ZBW-26943-57885

2 vaccinations 20 coded responses 25 check-ins 20 free-text entries 6 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 335 / FL
Registered: 2021-04-22

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
1457213 (opens in a new window)	high	11 / 11	—	2 of 4 VAERS symptoms	same dose (2)	FL matches	2021-05-20 / 2021-05-23 / 2021-07-08 received 20 days after the last call	case 791492

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

2021-04-22
Registered in v-safe
2021-04-22
Dose 1 — Moderna
2021-04-22
Survey response — day 0, dose 1
MedDRA: Photophobia, Visual impairment — Feeling: Fair · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My eyes were sensitive to sunlight, and was experiencing some spots

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy, Oropharyngeal pain — Feeling: Poor · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Pain in left side of throat and a little swollen gkand

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 1
MedDRA: Diarrhoea — Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Loose bowel

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-27
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Office visit — Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Eyes and dizziness problems · Healthcare visit (other): Eye doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-28
Survey response — days 1–6 daily, dose 1
MedDRA: Vision blurred, Visual impairment — Feeling: Fair · Diarrhea · Get care from a doctor or other healthcare professional

Free text: Eyes were flashing and blurred

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-29
Survey response — day 7, dose 1
MedDRA: Dizziness, Eye disorder — Feeling: Fair · Joint pains · Be unable to do your normal daily activities

Free text: Dizziness, and eye problem

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 14, dose 1
MedDRA: Dizziness — Feeling: Poor · Be unable to do your normal daily activities

Free text: Dizziness and low

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-05-20
Dose 2 — Moderna
2021-05-20
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-23
Survey response — days 1–6 daily, dose 2
MedDRA: Dry eye, Vision blurred — Feeling: Fair · Site: Pain, Itching · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Eyes are very dry and blurry

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Survey response — days 1–6 daily, dose 2
MedDRA: Oral pain — Feeling: Fair · Site: Itching · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sorness in the roof of my mouth and him.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Fever · Headache, Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — day 7, dose 2
MedDRA: Dizziness — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Survey response — day 14, dose 2
MedDRA: Cough, Dizziness, Sinus disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sinus, cough, dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Survey response — day 21, dose 2
MedDRA: Pain in extremity — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Pain all over especially my right leg, from my toe to my hip. I will make drs appt.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Survey response — day 28, dose 2
MedDRA: Office visit, Pain in extremity, Spinal pain — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Pain in right leg up to my spine. · Healthcare visit (other): Doctor's visit.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-18
Call 1 — Left Voicemail
2021-06-24
Survey response — day 35, dose 2
MedDRA: Hot flush, Pain in extremity — 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: Hot flashes and severe foot and leg pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-30
Call 1 — Left Voicemail
2021-07-01
Survey response — day 42, dose 2
MedDRA: Hot flush, Office visit, Pain in extremity — 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: Excruciating pain on right leg. Saw doctor in treatment for therapy. Plus hit flash.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-01
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-06
Call 1 — Left Voicemail
2021-07-08
Call successful
Completed over the phone
2021-08-19
Survey response — 3 months, dose 2
MedDRA: Pain, 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: Pain flare up.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-19
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-24
Call 1 — Left Voicemail
2021-11-18
Survey response — 6 months, dose 2
MedDRA: Pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: More pain all over.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-22	Moderna
2	2021-05-20	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-04-27	Successful	Completed over the phone
2021-04-28	Successful	Completed over the phone
2021-06-17	Successful	Completed over the phone
2021-06-24	Successful	Completed over the phone
2021-07-01	Successful 2021-07-08	Completed over the phone
2021-08-19	Unsuccessful

Free text

Release 7 — day 0, dose 1

2021-04-22

Systemic reaction (other): My eyes were sensitive to sunlight, and was experiencing some spots

Release 7 — days 1–6 daily, dose 1

2021-04-24

Systemic reaction (other): Pain in left side of throat and a little swollen gkand

2021-04-25

Systemic reaction (other): Loose bowel

Release 8 — days 1–6 daily, dose 1

2021-04-27

Systemic reaction (other): Eyes and dizziness problems

Healthcare visit (other): Eye doctor

2021-04-28

Healthcare visit (other): Eyes were flashing and blurred

Release 8 — day 7, dose 1

2021-04-29

Systemic reaction (other): Dizziness, and eye problem

Release 8 — day 14, dose 1

2021-05-06

Symptoms: Dizziness and low

Release 8 — day 0, dose 2

2021-05-20

Systemic reaction (other): Dizziness

Release 8 — days 1–6 daily, dose 2

2021-05-23

Systemic reaction (other): Eyes are very dry and blurry

2021-05-24

Systemic reaction (other): Sorness in the roof of my mouth and him.

2021-05-25

Systemic reaction (other): Dizziness

2021-05-26

Systemic reaction (other): Dizziness

Release 8 — day 7, dose 2

2021-05-27

Systemic reaction (other): Dizziness

Release 8 — day 14, dose 2

2021-06-03

Symptoms: Sinus, cough, dizziness

Release 9 — day 21, dose 2

2021-06-10

Symptoms: Pain all over especially my right leg, from my toe to my hip. I will make drs appt.

Release 9 — day 28, dose 2

2021-06-17

Symptoms: Pain in right leg up to my spine.

Healthcare visit (other): Doctor's visit.

Release 9 — day 35, dose 2

2021-06-24

Symptoms: Hot flashes and severe foot and leg pain.

Release 9 — day 42, dose 2

2021-07-01

Symptoms: Excruciating pain on right leg. Saw doctor in treatment for therapy. Plus hit flash.

Release 9 — 3 months, dose 2

2021-08-19

Symptoms: Pain flare up.

Release 10 — 6 months, dose 2

2021-11-18

Symptoms: More pain all over.

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	Office visit	✓	✓	✓
HCVO	Vision blurred	✓	✓	✓
HCVO	Visual impairment	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Hot flush	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Pain	✓	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	✓	·	✓
SD	Sinus disorder	✓	✓	✓
SD	Spinal pain	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dry eye	✓	✓	✓
SRO	Eye disorder	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oral pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Photophobia	✓	✓	✓
SRO	Vision blurred	✓	✓	✓
SRO	Visual impairment	✓	✓	✓

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