ZQT-80882-63403

5 vaccinations 28 coded responses 64 check-ins 26 free-text entries 12 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 773 / TX
Registered: 2021-04-22

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
2616291 (opens in a new window)	medium	11 / 11	10	4 of 7 VAERS symptoms	same dose (5)	TX matches	2022-10-14 / 2023-02-01 / 2023-04-17 received the same day as the last call	case 1114541

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

2021-04-22
Registered in v-safe
2021-04-22
Dose 1 — Moderna
2021-04-22
Survey response — day 0, dose 1
MedDRA: Eye irritation — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work

Free text: Burr ness in my eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — days 1–6 daily, dose 1
MedDRA: Visual impairment — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: My vision is better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-27
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Fatigue or tiredness

Free text: Just been in a daze today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-29
Survey response — day 7, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Just the site of the shot area just pain still

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 14, dose 1
MedDRA: Cough — Feeling: Good

Free text: A dry cough Dr thinks either from the vaccine or pollen or dust on medicine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — day 21, dose 1
MedDRA: Cough, Medical counselling — Feeling: Good

Free text: Dry cough Dr gave me medince I get my second shot May 24

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-05-24
Dose 2 — Moderna
2021-05-24
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2021-05-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-05-25
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Fever · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-05-26
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-05-28
Survey response — days 1–6 daily, dose 2
MedDRA: Blood glucose increased, Hypertension — Feeling: Fair · Site: Pain, Swelling · Fever · Fatigue or tiredness · Be unable to work

Free text: My blood pressure is really high my sugar is high Seeing a dr today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-05-29
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-31
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-28
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-23
Survey response — 3 months, dose 2
MedDRA: Cough, Dyspnoea, Pain, Pyrexia — Feeling: Poor · Be unable to work or attend school

Free text: Coughing body aches low fever problems bearthing

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-22
Survey response — 6 months, dose 2
MedDRA: Pneumonia, SARS-CoV-2 test negative, Upper respiratory tract infection — Feeling: Good · 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: I had a upper respiratory infection with pneumonia for about a week Got tested for Covid came back negative Got my flu shot Getting booster soon Dr wants me to not have a cold or anything

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Report sent to call center — 6 months, dose 2
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)
2021-11-23
Call 1 — Left Voicemail
2021-11-29
Dose 3 — Moderna
2021-11-29
Health check-in — day 0, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-29
Call successful
Does not wish to fill out VAERS report
2021-11-29
Call successful
Does not wish to fill out VAERS report
2021-11-29
Call successful
Does not wish to fill out VAERS report
2021-11-29
Call successful
Does not wish to fill out VAERS report
2021-11-30
Survey response — days 1–6 daily, dose 3
MedDRA: Pain in jaw — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My jaw bone is sore

MedDRA releases: 2024-11 · check-in free text available
2021-12-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-12-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-12-02
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-03
Survey response — days 1–6 daily, dose 3
MedDRA: Blood glucose decreased, Vision blurred — Feeling: Poor · Fever · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: My sugar dropped real low at work Blurry sight

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-04
Survey response — days 1–6 daily, dose 3
MedDRA: Blood glucose decreased — Feeling: Fair · Be unable to work or attend school

Free text: Having problems with my sugar being low

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-12-06
Survey response — day 7, dose 3
MedDRA: Cough, Office visit — Feeling: Fair · Fatigue or tiredness · Be unable to work or attend school

Free text: Coughing Under dr care

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Call successful
Does not wish to fill out VAERS report
2021-12-06
Call successful
Does not wish to fill out VAERS report
2021-12-13
Survey response — day 14, dose 3
MedDRA: Cough — Feeling: Fair

Free text: Still coughing Taking medicine for it

MedDRA releases: 2024-11 · check-in free text available
2021-12-20
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-04
Survey response — day 35, dose 3
MedDRA: Influenza — 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: Flu My fr asked me to get tested for Covid though

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
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)
2022-01-07
Call 1 — Left Voicemail
2022-01-10
Survey response — day 42, dose 3
MedDRA: Influenza, Office visit — Feeling: Fair · 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: I had the flu For about a week Still under drs care

MedDRA releases: 2024-11 · check-in free text available
2022-01-10
Report sent to call center — day 42, 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)
2022-01-11
Call 1 — Left Voicemail
2022-02-28
Survey response — 3 months, dose 3
MedDRA: Nasopharyngitis, Pneumonia, Quarantine, SARS-CoV-2 test negative, Upper respiratory tract infection — Feeling: Fair · Be unable to work or attend school

Free text: I had a upper respiratory infection with pneumonia in my lungs About a month ago I was Quarantine until my doctor make sure it wasn't Covid just have a cold now

