ZQD-14541-30788

2 vaccinations 8 coded responses 17 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 563 / MN
Registered: 2021-02-09

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
1971811 (opens in a new window)	medium	10 / 11	9	4 of 9 VAERS symptoms	same dose (2)	MN matches	2021-03-03 / 2021-03-07 / 2021-12-22 received 273 days after the last call	case 387279

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

2021-02-03
Dose 1 — Moderna
2021-02-09
Registered in v-safe
2021-02-09
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea exertional — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Short of breath with exertion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Diarrhea

Adult check-in
2021-02-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-03
Dose 2 — Moderna
2021-03-03
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains, Nausea

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea exertional, Palpitations — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Heart palpitations, short of breath with activity

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Palpitations, Pre-existing disease — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Breathless with exertion, palpitations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-10
Survey response — day 7, dose 2
MedDRA: Dyspnoea exertional — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Shortness of breath with exertion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — day 14, dose 2
MedDRA: Dyspnoea, Fatigue, Heart rate irregular — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Heart rate irregular, breathlessness,Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-24
Survey response — day 21, dose 2
MedDRA: Dyspnoea, Electrocardiogram ambulatory, Fatigue, Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Chest palpitations, shortness of breath with exertion, fatigue · Healthcare visit (other): Have been wearing a holter monitor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-31
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-07
Survey response — day 35, dose 2
MedDRA: Blood pressure increased, Medical counselling, Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: MD started me on amlodipine and increased HCTZ to 25mg. BP remains elevated. Palpitations continue. Holter monitor results are still pending.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-01
Survey response — 6 months, dose 2
MedDRA: Immune system disorder, Office visit — Feeling: Poor · Be unable to do your normal daily activities

Free text: Internist is doing work up for auto immune disease. Need to have chest CT, rheumatologist consult coming up

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-12-22
Call successful
Completed over the phone

Vaccinations

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

Call center

Reported	Outcome	VAERS-related outcome
2021-03-17	Successful	Completed over the phone
2021-03-24	Successful	Completed over the phone
2021-04-07	Successful 2021-12-22	Completed over the phone

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-09

Systemic reaction (other): Short of breath with exertion

Release 5 — days 1–6 daily, dose 2

2021-03-07

Systemic reaction (other): Heart palpitations, short of breath with activity

2021-03-08

Systemic reaction (other): Breathless with exertion, palpitations

Release 5 — day 7, dose 2

2021-03-10

Systemic reaction (other): Shortness of breath with exertion

Release 5 — day 14, dose 2

2021-03-17

Symptoms: Heart rate irregular, breathlessness,Fatigue

Release 6 — day 21, dose 2

2021-03-24

Symptoms: Chest palpitations, shortness of breath with exertion, fatigue

Healthcare visit (other): Have been wearing a holter monitor

Release 7 — day 35, dose 2

2021-04-07

Symptoms: MD started me on amlodipine and increased HCTZ to 25mg. BP remains elevated. Palpitations continue. Holter monitor results are still pending.

Release 9 — 6 months, dose 2

2021-09-01

Symptoms: Internist is doing work up for auto immune disease. Need to have chest CT, rheumatologist consult coming up

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	Electrocardiogram ambulatory	✓	✓	✓
SD	Blood pressure increased	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Heart rate irregular	✓	✓	✓
SD	Immune system disorder	✓	·	✓
SD	Medical counselling	✓	✓	✓
SD	Office visit	✓	·	✓
SD	Palpitations	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Dyspnoea exertional	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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