6ML-87430-69486

3 vaccinations 9 coded responses 22 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 596 / MT
Registered: 2021-03-20

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
1906249 (opens in a new window)	high	10 / 11	-3	2 of 6 VAERS symptoms	same dose (2)	MT matches	2021-04-08 / 2021-04-08 / 2021-11-29 received the same day as the last call	case 1072206

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

2021-03-09
Dose 1 — Moderna
2021-03-20
Registered in v-safe
2021-03-20
Survey response — day 7, dose 1
MedDRA: Injection site discolouration, Injection site warmth, Pruritus — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Abdominal pain · Be unable to do your normal daily activities

Free text: Very hot at injection site. No problems until eve of 3-19-21. First itchiness but i did not touch the area. Later that eve had a apx 2" diameter dark pink area around injection site. On 3-20-21 the area still llooks like that. Reported it to vaccinator & was told they are receiving other calls from people having the same delayed reaction. Nurse friend saw same on patient on Friday at the privste MD she works for. We all received this shot at the same vaccination site in (b)(6) MT on 3-9-21. We all were given Moderns lot #

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-01
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-08
Dose 2 — Moderna
2021-04-08
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Good

Free text: Louder tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — day 7, dose 2
MedDRA: Pre-existing disease, Tinnitus — Feeling: Good

Free text: Louder tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-29
Survey response — day 21, dose 2
MedDRA: Headache, Night sweats — Feeling: Fair

Free text: Mild headache. Night sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — day 28, dose 2
Feeling: Good

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

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

Adult check-in
2021-07-08
Survey response — 3 months, dose 2
MedDRA: Tinnitus, Tremor — Feeling: Fair

Free text: Continued loud tinnitus that started after vaccination is not subsiding. Mild hand tremor.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-07
Survey response — 6 months, dose 2
MedDRA: Deafness bilateral, Head discomfort, Office visit, Tinnitus — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Very loud tinnitus since vaccine with tinnitus in both ears vs just one. now worsening hearing loss in both ears, pressure in head. · Healthcare visit (other): Ent appointment

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-29
Dose 3 — Moderna
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Fever · Headache, Nausea

Adult check-in
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Feeling hot, Injection site bruising, Swelling — Feeling: Fair · Site: Swelling · Rash, not including the immediate area around the injection site

Free text: Bruise at injection site, swelling ,& heat on knuckle of index finger on shot arm.

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: Tinnitus — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Very loud tinnitus now both ears

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

Adult check-in
2021-11-29
Call successful
Completed over the phone
2021-12-01
Health check-in — day 28, dose 3
Feeling: Fair

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

Adult check-in
2022-04-29
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Moderna
2	2021-04-08	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 6 — day 7, dose 1

2021-03-20

Systemic reaction (other): Very hot at injection site. No problems until eve of 3-19-21. First itchiness but i did not touch the area. Later that eve had a apx 2" diameter dark pink area around injection site. On 3-20-21 the area still llooks like that. Reported it to vaccinator & was told they are receiving other calls from people having the same delayed reaction. Nurse friend saw same on patient on Friday at the privste MD she works for. We all received this shot at the same vaccination site in (b)(6) MT on 3-9-21. We all were given Moderns lot #

redacted (b)(6)

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): Dizzy

2021-04-14

Systemic reaction (other): Louder tinnitus

Release 7 — day 7, dose 2

2021-04-15

Systemic reaction (other): Louder tinnitus

Release 8 — day 21, dose 2

2021-04-29

Symptoms: Mild headache. Night sweats

Release 9 — 3 months, dose 2

2021-07-08

Symptoms: Continued loud tinnitus that started after vaccination is not subsiding. Mild hand tremor.

Release 10 — 6 months, dose 2

2021-10-07

Symptoms: Very loud tinnitus since vaccine with tinnitus in both ears vs just one. now worsening hearing loss in both ears, pressure in head.

Healthcare visit (other): Ent appointment

Release 10 — days 1–6 daily, dose 3

2021-11-02

Systemic reaction (other): Bruise at injection site, swelling ,& heat on knuckle of index finger on shot arm.

2021-11-03

Systemic reaction (other): Very loud tinnitus now both ears

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	Deafness bilateral	·	·	✓
SD	Head discomfort	·	·	✓
SD	Headache	✓	✓	✓
SD	Night sweats	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SD	Tremor	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling hot	·	·	✓
SRO	Injection site bruising	·	·	✓
SRO	Injection site discolouration	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Swelling	·	·	✓
SRO	Tinnitus	✓	✓	✓

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