4PK-24261-44722

5 vaccinations 10 coded responses 60 check-ins 9 free-text entries 2 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 972 / OR
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
2312093 (opens in a new window)	high	11 / 11	2	2 of 4 VAERS symptoms	same dose (4)	OR matches	2022-04-25 / 2022-04-26 / 2022-06-07 received the same day as the last call	case 767243

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
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Diarrhea, Abdominal pain

Adult check-in
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Constipation, Insomnia — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Constipation, sleeplessness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Nausea

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — day 7, dose 1
Feeling: Poor · Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-08
Dose 2 — Moderna
2021-04-08
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-15
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

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

Adult check-in
2021-04-29
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-21
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-08
Survey response — 3 months, dose 2
MedDRA: Brachial plexus injury, Hyperhidrosis, Neuralgia, Office visit, Pyrexia, Sleep disorder, Tinnitus, Tremor — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Low grade fever last 10 days, awoke once sweats & shaking, pulsating tinnitus, left brachial plexus pain. · Healthcare visit (other): Visit was for left shoulder only

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-08
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-12
Call 2 — Left Voicemail
2021-07-29
Call successful
Completed over the phone
2021-10-08
Survey response — 6 months, dose 2
MedDRA: Tinnitus — Feeling: Fair

Free text: Pulsatile Tinnitus

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Dose 3 — Moderna
2021-10-26
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Joint pains, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2021-11-02
Survey response — day 7, dose 3
MedDRA: Tinnitus — Feeling: Good · Headache, Fatigue or tiredness

Free text: Ongoing pulsatile Tinnitus since around March. Probably unrelated to vaccine shot.

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-17
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-23
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-30
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-07
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-25
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-25
Dose 4 — Moderna
2022-04-26
Survey response — days 1–6 daily, dose 4
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Increase in existing pulsatile tinnitus symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-04-28
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Muscle or body aches, Diarrhea, Abdominal pain

Adult check-in
2022-04-29
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-04-30
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-05-01
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-05-02
Health check-in — day 7, dose 4
Feeling: Fair · Fatigue or tiredness, Abdominal pain

Adult check-in
2022-05-10
Survey response — day 14, dose 4
MedDRA: Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Liquid diarrhea since 2nd booster 2 wks ago. Don't know if connected.

MedDRA releases: 2024-11 · check-in free text available
2022-05-18
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-24
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-30
Survey response — day 35, dose 4
MedDRA: Abdominal pain, Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Worse diarrhea and abdominal pain after it had briefly been better

MedDRA releases: 2024-11 · check-in free text available
2022-06-06
Survey response — day 42, dose 4
MedDRA: Adverse reaction, Gastroenteritis eosinophilic — Feeling: Fair · 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

Free text: Recently diagnosed with eosinophilic gastroenteritis, symptoms of which began the day after 2nd covid booster.

MedDRA releases: 2024-11 · check-in free text available
2022-06-06
Report sent to call center — day 42, dose 4
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 · 1 call case(s)
2022-06-07
Call 1 — Left Voicemail
2022-06-07
Call 1 — Left Voicemail
2022-06-07
Call successful
Completed over the phone
2022-07-25
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-09-29
Dose 5 — Pfizer-BioNTech
2022-10-01
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Chills, Diarrhea

Adult check-in
2022-10-02
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Diarrhea

Adult check-in
2022-10-03
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Diarrhea

Adult check-in
2022-10-04
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fever · Diarrhea

Adult check-in
2022-10-06
Health check-in — day 7, dose 5
Feeling: Good · Diarrhea

Adult check-in
2022-10-13
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-10-20
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-10-27
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-11-05
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-11
Survey response — day 42, dose 5
MedDRA: Diarrhoea — Feeling: Fair

Free text: Diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-12-29
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-03-30
Survey response — 6 months, dose 5
MedDRA: Osteoporosis — Feeling: Fair

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Moderna
2	2021-04-08	Moderna
3	2021-10-26	Moderna	No
4	2022-04-25	Moderna	No
5	2022-09-29	Pfizer-BioNTech	No

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 5 — days 1–6 daily, dose 1

2021-03-14

Systemic reaction (other): Constipation, sleeplessness

Release 9 — 3 months, dose 2

2021-07-08

Symptoms: Low grade fever last 10 days, awoke once sweats & shaking, pulsating tinnitus, left brachial plexus pain.

Healthcare visit (other): Visit was for left shoulder only

Release 10 — 6 months, dose 2

2021-10-08

Symptoms: Pulsatile Tinnitus

Release 10 — day 7, dose 3

2021-11-02

Systemic reaction (other): Ongoing pulsatile Tinnitus since around March. Probably unrelated to vaccine shot.

Release 11 — days 1–6 daily, dose 4

2022-04-26

Systemic reaction (other): Increase in existing pulsatile tinnitus symptoms

Release 11 — day 14, dose 4

2022-05-10

Symptoms: Liquid diarrhea since 2nd booster 2 wks ago. Don't know if connected.

Release 11 — day 35, dose 4

2022-05-30

Symptoms: Worse diarrhea and abdominal pain after it had briefly been better

Release 11 — day 42, dose 4

2022-06-06

Symptoms: Recently diagnosed with eosinophilic gastroenteritis, symptoms of which began the day after 2nd covid booster.

Release 12 — day 42, dose 5

2022-11-11

Symptoms: Diarrhea

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	Abdominal pain	·	·	✓
SD	Adverse reaction	·	·	✓
SD	Brachial plexus injury	○	✓	○
SD	Diarrhoea	·	·	✓
SD	Gastroenteritis eosinophilic	·	·	✓
SD	Hyperhidrosis	✓	✓	✓
SD	Neuralgia	✓	·	✓
SD	Osteoporosis	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Sleep disorder	✓	·	✓
SD	Tinnitus	✓	✓	✓
SD	Tremor	✓	✓	✓
SRO	Condition aggravated	·	·	✓
SRO	Constipation	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Pre-existing disease	·	·	✓
SRO	Tinnitus	·	·	✓

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