MedDRA releases: 2024-11 · check-in free text available
2022-05-01
Dose 4 — Pfizer-BioNTech
2022-05-01
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-05-03
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fever · Fatigue or tiredness

Adult check-in
2022-05-04
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-05-06
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-07
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-08
Health check-in — day 7, dose 4
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-15
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-24
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-31
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-05
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-12
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-31
Survey response — 3 months, dose 4
MedDRA: Renal disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Kinsey problem

MedDRA releases: 2024-11 · check-in free text available
2022-07-31
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-08-01
Call 3 — Left Voicemail
2022-10-14
Dose 5 — Pfizer-BioNTech
2022-10-14
Survey response — day 0, dose 5
MedDRA: Unevaluable event — Feeling: Good

Free text: Just my sinuses

MedDRA releases: 2024-11 · check-in free text available
2022-10-17
Survey response — days 1–6 daily, dose 5
MedDRA: Unevaluable event — Feeling: Good · Fatigue or tiredness

Free text: Just sinuses

MedDRA releases: 2024-11 · check-in free text available
2022-10-18
Survey response — days 1–6 daily, dose 5
MedDRA: Unevaluable event — Feeling: Good · Fatigue or tiredness

Free text: Just sinuses

MedDRA releases: 2024-11 · check-in free text available
2022-10-20
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · None

Adult check-in
2022-10-21
Survey response — day 7, dose 5
MedDRA: Cough, Medical counselling — Feeling: Poor · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Cough My dr thinks I have a mild case of the flu I gotten my flu shot about a week ago

MedDRA releases: 2024-11 · check-in free text available
2022-10-21
Report sent to call center — day 7, dose 5
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-10-24
Call X — Left Voicemail
2022-10-24
Call X — Left Voicemail
2022-10-24
Call X — Left Voicemail
2022-10-24
Call 3 — Left Voicemail
2022-10-29
Survey response — day 14, dose 5
MedDRA: Bacterial infection, Gastroenteritis viral — Feeling: Poor · Be unable to do your normal daily activities

Free text: Bacterial infection stomach flu

MedDRA releases: 2024-11 · check-in free text available
2022-11-06
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-11
Survey response — day 28, dose 5
MedDRA: Gastroenteritis viral, Influenza, Office visit, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work or attend school

Free text: Just gotten over the stomach flu Now had a bad case of the flu I gotten my flu shot 4 weeks ago Dr tested me for Covid it came out negative twice

MedDRA releases: 2024-11 · check-in free text available
2022-11-18
Survey response — day 35, dose 5
MedDRA: Influenza, SARS-CoV-2 test negative — Feeling: Poor

Free text: Still trying to get over the flu Digit me tested for Covid but negative

MedDRA releases: 2024-11 · check-in free text available
2022-11-25
Survey response — day 42, dose 5
MedDRA: Nasopharyngitis — Feeling: Good

Free text: Can't shake off a cold

MedDRA releases: 2024-11 · check-in free text available
2023-01-13
Survey response — 3 months, dose 5
MedDRA: COVID-19 — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-01-13
Report sent to call center — 3 months, dose 5
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-01-17
Call 2 — Left Voicemail
2023-01-17
Call 2 — Left Voicemail
2023-01-17
Call 1 — Left Voicemail
2023-01-17
Call 1 — Left Voicemail
2023-01-17
Call 1 — Left Voicemail
2023-04-14
Survey response — 6 months, dose 5
MedDRA: Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-04-14
Report sent to call center — 6 months, dose 5
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-04-17
Call 3 — Left Voicemail
2023-04-17
Call 3 — Left Voicemail
2023-04-17
Call 2 — Left Voicemail
2023-04-17
Call 2 — Left Voicemail
2023-04-17
Call 2 — Left Voicemail
2023-04-17
Call 1 — Left Voicemail
2023-04-17
Call successful
Not applicable - Accidental Reporting
2023-04-17
Call successful
Not applicable - Accidental Reporting
2023-04-17
Call successful
Not applicable - Accidental Reporting
2023-04-17
Call successful
Completed over the phone
2023-04-17
Call successful
Completed over the phone
2023-04-17
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-22	Moderna
2	2021-05-24	Moderna
3	2021-11-29	Moderna	No
4	2022-05-01	Pfizer-BioNTech	No
5	2022-10-14	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-25	Successful 2021-11-29	Does not wish to fill out VAERS report
2021-05-26	Successful 2021-11-29	Does not wish to fill out VAERS report
2021-05-29	Successful 2021-11-29	Does not wish to fill out VAERS report
2021-11-22	Successful 2021-11-29	Does not wish to fill out VAERS report
2021-12-02	Successful 2021-12-06	Does not wish to fill out VAERS report
2021-12-03	Successful 2021-12-06	Does not wish to fill out VAERS report
2022-01-04	Successful 2023-04-17	Not applicable - Accidental Reporting
2022-01-10	Successful 2023-04-17	Not applicable - Accidental Reporting
2022-07-31	Successful 2023-04-17	Not applicable - Accidental Reporting
2022-10-21	Successful 2023-04-17	Completed over the phone
2023-01-13	Successful 2023-04-17	Completed over the phone
2023-04-14	Successful 2023-04-17	Completed over the phone

