3MH-30504-70133

4 vaccinations 14 coded responses 29 check-ins 13 free-text entries 2 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 382 / TN
Registered: 2021-05-14

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
1450323 (opens in a new window)	high	11 / 11	—	2 of 4 VAERS symptoms	same dose (2)	TN matches	2021-05-14 / 2021-05-20 / 2021-07-06 received the same day as the last call	case 806423

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

2021-04-06
Dose 1 — Moderna
2021-05-14
Registered in v-safe
2021-05-14
Dose 2 — Moderna
2021-05-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-19
Survey response — days 1–6 daily, dose 2
MedDRA: Influenza, Sinus disorder — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Feels like light flu or very bad sinus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-05-21
Survey response — day 7, dose 2
MedDRA: Fatigue, Sinus headache — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Feeling tired and like sinus headache early morning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Survey response — day 14, dose 2
MedDRA: Insomnia, Poor quality sleep — Feeling: Good · Be unable to do your normal daily activities

Free text: I do not sleep well. Really have not slept well since the first shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Survey response — day 21, dose 2
MedDRA: Insomnia, Sleep deficit — Feeling: Good · Be unable to do your normal daily activities

Free text: Sleeplessness. Lot of nights very little sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-18
Survey response — day 35, dose 2
MedDRA: Amnesia, Insomnia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Lack of sleep for a long time now. And seems like loss of short term memory

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
Survey response — day 42, dose 2
MedDRA: Fatigue, Insomnia, Memory impairment, Office visit, Tinnitus — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Still not sleeping well. Waking up hearing noises in my home. Walk around no one there. Reported to my Dr at yearly physical last week. Memory seems to still be worse feeling like I just cant remember. Very tired mid day early afternoon · Healthcare visit (other): Normal Dr. physical

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-30
Call 1 — Left Voicemail
2021-07-06
Call successful
Completed over the phone
2021-08-13
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-11-12
Survey response — 6 months, dose 2
MedDRA: Insomnia, Memory impairment, Poor quality sleep — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lack of sleep. I have been having trouble sleeping since I got the shots. I am very restless for 2 nights then I sleep. Memory is suffering due to lack of sleep.

MedDRA releases: 2024-11 · check-in free text available
2021-12-19
Dose 3 — Moderna
2022-06-20
Dose 4 — Moderna
2022-06-21
Survey response — 6 months, dose 3
MedDRA: Insomnia — Feeling: Fair

Free text: Took last booster yesterday June 20. Did not sleep all night. Hopefully insomnia won't last as long as the first round.

MedDRA releases: 2024-11 · check-in free text available
2022-06-21
Survey response — days 1–6 daily, dose 4
MedDRA: Insomnia — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Insomnia

MedDRA releases: 2024-11 · check-in free text available
2022-06-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-06-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-06-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-25
Survey response — days 1–6 daily, dose 4
MedDRA: Fatigue, Poor quality sleep — Feeling: Fair

Free text: Tired. Don't sleep well

MedDRA releases: 2024-11 · check-in free text available
2022-06-27
Survey response — day 7, dose 4
MedDRA: Poor quality sleep — Feeling: Fair

Free text: Not sleeping well.

MedDRA releases: 2024-11 · check-in free text available
2022-07-04
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-07-11
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-07-18
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-25
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-08-01
Survey response — day 42, dose 4
MedDRA: Fatigue, Insomnia, Sinusitis — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Had bad sinus infection. I was tested and all test were negative. I feel like the vaccine causes me to lose sleep and I get worn down. After a few months I usually start sleeping better.

MedDRA releases: 2024-11 · check-in free text available
2022-08-01
Report sent to call center — day 42, dose 4
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-08-02
Call 2 — Left Voicemail
2022-08-02
Call 1 — Left Voicemail
2022-08-02
Call successful
Not applicable - Accidental Reporting
2022-09-19
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-12-19
Survey response — 6 months, dose 4
MedDRA: Insomnia, Poor quality sleep — Feeling: Fair · Be unable to do your normal daily activities

Free text: Don't sleep well. Lots of nights very little sleep.

MedDRA releases: 2024-11 · check-in free text available
2023-06-20
Survey response — 12 months, dose 4
MedDRA: Insomnia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-06	Moderna
2	2021-05-14	Moderna
3	2021-12-19	Moderna	No
4	2022-06-20	Moderna	No

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-19

Systemic reaction (other): Feels like light flu or very bad sinus

Release 8 — day 7, dose 2

2021-05-21

Systemic reaction (other): Feeling tired and like sinus headache early morning

Release 8 — day 14, dose 2

2021-05-28

Symptoms: I do not sleep well. Really have not slept well since the first shot.

Release 8 — day 21, dose 2

2021-06-04

Symptoms: Sleeplessness. Lot of nights very little sleep

Release 9 — day 35, dose 2

2021-06-18

Symptoms: Lack of sleep for a long time now. And seems like loss of short term memory

Release 9 — day 42, dose 2

2021-06-25

Symptoms: Still not sleeping well. Waking up hearing noises in my home. Walk around no one there. Reported to my Dr at yearly physical last week. Memory seems to still be worse feeling like I just cant remember. Very tired mid day early afternoon

Healthcare visit (other): Normal Dr. physical

Release 10 — 6 months, dose 2

2021-11-12

Symptoms: Lack of sleep. I have been having trouble sleeping since I got the shots. I am very restless for 2 nights then I sleep. Memory is suffering due to lack of sleep.

Release 12 — 6 months, dose 3

2022-06-21

Symptoms: Took last booster yesterday June 20. Did not sleep all night. Hopefully insomnia won't last as long as the first round.

Release 12 — days 1–6 daily, dose 4

2022-06-21

Systemic reaction (other): Insomnia

2022-06-25

Systemic reaction (other): Tired. Don't sleep well

Release 12 — day 7, dose 4

2022-06-27

Systemic reaction (other): Not sleeping well.

Release 12 — day 42, dose 4

2022-08-01

Symptoms: Had bad sinus infection. I was tested and all test were negative. I feel like the vaccine causes me to lose sleep and I get worn down. After a few months I usually start sleeping better.

Release 12 — 6 months, dose 4

2022-12-19

Symptoms: Don't sleep well. Lots of nights very little sleep.

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	✓	✓	✓
SD	Amnesia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Memory impairment	✓	✓	✓
SD	Poor quality sleep	·	·	✓
SD	Sinusitis	·	·	✓
SD	Sleep deficit	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Influenza	✓	✓	✓
SRO	Insomnia	·	·	✓
SRO	Poor quality sleep	·	·	✓
SRO	Sinus disorder	✓	✓	✓
SRO	Sinus headache	✓	✓	✓

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