YDX-29448-51948

3 vaccinations 8 coded responses 22 check-ins 8 free-text entries 4 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 787 / TX
Registered: 2021-01-18

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
2427947 (opens in a new window)	high	8 / 11	6	0 of 5 VAERS symptoms	same dose (3)	TX matches	2021-08-25 / 2021-08-26 / 2022-09-02 received 189 days after the last call	case 247751

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

2021-01-16
Dose 1 — Moderna
2021-01-18
Registered in v-safe
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Confusional state, Fatigue, Hallucination — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Extremely extreme weakness, fatigue and serious confusion and hallucinations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Confusional state, Dysstasia, Hallucination — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Free text: On 01/17/2021, EXTREME weakness, inability to stand or even sit, hallucinations and bad confusion. Lasted 2 days. Almost back to normal, not quite. Reported to VAERS on ,01/17/2021

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-01
Survey response — day 14, dose 1
MedDRA: Blood glucose fluctuation — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Blood sugar ups and downs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-06
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-13
Survey response — day 28, dose 1
MedDRA: Abdominal pain upper, Diarrhoea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Stomach ache, diahrrea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — day 35, dose 1
MedDRA: Abdominal pain upper, Diarrhoea, Fatigue — Feeling: Poor · Be unable to do your normal daily activities

Free text: Stomachache and diarrhea. Exhaustion.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Dose 2 — Moderna
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-01
Health check-in — day 7, dose 2
Feeling: Poor · Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities

Adult check-in
2021-03-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-22
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-31
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-07
Survey response — day 42, dose 2
MedDRA: Diarrhoea, Nausea — Feeling: Fair

Free text: Diarrhea and nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-06-01
Call 1 — Could Not Reach Participant
2021-06-04
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-08-23
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-08-25
Dose 3 — Moderna
2021-11-24
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-02-23
Survey response — 6 months, dose 3
MedDRA: Confusional state, Incontinence, Memory impairment — 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: Incontinence and confusion and forgetfulness

MedDRA releases: 2024-11 · check-in free text available
2022-02-23
Report sent to call center — 6 months, dose 3
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)
2022-02-25
Call successful
Completed over the phone
2022-08-27
Survey response — 12 months, dose 3
MedDRA: Cellulitis, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Left leg cellulitis · Healthcare visit (other): Saw regular Dr.

MedDRA releases: 2024-11 · check-in free text available
2022-08-27
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-08-29
Call 1 — Requested Callback
2022-09-02
Callback requested for
05:00PM ET
2022-09-02
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-16	Moderna
2	2021-02-22	Moderna
3	2021-08-25	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-18	priority 2/3
2021-02-01	Successful 2021-06-04	Reported to VAERS voluntarily prior to GDIT contact
2022-02-23	Successful 2022-02-25	Completed over the phone
2022-08-27	Successful 2022-09-02	Completed over the phone

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-18

Systemic reaction (other): Extremely extreme weakness, fatigue and serious confusion and hallucinations

2021-01-22

Systemic reaction (other): On 01/17/2021, EXTREME weakness, inability to stand or even sit, hallucinations and bad confusion. Lasted 2 days. Almost back to normal, not quite. Reported to VAERS on ,01/17/2021

Release 3 — day 14, dose 1

2021-02-01

Symptoms: Blood sugar ups and downs

Release 4 — day 28, dose 1

2021-02-13

Symptoms: Stomach ache, diahrrea

Release 4 — day 35, dose 1

2021-02-20

Symptoms: Stomachache and diarrhea. Exhaustion.

Release 7 — day 42, dose 2

2021-04-07

Symptoms: Diarrhea and nausea

Release 11 — 6 months, dose 3

2022-02-23

Symptoms: Incontinence and confusion and forgetfulness

Release 12 — 12 months, dose 3

2022-08-27

Symptoms: Left leg cellulitis

Healthcare visit (other): Saw regular Dr.

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 upper	✓	✓	✓
SD	Blood glucose fluctuation	✓	✓	✓
SD	Cellulitis	·	·	✓
SD	Confusional state	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Incontinence	·	·	✓
SD	Memory impairment	·	·	✓
SD	Nausea	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Confusional state	✓	✓	✓
SRO	Dysstasia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Hallucination	✓	✓	✓

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