ZNW-21003-95606

2 vaccinations 8 coded responses 24 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 837 / ID
Registered: 2021-02-06

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
1417866 (opens in a new window)	high	11 / 11	3	1 of 2 VAERS symptoms	same dose (2)	ID matches	2021-03-06 / 2021-03-07 / 2021-06-22 received 80 days after the last call	case 449088

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

2021-02-06
Registered in v-safe
2021-02-06
Dose 1 — Moderna
2021-02-08
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Site: Pain

Free text: I do have a pacemaker and I also have Von Willebrands, Type 1 but no other issues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea, Abdominal pain

Adult check-in
2021-02-13
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-27
Survey response — day 21, dose 1
MedDRA: Fatigue, Headache — Feeling: Fair

Free text: Fatigue and headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Dose 2 — Moderna
2021-03-06
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Burning sensation, Pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Pain and burning when I got the shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-13
Health check-in — day 7, dose 2
Feeling: Good · Chills, Headache, Nausea, Diarrhea

Adult check-in
2021-03-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-03
Survey response — day 28, dose 2
MedDRA: Rash, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Have a rash on my stomach. Seeing my skin doctor next week. · Healthcare visit (other): My skin doctor this next week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-10
Survey response — day 35, dose 2
MedDRA: Chills, Diarrhoea, Office visit, Pruritus, Pyrexia, Tremor — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Last Sunday - woke up - fever, shaking all over, chills, wanting to throw up but could not, horrible stomach & abdomen pain, very nauseated, body aches, stomach gurgling like crazy, watery diarrhea that woke me up earky Mon morning, itching all over · Healthcare visit (other): Family Doctor - they felt it was a 24 - 48 hr virus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-17
Survey response — day 42, dose 2
MedDRA: Blood pressure increased, Medical counselling — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: My blood pressure has been very erratic from: 178/106/85 down to 88/53/60. · Healthcare visit (other): Phone call to Hypertension Doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-05
Survey response — 3 months, dose 2
MedDRA: Office visit, Pain, Pain in extremity, Physiotherapy, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: A lot of body aches, pain in arms, hands and feet. Possibly my fibromyalgia. · Healthcare visit (other): My family doctor, spine care clinic and physical therapy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-14
Call 1 — Left Voicemail
2021-06-22
Call successful
Completed over the phone
2021-09-06
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-03-06
Survey response — 12 months, dose 2
MedDRA: Dyspnoea, Fatigue, Nausea, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities

Free text: Have had extreme fatigue and nausea for 2 years. Feel like I want to drop to the floor or pass out. Problems trying to get projects done. Short of breath.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-06	Moderna
2	2021-03-06	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-04-03	Successful	Completed over the phone
2021-04-10	Successful	Completed over the phone
2021-04-17	Successful	Completed over the phone
2021-06-05	Successful 2021-06-22	Completed over the phone

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-08

Systemic reaction (other): I do have a pacemaker and I also have Von Willebrands, Type 1 but no other issues.

Release 4 — day 21, dose 1

2021-02-27

Symptoms: Fatigue and headaches

Release 5 — days 1–6 daily, dose 2

2021-03-07

Systemic reaction (other): Pain and burning when I got the shot

Release 6 — day 28, dose 2

2021-04-03

Symptoms: Have a rash on my stomach. Seeing my skin doctor next week.

Healthcare visit (other): My skin doctor this next week.

Release 7 — day 35, dose 2

2021-04-10

Symptoms: Last Sunday - woke up - fever, shaking all over, chills, wanting to throw up but could not, horrible stomach & abdomen pain, very nauseated, body aches, stomach gurgling like crazy, watery diarrhea that woke me up earky Mon morning, itching all over cut off by CDC

Healthcare visit (other): Family Doctor - they felt it was a 24 - 48 hr virus

Release 7 — day 42, dose 2

2021-04-17

Symptoms: My blood pressure has been very erratic from: 178/106/85 down to 88/53/60.

Healthcare visit (other): Phone call to Hypertension Doctor

Release 8 — 3 months, dose 2

2021-06-05

Symptoms: A lot of body aches, pain in arms, hands and feet. Possibly my fibromyalgia.

Healthcare visit (other): My family doctor, spine care clinic and physical therapy

Release 11 — 12 months, dose 2

2022-03-06

Symptoms: Have had extreme fatigue and nausea for 2 years. Feel like I want to drop to the floor or pass out. Problems trying to get projects done. Short of breath.

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	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Physiotherapy	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Blood pressure increased	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nausea	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Tremor	✓	✓	✓
SD	Unevaluable event	·	·	✓
SRO	Burning sensation	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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