ZMP-28589-10915

3 vaccinations 17 coded responses 26 check-ins 17 free-text entries 7 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 782 / TX
Registered: 2021-01-11

Relationship: Self
Race: White
Ethnicity: N/A

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
1825690 (opens in a new window)	high	11 / 11	—	4 of 5 VAERS symptoms	same dose (3)	TX matches	2021-09-20 / 2021-09-21 / 2021-10-28 received the same day as the last call	case 1123553

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

2021-01-11
Registered in v-safe
2021-01-11
Dose 1 — Moderna
2021-01-11
Health check-in — day 0, dose 1
Feeling: Fair · Muscle or body aches

Adult check-in
2021-01-12
Survey response — days 1–6 daily, dose 1
MedDRA: Malaise, Rhinorrhoea — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Runny nose, run down feeling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-13
Survey response — days 1–6 daily, dose 1
MedDRA: Respiratory symptom — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Respiratory symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I have severe COPD but my shortness of breath had been worse than usual this week. Particularly today. Could be pollen but worth noting.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Dermatitis, Eye pain, Influenza like illness, Lymphadenopathy, Respiratory disorder — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Respiratory issues I've been a little worse than normal for me this past week. Also experiencing some other things like inflammation in my skin, pain in my right eye, swollen lymphs in right armpit. Overall don't feel as flu-like as I did a couple of days ago though.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain, Feeling abnormal, Furuncle, Lymphadenopathy, Malaise, Pain, Pain in extremity — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Very odd but today I feel worse than I have in the last couple of days, there was mild pain in my arm, swollen lymphs and moderate pain radiating from underarms, what I believe might be a boil in buttuck area, and an overall feeling of unwellness that I was not experiencing on Friday and most of Saturday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-18
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-25
Survey response — day 14, dose 1
MedDRA: Feeling jittery, Lymph node pain, Pain in jaw — Feeling: Fair

Free text: Pain in jaw. Somewhat jittery. Maybe some tenderness in lymphs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — day 21, dose 1
MedDRA: Rhinalgia — Feeling: Fair

Free text: May be totally unrelated but have had a sore inside nose since the same time received vaccine that won't heal.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Dose 2 — Moderna
2021-02-08
Survey response — day 0, dose 2
MedDRA: Dyspnoea, Feeling abnormal — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Feel slightly odd. Not a headache but a weird sensation or floating feeling in head on right side. Slightly numbness sensation. Also feel a little more short of breath than normal with my COPD

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia, Rhinalgia — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still have a bit of an odd tingling sensation in my head. Feel slightly just out of sorts. Nose sore since last vaccine that wont heal is worse today for some reason. May be unrelated but noticeable.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Gingival pain, Pain of skin — Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still feel an odd sensation in my head. Tender scalp. Ask me how I'm doing mentally after hearing today that this 2nd dose that brought such peace of mind might mean nothing if it's ineffective against UK SA variants. Feeling deflated and depressed.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Mucosal inflammation, Rhinorrhoea — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Runny nose, nose sore that won't heal since 1st vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — day 7, dose 2
MedDRA: Epistaxis, Influenza like illness, Vaginal haemorrhage — Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: We lost power/internet/cell this week and I could not check in. Have felt flu-like symptoms since last check in. Also other odd things such as vaginal bleeding after urinating. Have never experienced this. Nose wound still blending. Just feel worse today than last week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — day 14, dose 2
MedDRA: Blood urine present, Headache, Nausea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Continued issues with bladder/cervix?including blood I've never experienced before. Had no access to Healthcare last week due to extreme weather in Texas. Nauseous and headache as well.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — day 21, dose 2
MedDRA: Chronic obstructive pulmonary disease, Condition aggravated, Heart rate increased, Oxygen consumption decreased, Oxygen saturation decreased, Palpitations, Pre-existing disease, Pulmonary function test decreased — Feeling: Poor · Be unable to do your normal daily activities

Free text: Since receiving my vaccinations I had noticed a decline in my lung function. Although I have COPD there's been a decline. These past few days my oxygen levels dropped to 83 and PR 110. My heart has been pounding out of my chest.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-18
Survey response — day 35, dose 2
MedDRA: Bladder disorder, Fatigue, Office visit, Pain, Rhinalgia, Skin disorder — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Continued/worsening scalp issues. Still feeling fatigue and body aches. Bladder issues. Nose sore is slightly improving. · Healthcare visit (other): ENT for symptoms. I scheduled a dermatologist appointment several weeks back for scalp issues that appointment is upcoming.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-22
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-03
Call 1 — Left Voicemail
2021-08-11
Survey response — 6 months, dose 2
MedDRA: Heart rate increased, Office visit, Psoriasis, Tinnitus, Vertigo — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Vertigo. Persistant whooshing like sound in ears. Psoriasis that won't respond to treatment. Rapid heart beat. · Healthcare visit (other): Office visit.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-11
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-18
Call 1 — Left Voicemail
2021-08-18
Call successful
Participant prefers to complete VAERS report online
2021-09-20
Dose 3 — Moderna
2021-10-25
Survey response — day 35, dose 3
MedDRA: Chest pain, Condition aggravated, Dental restoration failure, Pain, Pain in jaw, Paraesthesia, Pre-existing disease, Psoriasis, Unevaluable event — 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 · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Jaw pain, sometimes radiates from chest. Tightening feeling in jaw. GERD has worsened to severe since 3rd FULL vaccine. (Walgreens) Had a late dental implant failure after 7 years with no previous issues. Scalp psoriasis since first dose worsened. · Healthcare visit (other): Have undergone a stress test and barium swallow test still seeking answers

