigue, Nausea — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Nauseau & fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-16
Dose 2 — Moderna
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms, Nasopharyngitis — Feeling: Good · Site: Pain · Chills

Free text: Cold off & on. Cramps in feet.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-24
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-20
Survey response — 3 months, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-17
Survey response — 6 months, dose 2
MedDRA: Dyspnoea, Gastrooesophageal reflux disease, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Have had chronic shortness of breath. Was diagnosed last month with high grade acid reflux& possible vocal chord disorder. · Healthcare visit (other): Went to out of state hospital for testing

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-17
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-31
Dose 3 — Moderna
2021-11-01
Survey response — days 1–6 daily, dose 3
MedDRA: Chest pain, Dyspnoea, Unevaluable event — Feeling: Poor · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Shortness of breath. Off& on chest pains. · Healthcare visit (other): Left messafw w/ pulmonologist. May go to urgent care.

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Report sent to call center — days 1–6 daily, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Dyspnoea, Office visit — Feeling: Fair · Site: Pain · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Shortness of breath · Healthcare visit (other): In office visit with pulminologist

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-02
Call 1 — Left Voicemail
2021-11-02
Call 1 — Left Voicemail
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: Dyspnoea — Feeling: Fair · Site: Pain

Free text: Shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Call 1 — Requested Callback
2021-11-04
Survey response — days 1–6 daily, dose 3
MedDRA: Dyspnoea — Feeling: Fair

Free text: Shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Callback requested for
03:00PM ET
2021-11-04
Call successful
Completed over the phone
2021-11-04
Call successful
Completed over the phone
2021-11-04
Call successful
Completed over the phone
2021-11-07
Survey response — day 7, dose 3
MedDRA: Chest pain, Dyspnoea — Feeling: Fair

Free text: Chest pains & mild shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-21
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-28
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-13
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-01
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-05-01
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-31
Survey response — 12 months, dose 3
MedDRA: Cough — Feeling: Fair

Free text: Chronic cough

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Moderna
2	2021-02-16	Moderna
3	2021-10-31	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-08-17	Successful 2021-11-04	Completed over the phone
2021-11-01	Successful 2021-11-04	Completed over the phone
2021-11-02	Successful 2021-11-04	Completed over the phone

Free text

Release 3 — day 14, dose 1

2021-01-29

Symptoms: Shortness of breath. Light headedness. Chills.

Release 3 — day 21, dose 1

2021-02-06

Symptoms: Nauseau & fatigue

Release 4 — days 1–6 daily, dose 2

2021-02-17

Systemic reaction (other): Light headed

2021-02-19

Systemic reaction (other): Cold off & on. Cramps in feet.

Release 8 — 3 months, dose 2

2021-05-20

Symptoms: Sore throat

Release 9 — 6 months, dose 2

2021-08-17

Symptoms: Have had chronic shortness of breath. Was diagnosed last month with high grade acid reflux& possible vocal chord disorder.

Healthcare visit (other): Went to out of state hospital for testing

Release 10 — days 1–6 daily, dose 3

2021-11-01

Systemic reaction (other): Shortness of breath. Off& on chest pains.

Healthcare visit (other): Left messafw w/ pulmonologist. May go to urgent care.

2021-11-02

Systemic reaction (other): Shortness of breath

Healthcare visit (other): In office visit with pulminologist

2021-11-03

Systemic reaction (other): Shortness of breath

2021-11-04

Systemic reaction (other): Shortness of breath

Release 10 — day 7, dose 3

2021-11-07

Systemic reaction (other): Chest pains & mild shortness of breath

Release 12 — 12 months, dose 3

2022-10-31

Symptoms: Chronic 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
HCVO	Office visit	·	·	✓
HCVO	Unevaluable event	✓	·	✓
SD	Chills	✓	✓	✓
SD	Cough	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastrooesophageal reflux disease	✓	·	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SRO	Chest pain	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	·	·	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓

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