Z69-19867-28015

2 vaccinations 6 coded responses 24 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 373 / TN
Registered: 2021-03-05

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
2109989 (opens in a new window)	high	8 / 11	—	0 of 2 VAERS symptoms	same dose (2)	TN matches	2021-08-13 / 2021-08-13 / 2022-02-14 received the same day as the last call	case 194938

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

2021-03-05
Registered in v-safe
2021-03-05
Dose 1 — Moderna
2021-03-05
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain upper, Cold sweat, Dizziness, Fatigue, Headache, Nausea — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Free text: When I woke up this morning I had severe lower stomach cramping, nausea, clammy, dizzy. It lasted for about 30 to 45 minutes. Throughout the rest of the day Ive just had a headache very slight nausea and tiredness and joint muscle pains

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Nausea — Feeling: Good · Nausea

Free text: Just very slight nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-06-08
Survey response — 3 months, dose 1
MedDRA: Anxiety, Arthralgia, Blood pressure increased, Chest pain, Gastrooesophageal reflux disease, Headache, Hypersensitivity, Menstrual disorder, Pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: developed High blood pressure, more frequent headaches, severe acid reflux, chest pain and soreness. Had a horrible abnormal allergy season and my menstrual periods have been strange since the vaccine. Arthritis joint pain is worse and anxiety

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Report sent to call center — 3 months, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-13
Dose 2 — Moderna
2021-08-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities

Adult check-in
2021-08-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-08-18
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Growing pains, Pain in extremity — Feeling: Good · Site: Pain

Free text: In The arm I received the injection in, at night when I lay down hurts like a joint pain or similar to a growing pain. Its odd that it is just when Ill in a lying position. I dont notice it otherwise.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-08-20
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Nausea

Adult check-in
2021-08-27
Health check-in — day 14, dose 2
Feeling: Good

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

Adult check-in
2021-09-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-09-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-09-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-11-12
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-11-17
Call successful
Participant prefers to complete VAERS report online
2022-02-11
Survey response — 6 months, dose 2
MedDRA: Arthropathy, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Since my second vaccine I have had arm and shoulder issues in that arm. I did not realize that was likely the cause for a long time. Im having an MRI since it has been 7 months.

MedDRA releases: 2024-11 · check-in free text available
2022-02-11
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-14
Call successful
Completed over the phone
2022-08-13
Survey response — 12 months, dose 2
MedDRA: COVID-19, Headache, Menstrual disorder, Muscle spasms, Rotator cuff repair, Urinary tract infection — Feeling: Good · 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

Free text: Menstrual issues, headaches, legs and feet cramping. Frequent uti's, rotator cuff shoulder surgery, covid

MedDRA releases: 2024-11 · check-in free text available
2022-08-13
Report sent to call center — 12 months, dose 2
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 · 1 call case(s)
2022-08-15
Call successful
Reported to VAERS during previous contact from GDIT

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Moderna
2	2021-08-13	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-06-08	Successful 2021-11-17	Participant prefers to complete VAERS report online
2022-02-11	Successful 2022-02-14	Completed over the phone
2022-08-13	Successful 2022-08-15	Reported to VAERS during previous contact from GDIT

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): When I woke up this morning I had severe lower stomach cramping, nausea, clammy, dizzy. It lasted for about 30 to 45 minutes. Throughout the rest of the day Ive just had a headache very slight nausea and tiredness and joint muscle pains

2021-03-09

Systemic reaction (other): Just very slight nausea

Release 8 — 3 months, dose 1

2021-06-08

Symptoms: developed High blood pressure, more frequent headaches, severe acid reflux, chest pain and soreness. Had a horrible abnormal allergy season and my menstrual periods have been strange since the vaccine. Arthritis joint pain is worse and anxiety

Release 9 — days 1–6 daily, dose 2

2021-08-18

Systemic reaction (other): In The arm I received the injection in, at night when I lay down hurts like a joint pain or similar to a growing pain. Its odd that it is just when Ill in a lying position. I dont notice it otherwise.

Release 11 — 6 months, dose 2

2022-02-11

Symptoms: Since my second vaccine I have had arm and shoulder issues in that arm. I did not realize that was likely the cause for a long time. Im having an MRI since it has been 7 months.

Release 12 — 12 months, dose 2

2022-08-13

Symptoms: Menstrual issues, headaches, legs and feet cramping. Frequent uti's, rotator cuff shoulder surgery, 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	Anxiety	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Arthropathy	·	·	✓
SD	Blood pressure increased	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Gastrooesophageal reflux disease	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Menstrual disorder	✓	✓	✓
SD	Muscle spasms	·	·	✓
SD	Pain	✓	✓	✓
SD	Rotator cuff repair	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Urinary tract infection	·	·	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Arthralgia	✓	·	✓
SRO	Cold sweat	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Growing pains	✓	·	✓
SRO	Headache	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pain in extremity	✓	·	✓

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