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Report sent to call center — day 35, 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 · 1 call case(s)
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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-11	Moderna
2	2021-02-08	Moderna
3	2021-09-20	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-12	priority 2/3
2021-01-13	priority 2/3
2021-01-15	priority 2/3
2021-01-17	priority 2/3
2021-03-18	Successful	Participant prefers to complete VAERS report online
2021-08-11	Successful 2021-08-18	Participant prefers to complete VAERS report online
2021-10-25	Successful 2021-10-28	Completed over the phone

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-12

Systemic reaction (other): Runny nose, run down feeling

2021-01-13

Systemic reaction (other): Respiratory symptoms

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): I have severe COPD but my shortness of breath had been worse than usual this week. Particularly today. Could be pollen but worth noting.

2021-01-16

Systemic reaction (other): Respiratory issues I've been a little worse than normal for me this past week. Also experiencing some other things like inflammation in my skin, pain in my right eye, swollen lymphs in right armpit. Overall don't feel as flu-like as I did a couple of days ago though.

2021-01-17

Systemic reaction (other): Very odd but today I feel worse than I have in the last couple of days, there was mild pain in my arm, swollen lymphs and moderate pain radiating from underarms, what I believe might be a boil in buttuck area, and an overall feeling of unwellness that I was not experiencing on Friday and most of Saturday.

Release 2 — day 14, dose 1

2021-01-25

Symptoms: Pain in jaw. Somewhat jittery. Maybe some tenderness in lymphs.

Release 3 — day 21, dose 1

2021-02-01

Symptoms: May be totally unrelated but have had a sore inside nose since the same time received vaccine that won't heal.

Release 3 — day 0, dose 2

2021-02-08

Systemic reaction (other): Feel slightly odd. Not a headache but a weird sensation or floating feeling in head on right side. Slightly numbness sensation. Also feel a little more short of breath than normal with my COPD

Release 3 — days 1–6 daily, dose 2

2021-02-09

Systemic reaction (other): Still have a bit of an odd tingling sensation in my head. Feel slightly just out of sorts. Nose sore since last vaccine that wont heal is worse today for some reason. May be unrelated but noticeable.

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): Still feel an odd sensation in my head. Tender scalp. Ask me how I'm doing mentally after hearing today that this 2nd dose that brought such peace of mind might mean nothing if it's ineffective against UK SA variants. Feeling deflated and depressed.

2021-02-14

Systemic reaction (other): Runny nose, nose sore that won't heal since 1st vaccine

Release 4 — day 7, dose 2

2021-02-17

Systemic reaction (other): We lost power/internet/cell this week and I could not check in. Have felt flu-like symptoms since last check in. Also other odd things such as vaginal bleeding after urinating. Have never experienced this. Nose wound still blending. Just feel worse today than last week.

Release 4 — day 14, dose 2

2021-02-22

Symptoms: Continued issues with bladder/cervix?including blood I've never experienced before. Had no access to Healthcare last week due to extreme weather in Texas. Nauseous and headache as well.

Release 4 — day 21, dose 2

2021-03-01

Symptoms: Since receiving my vaccinations I had noticed a decline in my lung function. Although I have COPD there's been a decline. These past few days my oxygen levels dropped to 83 and PR 110. My heart has been pounding out of my chest.

Release 5 — day 35, dose 2

2021-03-18

Symptoms: Continued/worsening scalp issues. Still feeling fatigue and body aches. Bladder issues. Nose sore is slightly improving.

Healthcare visit (other): ENT for symptoms. I scheduled a dermatologist appointment several weeks back for scalp issues that appointment is upcoming.

Release 9 — 6 months, dose 2

2021-08-11

Symptoms: Vertigo. Persistant whooshing like sound in ears. Psoriasis that won't respond to treatment. Rapid heart beat.

Healthcare visit (other): Office visit.

Release 10 — day 35, dose 3

2021-10-25

Symptoms: Jaw pain, sometimes radiates from chest. Tightening feeling in jaw. GERD has worsened to severe since 3rd FULL vaccine. (Walgreens) Had a late dental implant failure after 7 years with no previous issues. Scalp psoriasis since first dose worsened. cut off by CDC

Healthcare visit (other): Have undergone a stress test and barium swallow test still seeking answers

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	Unevaluable event	·	·	✓
SD	Bladder disorder	✓	✓	✓
SD	Blood urine present	✓	✓	✓
SD	Chest pain	·	·	✓
SD	Chronic obstructive pulmonary disease	○	✓	○
SD	Condition aggravated	✓	·	✓
SD	Dental restoration failure	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling jittery	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Lymph node pain	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Oxygen consumption decreased	○	✓	○
SD	Oxygen saturation decreased	✓	·	✓
SD	Pain	✓	✓	✓
SD	Pain in jaw	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Paraesthesia	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Psoriasis	✓	·	✓
SD	Pulmonary function test decreased	○	✓	○
SD	Rhinalgia	✓	✓	✓
SD	Skin disorder	✓	✓	✓
SD	Tinnitus	✓	·	✓
SD	Vertigo	✓	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Dermatitis	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Epistaxis	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Furuncle	✓	✓	✓
SRO	Gingival pain	✓	✓	✓
SRO	Influenza like illness	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Mucosal inflammation	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pain of skin	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Respiratory disorder	✓	✓	✓
SRO	Respiratory symptom	✓	✓	✓
SRO	Rhinalgia	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Vaginal haemorrhage	✓	✓	✓

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