ZH6-32322-02017

4 vaccinations 12 coded responses 45 check-ins 11 free-text entries 5 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 172 / PA
Registered: 2021-02-17

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
2490672 (opens in a new window)	high	10 / 11	1	4 of 9 VAERS symptoms	same dose (4)	PA matches	2022-04-19 / 2022-08-24 / 2022-10-26 received the same day as the last call	case 1111007

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

2021-02-17
Registered in v-safe
2021-02-17
Dose 1 — Moderna
2021-02-17
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-21
Survey response — days 1–6 daily, dose 1
MedDRA: Hyperhidrosis — Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Chills, Fatigue or tiredness

Adult check-in
2021-02-24
Health check-in — day 7, dose 1
Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness

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

Adult check-in
2021-03-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-17
Dose 2 — Moderna
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness. I've had this for 4 days. Forgot to mention it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — day 7, dose 2
MedDRA: Dizziness — Feeling: Good · Fever · Fatigue or tiredness, Nausea

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-07
Survey response — day 21, dose 2
MedDRA: Dizziness, Sinusitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sinus infection and dizziness related to retracted ear drums.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — day 28, dose 2
MedDRA: Paranasal sinus inflammation, Sinusitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sinus inflammation and infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-16
Survey response — 3 months, dose 2
MedDRA: Back pain, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Severe increase in back pain. Back issues have been ongoing for years.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
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)
2021-06-24
Call successful
Not applicable - Accidental Reporting
2021-09-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-22
Dose 3 — Moderna
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-29
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-05
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-19
Survey response — day 28, dose 3
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extra tired.

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Survey response — day 35, dose 3
MedDRA: Headache, Nausea, Office visit, Pyrexia, SARS-CoV-2 test negative, Sinusitis — Feeling: Fair · 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: Nausea, headache, intermittent low grade fever. Went to Dr. COVID negative. Have sinus infection.

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Report sent to call center — day 35, dose 3
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)
2021-11-29
Call 1 — Left Voicemail
2021-12-03
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-21
Survey response — 3 months, dose 3
MedDRA: Cough, Fatigue, Malaise, Unevaluable event — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: Cough, tired, and crappy feeling. · Healthcare visit (other): Awaiting call

MedDRA releases: 2024-11 · check-in free text available
2022-01-21
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-24
Call 1 — Left Voicemail
2022-02-03
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-02-03
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-04-19
Dose 4 — Moderna
2022-04-21
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-04-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache, Fatigue or tiredness, Nausea

Adult check-in
2022-04-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

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

Adult check-in
2022-04-25
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-04-26
Health check-in — day 7, dose 4
Feeling: Good · Fever · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-05-03
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-10
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-17
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-24
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-31
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-19
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-20
Survey response — 6 months, dose 4
MedDRA: Bronchitis, Malaise — Feeling: Good · 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: Bronchitis x 6 weeks sick

MedDRA releases: 2024-11 · check-in free text available
2022-10-20
Report sent to call center — 6 months, 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)
2022-10-21
Call 1 — Could Not Reach Participant
2022-10-26
Call 2 — Left Voicemail
2022-10-26
Call successful
Completed over the phone
2023-04-19
Survey response — 12 months, dose 4
MedDRA: Hypokalaemia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-04-19
Report sent to call center — 12 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2023-04-20
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-17	Moderna
2	2021-03-17	Moderna
3	2021-10-22	Moderna	No
4	2022-04-19	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-06-16	Successful 2021-06-24	Not applicable - Accidental Reporting
2021-11-26	Successful 2022-02-03	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-01-21	Successful 2022-02-03	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-20	Successful 2022-10-26	Completed over the phone
2023-04-19	Unsuccessful	Reported to VAERS during previous contact from GDIT

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-21

Systemic reaction (other): Sweats

Release 6 — days 1–6 daily, dose 2

2021-03-22

Systemic reaction (other): Dizziness. I've had this for 4 days. Forgot to mention it.

2021-03-23

Systemic reaction (other): Dizziness

Release 6 — day 7, dose 2

2021-03-24

Systemic reaction (other): Dizziness

Release 7 — day 21, dose 2

2021-04-07

Symptoms: Sinus infection and dizziness related to retracted ear drums.

Release 7 — day 28, dose 2

2021-04-14

Symptoms: Sinus inflammation and infection

Release 9 — 3 months, dose 2

2021-06-16

Symptoms: Severe increase in back pain. Back issues have been ongoing for years.

Release 10 — day 28, dose 3

2021-11-19

Symptoms: Extra tired.

Release 10 — day 35, dose 3

2021-11-26

Symptoms: Nausea, headache, intermittent low grade fever. Went to Dr. COVID negative. Have sinus infection.

Release 11 — 3 months, dose 3

2022-01-21

Symptoms: Cough, tired, and crappy feeling.

Healthcare visit (other): Awaiting call

Release 12 — 6 months, dose 4

2022-10-20

Symptoms: Bronchitis x 6 weeks sick

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	Unevaluable event	·	·	✓
SD	Back pain	✓	✓	✓
SD	Bronchitis	·	·	✓
SD	Cough	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Hypokalaemia	·	·	✓
SD	Malaise	·	·	✓
SD	Nausea	·	·	✓
SD	Office visit	·	·	✓
SD	Paranasal sinus inflammation	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinusitis	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓

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