ZAW-24146-89627

4 vaccinations 13 coded responses 32 check-ins 12 free-text entries 9 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 089 / NJ
Registered: 2021-03-22

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
2366056 (opens in a new window)	high	10 / 11	—	2 of 8 VAERS symptoms	same dose (4)	NJ matches	2022-07-08 / 2022-07-09 / 2022-07-12 received 13 days before the last call	case 876628

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

2021-03-22
Registered in v-safe
2021-03-22
Dose 1 — Moderna
2021-03-22
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Injection site pain — Feeling: Fair · Site: Pain, Redness, Itching · Headache, Fatigue or tiredness

Free text: The pain I have is only in the area I got the vaccine.The fatigue was progressive throughout the day. I got up fine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain upper, Dizziness, Eyelid rash, Pruritus — Feeling: Poor · Site: Pain, Redness, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: When my stomach hurts I feel dizzy. Mu neck itches and I have a slight rash on my bottom right eyelid.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: dizziness

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: Poor · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-29
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-19
Dose 2 — Moderna
2021-05-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-31
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-19
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-20
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-27
Dose 3 — Moderna
2022-04-20
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-07-08
Dose 4 — Moderna
2022-07-09
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-07-10
Survey response — days 1–6 daily, dose 4
MedDRA: Burning sensation, Rash, Rash pruritic — Feeling: Fair · Site: Pain, Redness, Swelling · Rash, not including the immediate area around the injection site

Free text: Woke up with a rash at the bottom of my neck. It was itchy and burning a little.

MedDRA releases: 2024-11 · check-in free text available
2022-07-11
Survey response — days 1–6 daily, dose 4
MedDRA: Burning sensation, Office visit, Pruritus, Rash — Feeling: Fair · Site: Pain, Redness, Swelling · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): I developed a rash on my face and neck. Saw my primary because of the itching and burning. · Healthcare visit (other): I saw my primay at the office.

MedDRA releases: 2024-11 · check-in free text available
2022-07-11
Report sent to call center — days 1–6 daily, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-07-12
Survey response — days 1–6 daily, dose 4
MedDRA: Immunisation reaction, Office visit, Pruritus, Rash, Rash pruritic — Feeling: Fair · Site: Pain, Redness, Swelling · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): The rash on my neck and face has soread to my forehead. Very itchy, a burning itch. · Healthcare visit (other): Saw my primary. He also determined it is a reaction from the vaccine.

MedDRA releases: 2024-11 · check-in free text available
2022-07-12
Report sent to call center — days 1–6 daily, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-07-12
Call successful
Completed over the phone
2022-07-13
Survey response — days 1–6 daily, dose 4
MedDRA: Dry eye, Rash, Throat irritation — Feeling: Fair · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: My throat feels scratchy. I'm not sure if the rash spread to my throat. My eyes feel dry and it looks like I ha some of the rash on my arms.

MedDRA releases: 2024-11 · check-in free text available
2022-07-13
Report sent to call center — days 1–6 daily, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-07-13
Call 1 — Left Voicemail
2022-07-13
Call successful
Completed over the phone
2022-07-14
Survey response — days 1–6 daily, dose 4
MedDRA: Hypersensitivity, Office visit, Self-medication — Feeling: Fair · Rash, not including the immediate area around the injection site · 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: I had to go to urgent care yesterday. I was diagnosed as having an allergic reaction to the 2nd booster. I am now on prednisone and Benadryl.

MedDRA releases: 2024-11 · check-in free text available
2022-07-14
Report sent to call center — days 1–6 daily, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-14
Call successful
Reported to VAERS during previous contact from GDIT
2022-07-15
Call successful
Reported to VAERS during previous contact from GDIT
2022-07-17
Survey response — day 7, dose 4
MedDRA: Pruritus, Rash, Rash pruritic, Swelling — Feeling: Fair · Rash, not including the immediate area around the injection site · 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: Systemic reaction (other): Eash is still visible, but swelling is almost gone. · Healthcare visit (other): Doctor prescribed prednisone. Almost done now. Feeling better, just still itchy, swelling is down. But heat makes the rash itch. I haven't been able to do outdoor activities.

MedDRA releases: 2024-11 · check-in free text available
2022-07-17
Report sent to call center — day 7, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-18
Call successful
Reported to VAERS during previous contact from GDIT
2022-07-22
Survey response — day 14, dose 4
MedDRA: Hypersensitivity, Office visit, Pre-existing disease — Feeling: Poor · 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: The allergy flared up again on my face and neck, red itchy and burning. Went to urgent care and had to get an emergency shot and was prescribed anither round if prednisone.

MedDRA releases: 2024-11 · check-in free text available
2022-07-22
Report sent to call center — day 14, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-25
Call successful
Reported to VAERS during previous contact from GDIT
2022-07-31
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-08-05
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-08-13
Survey response — day 35, dose 4
MedDRA: Eyelids pruritus, Pruritus, Rash macular, Skin exfoliation, Unevaluable event — 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: Symptoms: My neck started itching on the night of August 11th. On the 12th I woke up with pink blotches again on my beck and chin. My eyelids itch and look like they're peeling. Called my primary. Today I begin new medication. · Healthcare visit (other): I already went through 2 prednisone prescriptions.

