ZA5-12654-62011

4 vaccinations 7 coded responses 39 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 300 / GA
Registered: 2021-02-03

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
2403000 (opens in a new window)	high	10 / 11	8	3 of 9 VAERS symptoms	same dose (4)	GA matches	2022-05-02 / 2022-06-04 / 2022-08-05 received the same day as the last call	case 901793

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

2021-01-20
Dose 1 — Moderna
2021-02-03
Registered in v-safe
2021-02-03
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site pruritus — Feeling: Good

Free text: On 2/1 vaccine area turned slightly red and became moderately itchy. No pain. Continues today 2/3.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — day 21, dose 1
MedDRA: Diarrhoea — Feeling: Good

Free text: Have had intermittent diarrhea in the eveningssince about March 1-2. As opposed to usual AM bowel habits.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Dose 2 — Moderna
2021-02-17
Survey response — day 0, dose 2
MedDRA: Diarrhoea — Feeling: Good · Diarrhea

Free text: Night time diarrhea 2 weeks after first Moderna injection. Continues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms, Pre-existing disease — Feeling: Good · Muscle or body aches

Free text: May be my normal intermittent leg cramps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — day 7, dose 2
Feeling: Good · None

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

Adult check-in
2021-03-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-25
Dose 3 — Moderna
2021-10-26
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Good · Site: Pain

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Itching · None

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-01
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-08
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-15
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-22
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-29
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-06
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-24
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-25
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-02
Dose 4 — Moderna
2022-05-18
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-23
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-30
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-06
Survey response — day 35, dose 4
MedDRA: Cough, Laboratory test abnormal, Oropharyngeal pain, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school

Free text: No fever, runny nose, sore throat and cough since Sunday 6/5/22. Tested Positive with home test.

MedDRA releases: 2024-11 · check-in free text available
2022-06-13
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-08-01
Survey response — 3 months, dose 4
MedDRA: Bronchitis, Cough, Oropharyngeal pain, Respiratory tract congestion — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Bronchitis- 4 weeks, sore throat, cough and chest congestion.

MedDRA releases: 2024-11 · check-in free text available
2022-08-01
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-08-02
Call 1 — Requested Callback
2022-08-05
Callback requested for
02:00PM ET
2022-08-05
Call successful
Completed over the phone
2022-10-31
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-05-02
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-20	Moderna
2	2021-02-17	Moderna
3	2021-10-25	Moderna	No
4	2022-05-02	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-08-01	Successful 2022-08-05	Completed over the phone

Free text

Release 3 — day 14, dose 1

2021-02-03

Symptoms: On 2/1 vaccine area turned slightly red and became moderately itchy. No pain. Continues today 2/3.

Release 4 — day 21, dose 1

2021-02-10

Symptoms: Have had intermittent diarrhea in the eveningssince about March 1-2. As opposed to usual AM bowel habits.

Release 4 — day 0, dose 2

2021-02-17

Systemic reaction (other): Night time diarrhea 2 weeks after first Moderna injection. Continues.

Release 4 — days 1–6 daily, dose 2

2021-02-22

Systemic reaction (other): May be my normal intermittent leg cramps

Release 10 — days 1–6 daily, dose 3

2021-10-26

Systemic reaction (other): No

Release 11 — day 35, dose 4

2022-06-06

Symptoms: No fever, runny nose, sore throat and cough since Sunday 6/5/22. Tested Positive with home test.

Release 12 — 3 months, dose 4

2022-08-01

Symptoms: Bronchitis- 4 weeks, sore throat, cough and chest congestion.

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	Bronchitis	·	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Laboratory test abnormal	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	No adverse event	·	·	✓
SRO	Pre-existing disease	✓	✓	✓

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