3ME-19066-05950

3 vaccinations 15 coded responses 28 check-ins 15 free-text entries 1 call case

Sex: Male
Age at first dose: 66+
ZIP prefix: 456 / OH
Registered: 2021-04-09

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
2262037 (opens in a new window)	high	10 / 11	4	1 of 4 VAERS symptoms	same dose (3)	OH matches	2021-10-29 / 2021-10-29 / 2022-05-03 received the same day as the last call	case 614858

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
2021-04-07
Dose 2 — Moderna
2021-04-09
Registered in v-safe
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Loss of consciousness — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I passed out on the morning of 4/8/21

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Loss of consciousness — Feeling: Good · Fatigue or tiredness

Free text: I passed out the next morning after i took the second shot.

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: Good · None

Adult check-in
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Pulse abnormal — Feeling: Good

Free text: Pulse has stated to return to normal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 21, dose 2
Feeling: Good

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

Adult check-in
2021-05-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-07
Survey response — 3 months, dose 2
MedDRA: Tremor — Feeling: Good

Free text: I have a uncontroled shaking pf my right hand. It has been doing this for about 4 weeks. Someone said it is parkinsons disease. Is this a tesult of my vaccinine?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-06
Survey response — 6 months, dose 2
MedDRA: Tremor — Feeling: Good

Free text: An uncontroled. Shaking of my right hand shaking.

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Dose 3 — Moderna
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-31
Survey response — days 1–6 daily, dose 3
MedDRA: Tremor — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Uncontrolled shaking of my right hand.

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Survey response — days 1–6 daily, dose 3
MedDRA: Tremor — Feeling: Good

Free text: Still experiencing uncontrolled shaking of my right hand.

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Tremor — Feeling: Good · Site: Pain

Free text: Still experiencing uncontroled shaking in my right hand

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: Tremor — Feeling: Good

Free text: Still have uncontrolled shaking of my right hand.

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Survey response — days 1–6 daily, dose 3
MedDRA: Tremor — Feeling: Good

Free text: I have an uncontrolled shaking of my right hand it has been that way since i got my first shot.

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Survey response — day 7, dose 3
MedDRA: Tremor — Feeling: Good

Free text: Still experiencing uncontrolled skaking of my right hand.

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-20
Survey response — day 21, dose 3
MedDRA: Arthralgia, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities

Free text: pain in my right hand and shoulder. I had my second vacvine in that shoulder.

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-28
Survey response — 3 months, dose 3
MedDRA: Tremor — Feeling: Good

Free text: Uncontrolled shacking of my hands.

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Survey response — 6 months, dose 3
MedDRA: Tremor — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: An uncontrolled hand shake in boyh hands.

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-03
Call 1 — Left Voicemail
2022-05-03
Call successful
Completed over the phone
2022-10-29
Survey response — 12 months, dose 3
MedDRA: Headache, Respiratory tract congestion, SARS-CoV-2 test negative, SARS-CoV-2 test positive — Feeling: Good

Free text: Tested positive for Covid on Oct. 12. Had head ach supper respiratory cogestion. Tested negative on Oct. 19.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Moderna
2	2021-04-07	Moderna
3	2021-10-29	Moderna	No

Call center

1 call center case

1 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): I passed out on the morning of 4/8/21

2021-04-10

Systemic reaction (other): I passed out the next morning after i took the second shot.

2021-04-12

Systemic reaction (other): Pulse has stated to return to normal

Release 9 — 3 months, dose 2

2021-07-07

Symptoms: I have a uncontroled shaking pf my right hand. It has been doing this for about 4 weeks. Someone said it is parkinsons disease. Is this a tesult of my vaccinine?

Release 10 — 6 months, dose 2

2021-10-06

Symptoms: An uncontroled. Shaking of my right hand shaking.

Release 10 — days 1–6 daily, dose 3

2021-10-31

Systemic reaction (other): Uncontrolled shaking of my right hand.

2021-11-01

Systemic reaction (other): Still experiencing uncontrolled shaking of my right hand.

2021-11-02

Systemic reaction (other): Still experiencing uncontroled shaking in my right hand

2021-11-03

Systemic reaction (other): Still have uncontrolled shaking of my right hand.

2021-11-04

Systemic reaction (other): I have an uncontrolled shaking of my right hand it has been that way since i got my first shot.

Release 10 — day 7, dose 3

2021-11-05

Systemic reaction (other): Still experiencing uncontrolled skaking of my right hand.

Release 10 — day 21, dose 3

2021-11-20

Symptoms: pain in my right hand and shoulder. I had my second vacvine in that shoulder.

Release 11 — 3 months, dose 3

2022-01-28

Symptoms: Uncontrolled shacking of my hands.

Release 11 — 6 months, dose 3

2022-04-29

Symptoms: An uncontrolled hand shake in boyh hands.

Release 12 — 12 months, dose 3

2022-10-29

Symptoms: Tested positive for Covid on Oct. 12. Had head ach supper respiratory cogestion. Tested negative on Oct. 19.

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	Arthralgia	·	·	✓
SD	Headache	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Tremor	✓	✓	✓
SRO	Loss of consciousness	✓	✓	✓
SRO	Pulse abnormal	✓	✓	✓
SRO	Tremor	·	·	✓

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