Z8Y-31854-35853

6 vaccinations 26 coded responses 71 check-ins 25 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 491 / MI
Registered: 2021-03-16

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
2424174 (opens in a new window)	high	10 / 11	—	7 of 16 VAERS symptoms	same dose (5)	MI matches	2022-08-14 / 2022-08-15 / 2022-08-30 received the same day as the last call	case 975245

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

2021-03-15
Dose 1 — Moderna
2021-03-16
Registered in v-safe
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Abdominal pain

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea, Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Abdominal pain

Free text: Short of breath, but I get this from time to time

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Abdominal pain

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Chills, Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-03-22
Health check-in — day 7, dose 1
Feeling: Good · Fever · Chills, Joint pains, Fatigue or tiredness

Adult check-in
2021-03-29
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-12
Dose 2 — Moderna
2021-04-12
Health check-in — day 0, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Fair · Headache, Muscle or body aches

Free text: Pain in legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: RA Flare

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Pre-existing disease, Rheumatoid arthritis — Feeling: Good · Headache, Joint pains

Free text: RA Flare

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Good · Headache, Joint pains, Muscle or body aches

Free text: RA flare

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-19
Health check-in — day 7, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-04-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-03
Survey response — day 21, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair

Free text: Im in a Lupus or RA flare.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-14
Survey response — 3 months, dose 2
MedDRA: Pre-existing disease — Feeling: Good

Free text: LUPUS, RA FLARES.HOSPITALIZATION DUE TO ACCUTE BLOOD LOSS.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-30
Dose 3 — Moderna
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Pre-existing disease, Rheumatoid arthritis, Systemic lupus erythematosus — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: When I get Vaccinated in triggers, My RA and Luous, and I get a flare.

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Fatigue or tiredness, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2021-11-06
Health check-in — day 7, dose 3
Feeling: Good · Headache, Joint pains, Rash, not including the immediate area around the injection site

Adult check-in
2021-11-13
Survey response — day 14, dose 3
MedDRA: Arthralgia, Psoriasis, Rash — Feeling: Fair

Free text: The rash has developed in to what appears to be psoriasis. And worsening Joint pain.

MedDRA releases: 2024-11 · check-in free text available
2021-11-20
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-27
Survey response — day 28, dose 3
MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Poor · Be unable to do your normal daily activities

Free text: I have been stuck in an RA Flare with worsening symptoms. since Booster

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Survey response — day 35, dose 3
MedDRA: Pre-existing disease, Rheumatoid arthritis, Telemedicine — Feeling: Fair · 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: My RA flare has still not let up. Had to see my Rheumatologist virtual.

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Report sent to call center — day 35, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-08
Call 1 — Left Voicemail
2021-12-11
Survey response — day 42, dose 3
MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: RA Flare wont let up .

MedDRA releases: 2024-11 · check-in free text available
2021-12-11
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-13
Call 1 — Left Voicemail
2022-01-29
Survey response — 3 months, dose 3
MedDRA: COVID-19, Pyrexia, Quarantine — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I was diagnosed with Covid on Dec. 29th, and Continue to have symptoms to date. I have bee asked to continue to Quarantine due to symptoms and fever.

MedDRA releases: 2024-11 · check-in free text available
2022-01-29
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-01
Call 1 — Left Voicemail
2022-02-01
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-02-01
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-02-01
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-03
Dose 4 — Moderna
2022-04-06
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-04-07
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Headache, Joint pains, Muscle or body aches, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-04-08
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-04-09
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-04-10
Survey response — day 7, dose 4
MedDRA: Contusion, Pre-existing disease, Self-medication — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Abdominal pain

Free text: I have a question? Im on blood thinners and Aspirin, after the 4th Booster ,I bled rectaly , but have before from Lupus flare,with blood thinner complications, I also have gotten some new hugh bruises, Is this a side effect or Covid booster tye??

MedDRA releases: 2024-11 · check-in free text available
2022-04-17
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-25
Survey response — day 21, dose 4
MedDRA: Diarrhoea, Exposure to communicable disease, Headache, Muscle spasms, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activities

Free text: Severe headache, diarrhea, muscle cramps,runny nose, My Husband is a Teacher, 9 other Teachers at School had it, and passed it around ,He also brough it home to me. My Husband went to Walk-in-Clinic,Lab was down, so they couldnt test, lasted 4 days

MedDRA releases: 2024-11 · check-in free text available
2022-05-01
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-08
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-15
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-03
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-08-14
Dose 5 — Moderna
2022-08-14
Health check-in — day 0, dose 5
Feeling: Good · None

Adult check-in
2022-08-15
Survey response — days 1–6 daily, dose 5
MedDRA: Dyspnoea, Hyperhidrosis, Oral mucosal blistering, Pre-existing disease, Reaction to previous exposure to any vaccine, Rheumatoid arthritis, Systemic lupus erythematosus — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains

Free text: Swets. Blisters inside mouth, some shortness of breath, could just be a flare.I get Lupus and RA flares after Vaccinations.