Free text

Release 7 — day 0, dose 1

2021-04-22

Systemic reaction (other): Burr ness in my eyes

Release 7 — days 1–6 daily, dose 1

2021-04-23

Systemic reaction (other): My vision is better

Release 8 — days 1–6 daily, dose 1

2021-04-27

Systemic reaction (other): Just been in a daze today

Release 8 — day 7, dose 1

2021-04-29

Systemic reaction (other): Just the site of the shot area just pain still

Release 8 — day 14, dose 1

2021-05-06

Symptoms: A dry cough Dr thinks either from the vaccine or pollen or dust on medicine

Release 8 — day 21, dose 1

2021-05-13

Symptoms: Dry cough Dr gave me medince I get my second shot May 24

Release 8 — days 1–6 daily, dose 2

2021-05-28

Systemic reaction (other): My blood pressure is really high my sugar is high Seeing a dr today

Release 9 — 3 months, dose 2

2021-08-23

Symptoms: Coughing body aches low fever problems bearthing

Release 10 — 6 months, dose 2

2021-11-22

Symptoms: I had a upper respiratory infection with pneumonia for about a week Got tested for Covid came back negative Got my flu shot Getting booster soon Dr wants me to not have a cold or anything

Release 10 — days 1–6 daily, dose 3

2021-11-30

Systemic reaction (other): My jaw bone is sore

2021-12-03

Systemic reaction (other): My sugar dropped real low at work Blurry sight

2021-12-04

Systemic reaction (other): Having problems with my sugar being low

Release 10 — day 7, dose 3

2021-12-06

Systemic reaction (other): Coughing Under dr care

Release 10 — day 14, dose 3

2021-12-13

Symptoms: Still coughing Taking medicine for it

Release 10 — day 35, dose 3

2022-01-04

Symptoms: Flu My fr asked me to get tested for Covid though

Release 10 — day 42, dose 3

2022-01-10

Symptoms: I had the flu For about a week Still under drs care

Release 11 — 3 months, dose 3

2022-02-28

Symptoms: I had a upper respiratory infection with pneumonia in my lungs About a month ago I was Quarantine until my doctor make sure it wasn't Covid just have a cold now

Release 12 — 3 months, dose 4

2022-07-31

Symptoms: Kinsey problem

Release 12 — day 0, dose 5

2022-10-14

Systemic reaction (other): Just my sinuses

Release 12 — days 1–6 daily, dose 5

2022-10-17

Systemic reaction (other): Just sinuses

2022-10-18

Systemic reaction (other): Just sinuses

Release 12 — day 7, dose 5

2022-10-21

Systemic reaction (other): Cough My dr thinks I have a mild case of the flu I gotten my flu shot about a week ago

Release 12 — day 14, dose 5

2022-10-29

Symptoms: Bacterial infection stomach flu

Release 12 — day 28, dose 5

2022-11-11

Symptoms: Just gotten over the stomach flu Now had a bad case of the flu I gotten my flu shot 4 weeks ago Dr tested me for Covid it came out negative twice

Release 12 — day 35, dose 5

2022-11-18

Symptoms: Still trying to get over the flu Digit me tested for Covid but negative

Release 12 — day 42, dose 5

2022-11-25

Symptoms: Can't shake off a cold

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	Bacterial infection	·	·	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea	✓	·	✓
SD	Gastroenteritis viral	·	·	✓
SD	Influenza	·	·	✓
SD	Medical counselling	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Office visit	·	·	✓
SD	Pain	✓	·	✓
SD	Pneumonia	·	·	✓
SD	Pyrexia	✓	·	✓
SD	Quarantine	·	·	✓
SD	Renal disorder	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinusitis	·	·	✓
SD	Upper respiratory tract infection	·	·	✓
SRO	Blood glucose decreased	·	·	✓
SRO	Blood glucose increased	✓	✓	✓
SRO	Cough	·	·	✓
SRO	Eye irritation	✓	✓	✓
SRO	Hypertension	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Medical counselling	·	·	✓
SRO	Office visit	·	·	✓
SRO	Pain in jaw	·	·	✓
SRO	Unevaluable event	✓	✓	✓
SRO	Vision blurred	·	·	✓
SRO	Visual impairment	✓	✓	✓

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