ZFE-21788-11664

5 vaccinations 7 coded responses 59 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 945 / CA
Registered: 2021-03-09

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
1457888 (opens in a new window)	high	9 / 11	2	1 of 5 VAERS symptoms	same dose (2)	CA matches	2021-04-06 / 2021-05-06 / 2021-07-08 received 51 days after the last call	case 701475

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

2021-03-09
Registered in v-safe
2021-03-09
Dose 1 — Moderna
2021-03-09
Survey response — day 0, dose 1
MedDRA: Injection site pain — Feeling: Fair · Chills, Muscle or body aches

Free text: Arm soreness of injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good

Free text: Soreness of injected arm

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

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-30
Survey response — day 21, dose 1
MedDRA: Pyrexia — Feeling: Good

Free text: Felt like a momentary low grade fever coming on yesterday late afternoon that lasted about 1 hour

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Dose 2 — Moderna
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-18
Survey response — day 42, dose 2
MedDRA: Menstruation irregular — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Breakthrough period bleed when Ive been in menopause. For close to 2 years

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-06
Survey response — 3 months, dose 2
MedDRA: Intermenstrual bleeding, Postmenopausal haemorrhage, Surgery — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Hospitalization

Free text: Symptoms: Breakthrough menstrual bleeding in early May 2021 though Im a few years post menopause. Last moderna shot was in early April. GYN at Kaiser ordered ultrasound, hysteroscopy and biopsy to evaluate. Pending results. · Healthcare visit (other): Ultrasound, outpatient surgical procedure.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-06
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-08
Call 1 — Left Voicemail
2021-07-08
Call successful
Completed over the phone
2021-10-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-20
Dose 3 — Moderna
2021-11-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches

Adult check-in
2021-11-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches

Adult check-in
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling · Muscle or body aches

Adult check-in
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-27
Health check-in — day 7, dose 3
Feeling: Fair · Fever · Fatigue or tiredness

Adult check-in
2021-12-04
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-13
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-18
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-25
Survey response — day 35, dose 3
MedDRA: Postmenopausal haemorrhage, Reaction to previous exposure to any vaccine — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I'm several years post menopause , I had breakthrough menstrual cycle bleed / period starting on 12/24. This is similar to what happened to me after 2nd dose of moderna that I already reported (VAERS ID (b)(6)/ eReport # (b)(6)).

MedDRA releases: 2024-11 · check-in free text available
2021-12-25
Report sent to call center — day 35, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-28
Call 1 — Left Voicemail
2022-01-01
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-14
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-02-20
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-22
Dose 4 — Moderna
2022-04-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Chills

Adult check-in
2022-04-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Swelling · Muscle or body aches

Adult check-in
2022-04-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-29
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-07
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-13
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-22
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-29
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-03
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-22
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-10-21
Dose 5 — Moderna
2022-10-21
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-10-22
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-23
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2022-10-24
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-10-25
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-26
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-27
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-10-28
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-11-04
Survey response — day 14, dose 5
MedDRA: Abdominal distension, Muscle spasms — Feeling: Fair

Free text: Bloating and cramps

MedDRA releases: 2024-11 · check-in free text available
2022-11-11
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-18
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-25
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-04
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-20
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Moderna
2	2021-04-06	Moderna
3	2021-11-20	Moderna	No
4	2022-04-22	Moderna	No
5	2022-10-21	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-18	Successful	Completed over the phone
2021-07-06	Successful 2021-07-08	Completed over the phone
2021-12-25	Successful 2022-01-14	Reported to VAERS voluntarily prior to GDIT contact

Free text

Release 5 — day 0, dose 1

2021-03-09

Systemic reaction (other): Arm soreness of injection site

Release 5 — days 1–6 daily, dose 1

2021-03-10

Systemic reaction (other): Soreness of injected arm

Release 6 — day 21, dose 1

2021-03-30

Symptoms: Felt like a momentary low grade fever coming on yesterday late afternoon that lasted about 1 hour

Release 8 — day 42, dose 2

2021-05-18

Symptoms: Breakthrough period bleed when Ive been in menopause. For close to 2 years

Release 9 — 3 months, dose 2

2021-07-06

Symptoms: Breakthrough menstrual bleeding in early May 2021 though Im a few years post menopause. Last moderna shot was in early April. GYN at Kaiser ordered ultrasound, hysteroscopy and biopsy to evaluate. Pending results.

Healthcare visit (other): Ultrasound, outpatient surgical procedure.

Release 10 — day 35, dose 3

2021-12-25

Symptoms: I'm several years post menopause , I had breakthrough menstrual cycle bleed / period starting on 12/24. This is similar to what happened to me after 2nd dose of moderna that I already reported (VAERS ID (b)(6)/ eReport # (b)(6)).

redacted (b)(6)

Release 12 — day 14, dose 5

2022-11-04

Symptoms: Bloating and cramps

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	Surgery	✓	✓	✓
SD	Abdominal distension	·	·	✓
SD	Intermenstrual bleeding	✓	✓	✓
SD	Menstruation irregular	✓	✓	✓
SD	Muscle spasms	·	·	✓
SD	Postmenopausal haemorrhage	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Reaction to previous exposure to any vaccine	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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