MedDRA releases: 2024-11 · check-in free text available
2022-08-16
Survey response — days 1–6 daily, dose 5
MedDRA: Oral mucosal blistering — Feeling: Fair · Site: Pain · Fever · Headache

Free text: Blisters in my mouth. Seem like the lightest symptoms after a Covid Vaccine :) blister are totally new and different tho

MedDRA releases: 2024-11 · check-in free text available
2022-08-17
Survey response — days 1–6 daily, dose 5
MedDRA: Oral mucosal blistering — Feeling: Good · Headache

Free text: Blisters in mouth

MedDRA releases: 2024-11 · check-in free text available
2022-08-18
Survey response — days 1–6 daily, dose 5
MedDRA: Exposure to SARS-CoV-2, Oral mucosal blistering — Feeling: Fair · Fever · Headache, Joint pains, Fatigue or tiredness

Free text: Still Blistets in mouth, I was exposed to,two Covid Positive People on Sunday and Monday

MedDRA releases: 2024-11 · check-in free text available
2022-08-19
Survey response — days 1–6 daily, dose 5
MedDRA: Oral mucosal blistering — Feeling: Good · Headache, Joint pains

Free text: Blisters in mouth clearing :)

MedDRA releases: 2024-11 · check-in free text available
2022-08-20
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Headache, Joint pains

Adult check-in
2022-08-21
Survey response — day 7, dose 5
MedDRA: Exposure to SARS-CoV-2, Unevaluable event — Feeling: Good · Headache, Joint pains

Free text: I was exposed today ,to 2 people who tested positive for Covid,later after I was exposed to the

MedDRA releases: 2024-11 · check-in free text available
2022-08-28
Survey response — day 14, dose 5
MedDRA: Mouth ulceration, Oral mucosal blistering, Pre-existing disease, Rectal haemorrhage, Rheumatoid arthritis, Systemic lupus erythematosus — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Besides the mouth ulcers, blisters, on Aug 25th Ive started rectal bleeding, which happens when I get an RA or Lupus Flare

MedDRA releases: 2024-11 · check-in free text available
2022-08-28
Report sent to call center — day 14, dose 5
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-08-29
Call 1 — Left Voicemail
2022-08-30
Call successful
Completed over the phone
2022-09-04
Survey response — day 21, dose 5
MedDRA: Rash, Urticaria — Feeling: Fair

Free text: Rash, hives,on neck

MedDRA releases: 2024-11 · check-in free text available
2022-09-11
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-09-18
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-09-25
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-10-29
Dose 6 — Moderna
2022-11-01
Health check-in — days 1–6 daily, dose 6
Feeling: Good · Site: Pain · Headache, Joint pains

Adult check-in
2022-11-02
Health check-in — days 1–6 daily, dose 6
Feeling: Good · Headache, Joint pains

Adult check-in
2022-11-03
Health check-in — days 1–6 daily, dose 6
Feeling: Fair · Headache, Joint pains, Muscle or body aches

Adult check-in
2022-11-04
Survey response — days 1–6 daily, dose 6
MedDRA: Chest pain, Vasculitis — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Vasculitis again , Chest pain, all veins appear very visible. Vasculitis symptoms started Tuesday and are worseing

MedDRA releases: 2024-11 · check-in free text available
2022-11-05
Survey response — day 7, dose 6
MedDRA: Chest pain, Vasculitis — Feeling: Fair · Headache, Joint pains, Muscle or body aches

Free text: Vasculitis, Chest Pain

MedDRA releases: 2024-11 · check-in free text available
2022-11-13
Health check-in — day 14, dose 6
Feeling: Fair

Adult check-in
2022-11-19
Health check-in — day 21, dose 6
Feeling: Good

Adult check-in
2022-11-26
Health check-in — day 28, dose 6
Feeling: Good

Adult check-in
2022-12-03
Health check-in — day 35, dose 6
Feeling: Good

Adult check-in
2022-12-10
Health check-in — day 42, dose 6
Feeling: Good

Adult check-in
2023-01-30
Survey response — 3 months, dose 6
MedDRA: Dyspepsia, Headache, Pain, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-04-30
Health check-in — 6 months, dose 6
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-15	Moderna
2	2021-04-12	Moderna
3	2021-10-30	Moderna	No
4	2022-04-03	Moderna	No
5	2022-08-14	Moderna	No
6	2022-10-29	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-12-04	Successful 2022-02-01	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-12-11	Successful 2022-02-01	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-01-29	Successful 2022-02-01	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-08-28	Successful 2022-08-30	Completed over the phone

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-18

Systemic reaction (other): Short of breath, but I get this from time to time

Release 7 — days 1–6 daily, dose 2

2021-04-14

Systemic reaction (other): Pain in legs

2021-04-15

Systemic reaction (other): RA Flare

2021-04-16

Systemic reaction (other): RA Flare

2021-04-17

Systemic reaction (other): RA flare

Release 8 — day 21, dose 2

2021-05-03

Symptoms: Im in a Lupus or RA flare.

