ZNY-24190-91440

3 vaccinations 4 coded responses 22 check-ins 4 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 761 / TX
Registered: 2021-03-06

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
2150873 (opens in a new window)	high	10 / 11	7	2 of 5 VAERS symptoms	same dose (3)	TX matches	2021-11-20 / 2021-03-01 / 2022-03-01 received the same day as the last call	case 232613

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

2021-03-06
Registered in v-safe
2021-03-06
Dose 1 — Moderna
2021-03-06
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Diarrhea

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Diarrhea

Adult check-in
2021-03-13
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Diarrhea

Adult check-in
2021-03-20
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-04-05
Dose 2 — Moderna
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Injection site erythema, Injection site pruritus, Pruritus — Feeling: Poor · Site: Pain, Redness, Itching

Free text: Injection site red and itchy and expanding down my arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-04-12
Health check-in — day 7, dose 2
Feeling: Fair · Site: Redness, Itching · Headache, Diarrhea

Adult check-in
2021-04-19
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-26
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-05
Survey response — 3 months, dose 2
MedDRA: Crohn's disease, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: My Crohns disease was in remission before i got the shots. After the first shot it started acting up but got better. After the second shot my crohns got a lot worse and has not improved even though its been months now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-04
Survey response — 6 months, dose 2
MedDRA: Abdominal distension, Diarrhoea, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Bloating with constant diarrhea. I had a catscan which showed nothing. I will be getting an upper endoscopy. My Crohn's disease may have been triggered.

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-11
Call 1 — Left Voicemail
2021-10-18
Call successful
Participant prefers to complete VAERS report online
2021-11-20
Dose 3 — Moderna
2022-02-19
Survey response — 3 months, dose 3
MedDRA: Crohn's disease, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: My Crohns disease has been activated. I was in remission since 2003 until my first vaccine shot in january 2021. Each vaccine made it worse and after the booster, i now nees durgery and infusions.

MedDRA releases: 2024-11 · check-in free text available
2022-02-19
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-24
Call 1 — Could Not Reach Participant
2022-03-01
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-06	Moderna
2	2021-04-05	Moderna
3	2021-11-20	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-10-04	Successful 2021-10-18	Participant prefers to complete VAERS report online
2022-02-19	Successful 2022-03-01	Completed over the phone

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-10

Systemic reaction (other): Injection site red and itchy and expanding down my arm

Release 9 — 3 months, dose 2

2021-07-05

Symptoms: My Crohns disease was in remission before i got the shots. After the first shot it started acting up but got better. After the second shot my crohns got a lot worse and has not improved even though its been months now.

Release 10 — 6 months, dose 2

2021-10-04

Symptoms: Bloating with constant diarrhea. I had a catscan which showed nothing. I will be getting an upper endoscopy. My Crohn's disease may have been triggered.

Release 11 — 3 months, dose 3

2022-02-19

Symptoms: My Crohns disease has been activated. I was in remission since 2003 until my first vaccine shot in january 2021. Each vaccine made it worse and after the booster, i now nees durgery and infusions.

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
SD	Abdominal distension	·	·	✓
SD	Crohn's disease	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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