66H-27170-01201

2 vaccinations 4 coded responses 15 check-ins 4 free-text entries 2 call cases

Sex: Male
Age at first dose: 46-50
ZIP prefix: 972 / OR
Registered: 2021-10-16

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
1808459 (opens in a new window)	high	8 / 11	—	0 of 8 VAERS symptoms	same dose (2)	OR matches	2021-10-16 / 2021-10-16 / 2021-10-22 received the same day as the last call	case 1106456

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

2021-09-18
Dose 1 — Moderna
2021-10-16
Registered in v-safe
2021-10-16
Dose 2 — Moderna
2021-10-16
Survey response — day 0, dose 2
MedDRA: Arthralgia, Paraesthesia, Vaccine positive rechallenge — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Tingling of the whole hand (happened after the first shot as well), shoulder pain (injection side)

MedDRA releases: 2024-11 · check-in free text available
2021-10-17
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Mobility decreased — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I cannot describe how bad the headache is. Had to take several pills as I could not move around.

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-10-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Adult check-in
2021-10-19
Report sent to call center — days 1–6 daily, dose 2
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)
2021-10-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-10-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-10-22
Call 1 — Left Voicemail
2021-10-22
Call successful
Completed over the phone
2021-10-23
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-30
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-11-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-11-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-11-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-11-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-01-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-04-16
Survey response — 6 months, dose 2
MedDRA: COVID-19, Malaise — Feeling: Poor · Be unable to work or attend school, 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: I was diagnosed with Covid on 4/7/2022 while the first symptoms started 4/2/2022. I've now been very sick for 2 weeks.

MedDRA releases: 2024-11 · check-in free text available
2022-04-16
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-20
Call 1 — Left Voicemail
2022-04-22
Call 2 — Left Voicemail
2022-10-16
Survey response — 12 months, dose 2
MedDRA: Amnesia, COVID-19, Diabetes mellitus inadequate control, Therapeutic response decreased — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Memory loss and memory lapses. Haven't been able to control my blood sugars since Covid - medication stopped working.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-09-18	Moderna	No
2	2021-10-16	Moderna	No

Call center

2 call center cases

1 successful · 1 unsuccessful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 10 — day 0, dose 2

2021-10-16

Systemic reaction (other): Tingling of the whole hand (happened after the first shot as well), shoulder pain (injection side)

Release 10 — days 1–6 daily, dose 2

2021-10-17

Systemic reaction (other): I cannot describe how bad the headache is. Had to take several pills as I could not move around.

Release 11 — 6 months, dose 2

2022-04-16

Symptoms: I was diagnosed with Covid on 4/7/2022 while the first symptoms started 4/2/2022. I've now been very sick for 2 weeks.

Release 12 — 12 months, dose 2

2022-10-16

Symptoms: Memory loss and memory lapses. Haven't been able to control my blood sugars since Covid - medication stopped working.

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	Amnesia	·	·	✓
SD	COVID-19	·	·	✓
SD	Diabetes mellitus inadequate control	·	·	✓
SD	Malaise	·	·	✓
SD	Therapeutic response decreased	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Headache	·	·	✓
SRO	Mobility decreased	·	·	✓
SRO	Paraesthesia	·	·	✓
SRO	Vaccine positive rechallenge	·	·	✓

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