ZLH-12993-73537

3 vaccinations 7 coded responses 31 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 980 / WA
Registered: 2021-01-21

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
1825707 (opens in a new window)	low	9 / 11	10	3 of 15 VAERS symptoms	same dose (3)	WA matches	2021-10-22 / 2021-10-23 / 2021-10-28 received the same day as the last call	case 1126905

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

2021-01-20
Dose 1 — Moderna
2021-01-21
Registered in v-safe
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Irritable bowel syndrome — Feeling: Good · Diarrhea

Free text: I have IBS & stress triggers it

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-17
Survey response — day 28, dose 1
MedDRA: Herpes simplex, Pre-existing disease — Feeling: Good

Free text: I had a herpes attack but it has now cleared up. It was more severe than usual

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-02-25
Dose 2 — Moderna
2021-03-04
Survey response — day 7, dose 2
MedDRA: Decreased appetite, Fatigue, Pain — Feeling: Good

Free text: I had a reaction after my second injection. I had fatigue soreness loss of appetite for about 3 days. No fever

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

Adult check-in
2021-03-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-22
Dose 3 — Moderna
2021-10-25
Survey response — days 1–6 daily, dose 3
MedDRA: Adverse reaction — Feeling: Fair · Site: Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Had a very hard time for two days after injection

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Survey response — days 1–6 daily, dose 3
MedDRA: Atrial fibrillation, Cardioversion — Feeling: Poor · Site: Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Systemic reaction (other): I have Afib & had to do a cardio version today · Healthcare visit (other): afib with cardioversion

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Report sent to call center — days 1–6 daily, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2021-10-27
Survey response — days 1–6 daily, dose 3
MedDRA: Atrial fibrillation, Cardioversion — Feeling: Fair · Site: Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Had a cardioversion yesterday for Afib

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Call 1 — Requested Callback
2021-10-28
Callback requested for
04:00PM ET
2021-10-28
Call successful
Completed over the phone
2021-10-29
Survey response — day 7, dose 3
MedDRA: Hospitalisation, Pulmonary oedema — Feeling: Good · Site: Redness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Just out of the hospital with pulmonary edema & on prednisone so doing pretty well

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Report sent to call center — day 7, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2021-11-01
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-11-05
Health check-in — day 14, dose 3
Feeling: Fair

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

Adult check-in
2021-11-19
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-23
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-22
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-22
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-20	Moderna
2	2021-02-25	Moderna
3	2021-10-22	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-10-26	Successful 2021-10-28	Completed over the phone
2021-10-29	Successful 2021-11-01	Reported to VAERS voluntarily prior to GDIT contact

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): I have IBS & stress triggers it

Release 4 — day 28, dose 1

2021-02-17

Symptoms: I had a herpes attack but it has now cleared up. It was more severe than usual

Release 5 — day 7, dose 2

2021-03-04

Systemic reaction (other): I had a reaction after my second injection. I had fatigue soreness loss of appetite for about 3 days. No fever

Release 10 — days 1–6 daily, dose 3

2021-10-25

Systemic reaction (other): Had a very hard time for two days after injection

2021-10-26

Systemic reaction (other): I have Afib & had to do a cardio version today

Healthcare visit (other): afib with cardioversion

2021-10-27

Systemic reaction (other): Had a cardioversion yesterday for Afib

Release 10 — day 7, dose 3

2021-10-29

Systemic reaction (other): Just out of the hospital with pulmonary edema & on prednisone so doing pretty well

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	Atrial fibrillation	·	·	✓
HCVO	Cardioversion	·	·	✓
SD	Herpes simplex	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Adverse reaction	·	·	✓
SRO	Atrial fibrillation	·	·	✓
SRO	Cardioversion	·	·	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Hospitalisation	·	·	✓
SRO	Irritable bowel syndrome	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pulmonary oedema	·	·	✓

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