ZRS-86051-45895

1 vaccination 10 coded responses 12 check-ins 10 free-text entries 7 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 018 / MA
Registered: 2021-03-11

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
1924564 (opens in a new window)	high	10 / 11	3	8 of 27 VAERS symptoms	same dose (1)	MA matches	2021-03-10 / 2021-03-10 / 2021-12-06 received 266 days after the last call	case 341839

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

2021-03-10
Dose 1 — Moderna
2021-03-11
Registered in v-safe
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Aphasia, Hospitalisation, Mental impairment — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, Hospitalization

Free text: I could not speak, think clearly, or follow directions 24 hours ago while hospitalized.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Memory impairment — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Extreme forgetfulness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal, Impulsive behaviour — Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities

Free text: Still have brain fog and impulsivity

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Breast pain, Muscle spasms, Pain, Tenderness — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Axillary tenderness on injection side with radiating pain into breast in spasms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain, Muscular weakness, Pain in extremity, Unevaluable event — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Right arm weakness/ pain (constant), left axillary pain intermittently · Healthcare visit (other): Called PCP and scheduled follow up with neurologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Office visit, Pain in extremity — Feeling: Fair · Site: Pain · Chills, Headache, Nausea · Be unable to work, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Affected arm has pain from shoulder through hand constantly · Healthcare visit (other): Neurology consult

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-17
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to work, Get care from a doctor or other healthcare professional

Free text: EEG from neurologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Report sent to call center — day 7, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-31
Survey response — day 21, dose 1
MedDRA: Headache, Middle insomnia — Feeling: Good

Free text: I had a headache unlike any past experience, global and more in the back of my head two days ago all day, and bad enough that it woke me during the night that night. It self-resolved.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-04-14
Survey response — day 35, dose 1
MedDRA: Abdominal discomfort, Flank pain, Lymphadenopathy, Pain, Pain in jaw, Swelling — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: The left side of my neck and left axillary glands are enlarged. Starting three nights ago, I noticed left upper abdominal pressure that worsened while laying down and can no longer sleep on my left side due to pain radiating up through side to my jaw

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Report sent to call center — day 35, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-21
Survey response — day 42, dose 1
MedDRA: Chest pain, Palpitations — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Left sided chest pain, worse with lying down, and palpitations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Report sent to call center — day 42, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-06
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-03-11	Successful	Completed over the phone
2021-03-12	Successful	Completed over the phone
2021-03-15	Successful	Completed over the phone
2021-03-16	Successful	Completed over the phone
2021-03-17	Successful	Completed over the phone
2021-04-14	Successful	Completed over the phone
2021-04-21	Successful 2021-12-06	Completed over the phone

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-11

Systemic reaction (other): I could not speak, think clearly, or follow directions 24 hours ago while hospitalized.

2021-03-12

Systemic reaction (other): Extreme forgetfulness

2021-03-13

Systemic reaction (other): Still have brain fog and impulsivity

2021-03-14

Systemic reaction (other): Axillary tenderness on injection side with radiating pain into breast in spasms

2021-03-15

Systemic reaction (other): Right arm weakness/ pain (constant), left axillary pain intermittently

Healthcare visit (other): Called PCP and scheduled follow up with neurologist

2021-03-16

Systemic reaction (other): Affected arm has pain from shoulder through hand constantly

Healthcare visit (other): Neurology consult

Release 5 — day 7, dose 1

2021-03-17

Healthcare visit (other): EEG from neurologist

Release 6 — day 21, dose 1

2021-03-31

Symptoms: I had a headache unlike any past experience, global and more in the back of my head two days ago all day, and bad enough that it woke me during the night that night. It self-resolved.

Release 7 — day 35, dose 1

2021-04-14

Symptoms: The left side of my neck and left axillary glands are enlarged. Starting three nights ago, I noticed left upper abdominal pressure that worsened while laying down and can no longer sleep on my left side due to pain radiating up through side to my jaw cut off by CDC

Release 7 — day 42, dose 1

2021-04-21

Symptoms: Left sided chest pain, worse with lying down, and palpitations

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	Abdominal discomfort	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Flank pain	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Middle insomnia	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in jaw	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Swelling	✓	✓	✓
SRO	Aphasia	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Breast pain	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Hospitalisation	✓	✓	✓
SRO	Impulsive behaviour	✓	✓	✓
SRO	Memory impairment	✓	✓	✓
SRO	Mental impairment	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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