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ZNE-40141-46282

2 vaccinations 3 coded responses 18 check-ins 3 free-text entries 2 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
981 / WA
Registered
2021-02-20
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Possible VAERS report

VAERS IDConfidenceScoreRunner-upShared symptomsDose StateVAERS vaccinated / onset / receivedCall case
1407087 (opens in a new window) high 8 / 11 1 0 of 4 VAERS symptoms same dose (2) WA matches 2021-03-04 / 2021-03-04 / 2021-06-17
received 77 days after the last call
 case 436176

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

  1. 2021-02-04
    Dose 1 — Moderna
  2. 2021-02-20
    Registered in v-safe
  3. 2021-02-20
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-02-27
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-03-04
    Dose 2 — Moderna
  6. 2021-03-04
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-03-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Confusional state, Dementia, Pre-existing disease, Speech disorder, Walking aid user — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Ted has dementia which has been considerably worse: needs a walker now (not before), cannot talk intelligibly, not understand what he hears or sees.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  9. 2021-03-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-03-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-03-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-03-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-03-11
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-03-18
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-25
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-01
    Survey response — day 28, dose 2
    MedDRA: Cognitive disorder, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: (Speaking for my husband who has Alzheimer's) My husband cognitive decline has increased markedly in this past week. · Healthcare visit (other): This will be reported to his neurologist in his regular follow-up check-up.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-01
    Report sent to call center — day 28, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2021-04-08
    Survey response — day 35, dose 2
    MedDRA: Agitation, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Ted had Alzheimer's dementia. He has become more agitated. I don't ascribe this new development to the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-08
    Report sent to call center — day 35, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  20. 2021-04-15
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  21. 2021-06-03
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-09
  23. 2021-06-11
  24. 2021-06-15
  25. 2021-06-16
  26. 2021-06-16
  27. 2021-06-17
    Call successful
    Completed over the phone
  28. 2021-09-02
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2022-03-04
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-04Moderna
22021-03-04Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-04-01 Successful Completed over the phone
2021-04-08 Successful
2021-06-17
 Completed over the phone

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-05

Systemic reaction (other): Ted has dementia which has been considerably worse: needs a walker now (not before), cannot talk intelligibly, not understand what he hears or sees.

Release 6 — day 28, dose 2

2021-04-01

Symptoms: (Speaking for my husband who has Alzheimer's) My husband cognitive decline has increased markedly in this past week.
Healthcare visit (other): This will be reported to his neurologist in his regular follow-up check-up.

Release 7 — day 35, dose 2

2021-04-08

Symptoms: Ted had Alzheimer's dementia. He has become more agitated. I don't ascribe this new development to the vaccine.

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

FieldPreferred term2021-092023-042024-11
HCVOUnevaluable event ✓ ✓ ✓
SDAgitation ✓ ✓ ✓
SDCognitive disorder ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SROConfusional state ✓ ✓ ✓
SRODementia ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROSpeech disorder ✓ ✓ ✓
SROWalking aid user ✓ ✓ ✓

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

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