YNT-23276-51366

2 vaccinations 11 coded responses 22 check-ins 11 free-text entries 5 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 673 / KS
Registered: 2021-01-14

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
1403641 (opens in a new window)	high	10 / 11	—	4 of 12 VAERS symptoms	same dose (2)	KS matches	2021-02-15 / 2021-03-07 / 2021-06-16 received the same day as the last call	case 698332

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

2021-01-14
Registered in v-safe
2021-01-14
Dose 1 — Moderna
2021-01-14
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-15
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Some nasal congestion.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Paraesthesia — Feeling: Good · Site: Pain, Swelling

Free text: Dry tingling cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-01-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-11
Survey response — day 28, dose 1
MedDRA: Dizziness, Gastrooesophageal reflux disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Acid reflux and dizziness, equilibrium issues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Dose 2 — Moderna
2021-02-18
Survey response — days 1–6 daily, dose 2
MedDRA: Balance disorder, Dizziness — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Equilibrium off and tje feeling of dizziness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — days 1–6 daily, dose 2
MedDRA: Oral herpes — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Fever blisters in nose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Balance disorder — Feeling: Good

Free text: Equilibrium still feels off.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Balance disorder, Oral herpes — Feeling: Good

Free text: Still have some equilibrium issues. Cold sores.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — day 7, dose 2
MedDRA: Dyspepsia — Feeling: Good

Free text: Acid indigestion.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-08
Survey response — day 21, dose 2
MedDRA: Balance disorder, Deafness, Tinnitus — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Ringing in left ear and loss of hearing in it. Equilibrium still off most of the time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-15
Survey response — day 28, dose 2
MedDRA: Ear discomfort, Gastrointestinal disorder, Gastrooesophageal reflux disease, Tinnitus — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Ringing in ears and plugged up and cannot hear in left ear. Acid reflux and stomach issues from it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-22
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-29
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-17
Survey response — 3 months, dose 2
MedDRA: Ageusia, Anosmia, Gastric disorder, Gastrooesophageal reflux disease, Hypoacusis, Tinnitus — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Ringing in ears and 40 percent loss of hearing in left ear. Acid reflux and stomach issues. Still no taste or smell.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-16
Callback requested for
05:00PM ET
2021-06-16
Callback requested for
05:00PM ET
2021-06-16
Callback requested for
05:00PM ET
2021-06-16
Call successful
Completed over the phone
2021-08-16
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-15
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-15	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-15	priority 2/3
2021-01-16	priority 2/3
2021-03-08	Successful	Completed over the phone
2021-03-15	Successful	Completed over the phone
2021-05-17	Successful 2021-06-16	Completed over the phone

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-16

Systemic reaction (other): Some nasal congestion.

2021-01-18

Systemic reaction (other): Dry tingling cough

Release 4 — day 28, dose 1

2021-02-11

Symptoms: Acid reflux and dizziness, equilibrium issues.

Release 4 — days 1–6 daily, dose 2

2021-02-18

Systemic reaction (other): Equilibrium off and tje feeling of dizziness.

2021-02-19

Systemic reaction (other): Fever blisters in nose.

2021-02-20

Systemic reaction (other): Equilibrium still feels off.

2021-02-21

Systemic reaction (other): Still have some equilibrium issues. Cold sores.

Release 4 — day 7, dose 2

2021-02-22

Systemic reaction (other): Acid indigestion.

Release 5 — day 21, dose 2

2021-03-08

Symptoms: Ringing in left ear and loss of hearing in it. Equilibrium still off most of the time.

Release 5 — day 28, dose 2

2021-03-15

Symptoms: Ringing in ears and plugged up and cannot hear in left ear. Acid reflux and stomach issues from it.

Release 8 — 3 months, dose 2

2021-05-17

Symptoms: Ringing in ears and 40 percent loss of hearing in left ear. Acid reflux and stomach issues. Still no taste or smell.

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	Ageusia	✓	✓	✓
SD	Anosmia	✓	✓	✓
SD	Balance disorder	✓	✓	✓
SD	Deafness	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Ear discomfort	✓	✓	✓
SD	Gastric disorder	✓	✓	✓
SD	Gastrointestinal disorder	✓	✓	✓
SD	Gastrooesophageal reflux disease	✓	✓	✓
SD	Hypoacusis	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SRO	Balance disorder	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Oral herpes	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓

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