2A9-93579-40331

4 vaccinations 12 coded responses 21 check-ins 10 free-text entries 11 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 934 / CA
Registered: 2021-01-04

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
1039023 (opens in a new window)	high	9 / 11	2	4 of 20 VAERS symptoms	same dose (1)	CA matches	2021-01-04 / 2021-01-04 / 2021-02-18 received 83 days before the last call	case 79161

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

2021-01-04
Registered in v-safe
2021-01-04
Dose 1 — Pfizer-BioNTech
2021-01-04
Survey response — day 0, dose 1
MedDRA: Rash — Feeling: Good · Site: Pain, Swelling

Free text: Mild rash on my face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Heart rate decreased, Heart rate increased — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Chest pain, heart rate keep going up and down even if I am not moving (43-80)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
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)
2021-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Feeling abnormal — Feeling: Fair · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Chest pain( throughout the day) Foggy brain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
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)
2021-01-07
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal, Mental impairment — Feeling: Poor · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Foggy brain, unable to think.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
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)
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-08
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)
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection site · Be unable to work

Adult check-in
2021-01-09
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-01-11
Survey response — day 7, dose 1
MedDRA: Office visit, Rash — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection site · Be unable to work, 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: Systemic reaction (other): Skin rash is not improving since last week. It is getting worst. · Healthcare visit (other): Public health

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Report sent to call center — day 7, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-19
Survey response — day 14, dose 1
MedDRA: Heart rate irregular, Rash — Feeling: Fair · Be unable to work, 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: Irregular heart rate and a skin rash all over my body.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-25
Dose 2 — Pfizer-BioNTech
2021-02-18
Call successful
Completed over the phone
2021-02-18
Call successful
Completed over the phone
2021-02-18
Call successful
Completed over the phone
2021-02-18
Call successful
Completed over the phone
2021-02-18
Call successful
Completed over the phone
2021-02-18
Call successful
Completed over the phone
2021-02-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-01
Survey response — day 35, dose 2
MedDRA: Back pain, Self-medication — Feeling: Poor · Be unable to do your normal daily activities

Free text: My back has been hurting since last Wednesday. I been taking pain medication. I have not seek medical attention as I was hoping that my sxs would improve over the weekend but the pain is increasing. I will call the doctor today for appt.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — day 42, dose 2
MedDRA: Blood urine present, Kidney infection, Nephrolithiasis, Urinary tract infection — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Infection of Kidneys and UTI. Blood in urine and kidney stone on left kidney.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Report sent to call center — day 42, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-28
Health check-in — 3 months, dose 2
Feeling: Poor

Adult check-in
2021-05-12
Call successful
Reported to VAERS during previous contact from GDIT
2021-05-12
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-07-28
Health check-in — 6 months, dose 2
Feeling: Poor

Adult check-in
2021-11-09
Dose 3 — Pfizer-BioNTech
2022-01-25
Survey response — 12 months, dose 2
MedDRA: Cough, Headache, Nasal congestion, Streptococcal infection — 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

Free text: Streptococcus, cough, possible kidney infection. Nasal congestion, headaches.

MedDRA releases: 2024-11 · check-in free text available
2022-01-25
Report sent to call center — 12 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 · 1 call case(s)
2022-01-27
Call 1 — Left Voicemail
2022-01-27
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-10-02
Dose 4 — Pfizer-BioNTech
2022-10-15
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-18
Survey response — day 14, dose 4
MedDRA: Breast mass, Headache — Feeling: Fair

Free text: Headache Lump on left tail of breast. I got a biopsy and I'm waiting for results.

MedDRA releases: 2024-11 · check-in free text available
2022-11-07
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2023-01-01
Survey response — 3 months, dose 4
MedDRA: Food allergy, Loss of personal independence in daily activities, Office visit, Rash, Somnolence — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-01-01
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-03
Call 1 — Left Voicemail
2023-01-03
Call successful
Not applicable - Accidental Reporting
2023-04-02
Survey response — 6 months, dose 4
MedDRA: Adverse food reaction — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-02
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-04-04
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-04	Pfizer-BioNTech
2	2021-01-25	Pfizer-BioNTech
3	2021-11-09	Pfizer-BioNTech	No
4	2022-10-02	Pfizer-BioNTech	No

Call center

11 call center cases

10 successful · 1 unsuccessful

VAERS report filed, before or during a call: 7

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-04

Systemic reaction (other): Mild rash on my face

Release 1 — days 1–6 daily, dose 1

2021-01-05

Systemic reaction (other): Chest pain, heart rate keep going up and down even if I am not moving (43-80)

2021-01-06

Systemic reaction (other): Chest pain( throughout the day) Foggy brain

2021-01-07

Systemic reaction (other): Foggy brain, unable to think.

Release 1 — day 7, dose 1

2021-01-11

Systemic reaction (other): Skin rash is not improving since last week. It is getting worst.

Healthcare visit (other): Public health

Release 2 — day 14, dose 1

2021-01-19

Symptoms: Irregular heart rate and a skin rash all over my body.

Release 4 — day 35, dose 2

2021-03-01

Symptoms: My back has been hurting since last Wednesday. I been taking pain medication. I have not seek medical attention as I was hoping that my sxs would improve over the weekend but the pain is increasing. I will call the doctor today for appt.

Release 5 — day 42, dose 2

2021-03-08

Symptoms: Infection of Kidneys and UTI. Blood in urine and kidney stone on left kidney.

Release 11 — 12 months, dose 2

2022-01-25

Symptoms: Streptococcus, cough, possible kidney infection. Nasal congestion, headaches.

Release 12 — day 14, dose 4

2022-10-18

Symptoms: Headache Lump on left tail of breast. I got a biopsy and I'm waiting for results.

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	Medical observation	○	○	○
HCVO	Office visit	✓	✓	✓
SD	Adverse food reaction	·	·	✓
SD	Back pain	✓	✓	✓
SD	Blood urine present	✓	✓	✓
SD	Breast mass	·	·	✓
SD	Cough	·	·	✓
SD	Food allergy	·	·	✓
SD	Headache	·	·	✓
SD	Heart rate irregular	✓	✓	✓
SD	Kidney infection	✓	✓	✓
SD	Loss of personal independence in daily activities	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nephrolithiasis	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Somnolence	·	·	✓
SD	Streptococcal infection	·	·	✓
SD	Urinary tract infection	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Condition aggravated	○	○	○
SRO	Feeling abnormal	✓	✓	✓
SRO	Heart rate decreased	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Mental impairment	✓	✓	✓
SRO	Rash	✓	✓	✓

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