ZBS-17292-46810

4 vaccinations 7 coded responses 29 check-ins 5 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 496 / MI
Registered: 2021-03-14

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
2616298 (opens in a new window)	high	11 / 11	-1	7 of 9 VAERS symptoms	same dose (4)	MI matches	2022-10-14 / 2023-01-01 / 2023-04-17 received the same day as the last call	case 521912

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

2021-02-09
Dose 1 — Moderna
2021-03-13
Dose 2 — Moderna
2021-03-14
Registered in v-safe
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-20
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-04
Survey response — day 21, dose 2
MedDRA: Injection site erythema, Injection site pain — Feeling: Good

Free text: Yesterday, 4/3, it was painful and a red circle at the injection site again, but it was better this morning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-05
Dose 3 — Moderna
Co-administered: Shingles
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-11-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-12
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-19
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-26
Survey response — day 21, dose 3
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Shoulder pain in the arm that I received the booster

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-11
Survey response — day 35, dose 3
MedDRA: Arthralgia — Feeling: Fair

Free text: Joint pain

MedDRA releases: 2024-11 · check-in free text available
2022-02-04
Survey response — 3 months, dose 3
MedDRA: Exposure to SARS-CoV-2, Headache, Rhinorrhoea, SARS-CoV-2 test negative, Throat irritation — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Came down with a scratchy throat, runny nose and headache a few days ago. COVID test said negative but I was once again exposed to a daycare child that was at my home on Thursday and tested positive Thursday evening.

MedDRA releases: 2024-11 · check-in free text available
2022-02-04
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-09
Call 1 — Left Voicemail
2022-10-14
Dose 4 — Moderna
Co-administered: Flu
2022-11-05
Survey response — 12 months, dose 3
MedDRA: COVID-19, Cough, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Fair · 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

Free text: Sore throat, runny nose, congestion in head Ava chest and some coughing. Negative x 3 for COVID. I did have COVID mid July. I do not know if you sent me a check in after that so my answers will say I got Covid since my last check in

MedDRA releases: 2024-11 · check-in free text available
2022-11-05
Report sent to call center — 12 months, dose 3
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)
2022-11-06
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-11-07
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-18
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-25
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-13
Survey response — 3 months, dose 4
MedDRA: Headache, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-04-14
Survey response — 6 months, dose 4
MedDRA: Gastroenteritis viral, Pharyngitis streptococcal, Upper respiratory tract infection — 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

MedDRA releases: 2024-11
2023-04-14
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-04-17
Call 1 — Requested Callback
2023-04-17
Callback requested for
04:00PM ET
2023-04-17
Call successful
Completed over the phone
2023-04-17
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-09	Moderna
2	2021-03-13	Moderna
3	2021-11-05	Moderna	Shingles
4	2022-10-14	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2022-02-04	Successful 2022-11-07	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-05	Successful 2023-04-17	Completed over the phone
2023-04-14	Successful 2023-04-17	Completed over the phone

Free text

Release 6 — day 21, dose 2

2021-04-04

Symptoms: Yesterday, 4/3, it was painful and a red circle at the injection site again, but it was better this morning.

Release 10 — day 21, dose 3

2021-11-26

Symptoms: Shoulder pain in the arm that I received the booster

Release 10 — day 35, dose 3

2021-12-11

Symptoms: Joint pain

Release 11 — 3 months, dose 3

2022-02-04

Symptoms: Came down with a scratchy throat, runny nose and headache a few days ago. COVID test said negative but I was once again exposed to a daycare child that was at my home on Thursday and tested positive Thursday evening.

Release 12 — 12 months, dose 3

2022-11-05

Symptoms: Sore throat, runny nose, congestion in head Ava chest and some coughing. Negative x 3 for COVID. I did have COVID mid July. I do not know if you sent me a check in after that so my answers will say I got Covid since my last check in

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	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Gastroenteritis viral	·	·	✓
SD	Headache	·	·	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pharyngitis streptococcal	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Throat irritation	·	·	✓
SD	Upper respiratory tract infection	·	·	✓

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