MedDRA releases: 2024-11 · check-in free text available
2022-08-13
Report sent to call center — day 35, dose 4
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)
2022-08-15
Call 1 — Left Voicemail
2022-08-15
Call 2 — Left Voicemail
2022-08-15
Call 1 — Left Voicemail
2022-08-15
Call 1 — Left Voicemail
2022-08-15
Call 1 — Left Voicemail
2022-08-15
Call 1 — Left Voicemail
2022-08-15
Call 1 — Left Voicemail
2022-08-19
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-10-07
Survey response — 3 months, dose 4
MedDRA: Office visit, Rash — Feeling: Poor · 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: The rash keeps resurfacing. I have had to keep getting medical attention. Urgent care, alkergist, primary and soon a dermatologist.

MedDRA releases: 2024-11 · check-in free text available
2022-10-07
Report sent to call center — 3 months, dose 4
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)
2022-10-11
Call 2 — Left Voicemail
2022-10-11
Call 1 — Left Voicemail
2023-01-07
Survey response — 6 months, dose 4
MedDRA: Capillary fragility, Medical counselling, Peripheral swelling, Skin burning sensation, Swelling face, Urticaria — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-01-07
Report sent to call center — 6 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-10
Call successful
Reported to VAERS during previous contact from GDIT
2023-01-10
Call successful
Reported to VAERS during previous contact from GDIT
2023-01-10
Call successful
Reported to VAERS during previous contact from GDIT

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-22	Moderna
2	2021-04-19	Moderna
3	2021-12-27	Moderna	No
4	2022-07-08	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-07-11	Successful 2022-07-12	Completed over the phone
2022-07-12	Successful 2022-07-13	Completed over the phone
2022-07-13	Successful 2022-07-14	Reported to VAERS during previous contact from GDIT
2022-07-14	Successful 2022-07-15	Reported to VAERS during previous contact from GDIT
2022-07-17	Successful 2022-07-18	Reported to VAERS during previous contact from GDIT
2022-07-22	Successful 2022-07-25	Reported to VAERS during previous contact from GDIT
2022-08-13	Successful 2023-01-10	Reported to VAERS during previous contact from GDIT
2022-10-07	Successful 2023-01-10	Reported to VAERS during previous contact from GDIT
2023-01-07	Successful 2023-01-10	Reported to VAERS during previous contact from GDIT

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-23

Systemic reaction (other): The pain I have is only in the area I got the vaccine.The fatigue was progressive throughout the day. I got up fine.

2021-03-26

Systemic reaction (other): When my stomach hurts I feel dizzy. Mu neck itches and I have a slight rash on my bottom right eyelid.

2021-03-27

Systemic reaction (other): dizziness

Release 12 — days 1–6 daily, dose 4

2022-07-10

Systemic reaction (other): Woke up with a rash at the bottom of my neck. It was itchy and burning a little.

2022-07-11

Systemic reaction (other): I developed a rash on my face and neck. Saw my primary because of the itching and burning.

Healthcare visit (other): I saw my primay at the office.

2022-07-12

Systemic reaction (other): The rash on my neck and face has soread to my forehead. Very itchy, a burning itch.

Healthcare visit (other): Saw my primary. He also determined it is a reaction from the vaccine.

2022-07-13

Systemic reaction (other): My throat feels scratchy. I'm not sure if the rash spread to my throat. My eyes feel dry and it looks like I ha some of the rash on my arms.

2022-07-14

Systemic reaction (other): I had to go to urgent care yesterday. I was diagnosed as having an allergic reaction to the 2nd booster. I am now on prednisone and Benadryl.

Release 12 — day 7, dose 4

2022-07-17

Systemic reaction (other): Eash is still visible, but swelling is almost gone.

Healthcare visit (other): Doctor prescribed prednisone. Almost done now. Feeling better, just still itchy, swelling is down. But heat makes the rash itch. I haven't been able to do outdoor activities.

Release 12 — day 14, dose 4

2022-07-22

Symptoms: The allergy flared up again on my face and neck, red itchy and burning. Went to urgent care and had to get an emergency shot and was prescribed anither round if prednisone.

Release 12 — day 35, dose 4

2022-08-13

Symptoms: My neck started itching on the night of August 11th. On the 12th I woke up with pink blotches again on my beck and chin. My eyelids itch and look like they're peeling. Called my primary. Today I begin new medication.

Healthcare visit (other): I already went through 2 prednisone prescriptions.

Release 12 — 3 months, dose 4

2022-10-07

Symptoms: The rash keeps resurfacing. I have had to keep getting medical attention. Urgent care, alkergist, primary and soon a dermatologist.

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	Immunisation reaction	·	·	✓
HCVO	Medical counselling	·	·	✓
HCVO	Office visit	·	·	✓
HCVO	Pruritus	·	·	✓
HCVO	Rash pruritic	·	·	✓
HCVO	Swelling	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Capillary fragility	·	·	✓
SD	Eyelids pruritus	·	·	✓
SD	Hypersensitivity	·	·	✓
SD	Office visit	·	·	✓
SD	Peripheral swelling	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pruritus	·	·	✓
SD	Rash	·	·	✓
SD	Rash macular	·	·	✓
SD	Skin burning sensation	·	·	✓
SD	Skin exfoliation	·	·	✓
SD	Swelling face	·	·	✓
SD	Urticaria	·	·	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Burning sensation	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Dry eye	·	·	✓
SRO	Eyelid rash	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Hypersensitivity	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Office visit	·	·	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash	·	·	✓
SRO	Rash pruritic	·	·	✓
SRO	Self-medication	·	·	✓
SRO	Swelling	·	·	✓
SRO	Throat irritation	·	·	✓

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