44N-31336-96291

2 vaccinations 7 coded responses 20 check-ins 7 free-text entries 2 call cases

Sex: Male
Age at first dose: 51-55
ZIP prefix: 928 / CA
Registered: 2021-01-06

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
1948631 (opens in a new window)	high	9 / 11	1	1 of 11 VAERS symptoms	same dose (2)	CA matches	2021-02-03 / 2021-02-10 / 2021-12-14 received 286 days after the last call	case 283942

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

2021-01-06
Registered in v-safe
2021-01-06
Dose 1 — Moderna
2021-01-06
Survey response — day 0, dose 1
MedDRA: Dysgeusia, Hypoaesthesia oral — Feeling: Fair

Free text: Numb lips. Bad taste

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia — Feeling: Fair · Site: Pain

Free text: Pain in opposite shoulder as well but i was lifting weights

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Health check-in — day 7, dose 1
Feeling: Fair · None

Adult check-in
2021-01-20
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-01-29
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-03
Dose 2 — Moderna
2021-02-03
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Aphthous ulcer — Feeling: Fair · Rash, not including the immediate area around the injection site

Free text: Cancre sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Poor · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-24
Survey response — day 21, dose 2
MedDRA: Memory impairment — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: I hVe msmory problems from thia vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — day 28, dose 2
MedDRA: Amnesia, Emergency care, Memory impairment, Thinking abnormal — Feeling: Poor · 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, Emergency room or emergency department visit

Free text: Memory problems. I tboight i had a stroke my memory has been so bad. I went to the er and tbey said no stroke but i have chronic memiry trouble and slowed pricessing since my second dose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Report sent to call center — day 28, dose 2
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)
2021-03-10
Survey response — day 35, dose 2
MedDRA: Cognitive disorder, Emergency care, Office visit — Feeling: Poor · 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, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Symptoms: Cogbitive impairment....i think im havibg an auto8mmune reaction maybe or encephalitia or mwningitis. · Healthcare visit (other): Cardiologist, neuroligist, ct scan, er visit urgent care....call me i need some insight into thia thing (b)(6)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Report sent to call center — day 35, dose 2
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)
2021-05-07
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-12-14
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Moderna
2	2021-02-03	Moderna

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-06

Systemic reaction (other): Numb lips. Bad taste

Release 1 — days 1–6 daily, dose 1

2021-01-07

Systemic reaction (other): Pain in opposite shoulder as well but i was lifting weights

Release 3 — days 1–6 daily, dose 2

2021-02-05

Systemic reaction (other): Cancre sore

2021-02-09

Systemic reaction (other): Sore throat

Release 4 — day 21, dose 2

2021-02-24

Symptoms: I hVe msmory problems from thia vaccine

Release 4 — day 28, dose 2

2021-03-03

Symptoms: Memory problems. I tboight i had a stroke my memory has been so bad. I went to the er and tbey said no stroke but i have chronic memiry trouble and slowed pricessing since my second dose

Release 5 — day 35, dose 2

2021-03-10

Symptoms: Cogbitive impairment....i think im havibg an auto8mmune reaction maybe or encephalitia or mwningitis.

Healthcare visit (other): Cardiologist, neuroligist, ct scan, er visit urgent care....call me i need some insight into thia thing (b)(6)

redacted (b)(6)

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	Emergency care	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Amnesia	○	✓	○
SD	Cognitive disorder	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Memory impairment	✓	✓	✓
SD	Thinking abnormal	✓	·	✓
SRO	Aphthous ulcer	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Hypoaesthesia oral	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓

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