Release 9 — 3 months, dose 2

2021-07-14

Symptoms: LUPUS, RA FLARES.HOSPITALIZATION DUE TO ACCUTE BLOOD LOSS.

Release 10 — days 1–6 daily, dose 3

2021-10-31

Systemic reaction (other): When I get Vaccinated in triggers, My RA and Luous, and I get a flare.

Release 10 — day 14, dose 3

2021-11-13

Symptoms: The rash has developed in to what appears to be psoriasis. And worsening Joint pain.

Release 10 — day 28, dose 3

2021-11-27

Symptoms: I have been stuck in an RA Flare with worsening symptoms. since Booster

Release 10 — day 35, dose 3

2021-12-04

Symptoms: My RA flare has still not let up. Had to see my Rheumatologist virtual.

Release 10 — day 42, dose 3

2021-12-11

Symptoms: RA Flare wont let up .

Release 11 — 3 months, dose 3

2022-01-29

Symptoms: I was diagnosed with Covid on Dec. 29th, and Continue to have symptoms to date. I have bee asked to continue to Quarantine due to symptoms and fever.

Release 11 — day 7, dose 4

2022-04-10

Systemic reaction (other): I have a question? Im on blood thinners and Aspirin, after the 4th Booster ,I bled rectaly , but have before from Lupus flare,with blood thinner complications, I also have gotten some new hugh bruises, Is this a side effect or Covid booster tye?? cut off by CDC

Release 11 — day 21, dose 4

2022-04-25

Symptoms: Severe headache, diarrhea, muscle cramps,runny nose, My Husband is a Teacher, 9 other Teachers at School had it, and passed it around ,He also brough it home to me. My Husband went to Walk-in-Clinic,Lab was down, so they couldnt test, lasted 4 days cut off by CDC

Release 12 — days 1–6 daily, dose 5

2022-08-15

Systemic reaction (other): Swets. Blisters inside mouth, some shortness of breath, could just be a flare.I get Lupus and RA flares after Vaccinations.

2022-08-16

Systemic reaction (other): Blisters in my mouth. Seem like the lightest symptoms after a Covid Vaccine :) blister are totally new and different tho

2022-08-17

Systemic reaction (other): Blisters in mouth

2022-08-18

Systemic reaction (other): Still Blistets in mouth, I was exposed to,two Covid Positive People on Sunday and Monday

2022-08-19

Systemic reaction (other): Blisters in mouth clearing :)

Release 12 — day 7, dose 5

2022-08-21

Systemic reaction (other): I was exposed today ,to 2 people who tested positive for Covid,later after I was exposed to the

Release 12 — day 14, dose 5

2022-08-28

Symptoms: Besides the mouth ulcers, blisters, on Aug 25th Ive started rectal bleeding, which happens when I get an RA or Lupus Flare

Release 12 — day 21, dose 5

2022-09-04

Symptoms: Rash, hives,on neck

Release 12 — days 1–6 daily, dose 6

2022-11-04

Systemic reaction (other): Vasculitis again , Chest pain, all veins appear very visible. Vasculitis symptoms started Tuesday and are worseing

Release 12 — day 7, dose 6

2022-11-05

Systemic reaction (other): Vasculitis, Chest Pain

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	Arthralgia	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dyspepsia	·	·	✓
SD	Exposure to communicable disease	·	·	✓
SD	Headache	·	·	✓
SD	Mouth ulceration	·	·	✓
SD	Muscle spasms	·	·	✓
SD	Oral mucosal blistering	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Psoriasis	·	·	✓
SD	Pyrexia	·	·	✓
SD	Quarantine	·	·	✓
SD	Rash	·	·	✓
SD	Rectal haemorrhage	·	·	✓
SD	Rheumatoid arthritis	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Systemic lupus erythematosus	·	·	✓
SD	Telemedicine	·	·	✓
SD	Urticaria	·	·	✓
SRO	Chest pain	·	·	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Contusion	·	·	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Exposure to SARS-CoV-2	·	·	✓
SRO	Hyperhidrosis	·	·	✓
SRO	Oral mucosal blistering	·	·	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Reaction to previous exposure to any vaccine	·	·	✓
SRO	Rheumatoid arthritis	✓	✓	✓
SRO	Self-medication	·	·	✓
SRO	Systemic lupus erythematosus	·	·	✓
SRO	Unevaluable event	·	·	✓
SRO	Vasculitis	·	·	✓

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