2FF-32704-97023

3 vaccinations 9 coded responses 25 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 563 / MN
Registered: 2021-01-02

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
2250156 (opens in a new window)	high	10 / 11	2	6 of 13 VAERS symptoms	same dose (2)	MN matches	2021-01-22 / 2021-02-01 / 2022-04-25 received the same day as the last call	case 879145

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

2021-01-02
Registered in v-safe
2021-01-02
Dose 1 — Pfizer-BioNTech
2021-01-02
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite, Feeding disorder — Feeling: Good · Site: Pain

Free text: Loss of appetite-not nauseous but didn't want to eat until this evening

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Injection site pain, Rhinorrhoea — Feeling: Good · Site: Pain · Headache

Free text: Unusual runny nose-slight headache and injection site pain is lessening

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-07
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea — Feeling: Good · Headache

Free text: Slight runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-09
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-16
Survey response — day 14, dose 1
MedDRA: Headache, Rhinorrhoea — Feeling: Good

Free text: Intermittent runny nose and mild headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Dose 2 — Pfizer-BioNTech
2021-01-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — day 7, dose 2
Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-05
Survey response — day 42, dose 2
MedDRA: Arthritis, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: Bad flare up of arthritis on 3/1 continued to 3/4

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — 3 months, dose 2
MedDRA: Arthritis, Pre-existing disease, Sensitivity to weather change — Feeling: Good

Free text: I have had worsened arthritis flares associated with weather changes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-23
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Bursitis, Tendon rupture — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: In April I developed bursitis with excruciating pain in left shoulder. Never had this before. Then on May 2nd, while normally walking, my peroneal tendon ruptured.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-23
Report sent to call center — 6 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

1 call case(s)
2021-07-29
Call 1 — Left Voicemail
2021-10-15
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2022-01-22
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-20
Survey response — 6 months, dose 3
MedDRA: Acupuncture, Arthralgia, Bursitis, Chiropractic, Massage, Physiotherapy — Feeling: Fair · 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, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: After January 22nd second vaccine developed left shoulder pain that progressed to an acute left shoulder bursitis. Have never had that before. Pain was excruciating. Did multiple PT, chiropractic, massage and acupuncture treatments with no relief. · Healthcare visit (other): Also multiple ATR chiropractic treatments, acupuncture and massage.

MedDRA releases: 2024-11 · check-in free text available
2022-04-20
Report sent to call center — 6 months, dose 3
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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-21
Call 1 — Left Voicemail
2022-04-25
Call successful
Completed over the phone
2022-04-25
Call successful
Does not wish to fill out VAERS report
2022-10-17
Survey response — 12 months, dose 3
MedDRA: Bursitis, Shoulder injury related to vaccine administration, Tendon rupture, Tenoplasty — Feeling: Fair · 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, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: I developed SIRVA after my 1/22/21 Covid vaccine booster as it was given in my L deltoid w/a 1.5 inch prefilled syringe. 4/28/21 developed acute L bursitis which led to spontaneous rupture of L supraspinatus tendon and L ft peroneus longus tendon · Healthcare visit (other): Had surgical repair of L peroneus longus tendon 6/10/21 and 9/26/22 repair of ruptured supraspinatus tendon

MedDRA releases: 2024-11 · check-in free text available
2022-10-17
Report sent to call center — 12 months, dose 3
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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-18
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-02	Pfizer-BioNTech
2	2021-01-22	Pfizer-BioNTech
3	2021-10-15	Pfizer-BioNTech	Flu

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-03

Systemic reaction (other): Loss of appetite-not nauseous but didn't want to eat until this evening

2021-01-04

Systemic reaction (other): Unusual runny nose-slight headache and injection site pain is lessening

2021-01-07

Systemic reaction (other): Slight runny nose

Release 2 — day 14, dose 1

2021-01-16

Symptoms: Intermittent runny nose and mild headache

Release 5 — day 42, dose 2

2021-03-05

Symptoms: Bad flare up of arthritis on 3/1 continued to 3/4

Release 7 — 3 months, dose 2

2021-04-23

Symptoms: I have had worsened arthritis flares associated with weather changes.

Release 9 — 6 months, dose 2

2021-07-23

Symptoms: In April I developed bursitis with excruciating pain in left shoulder. Never had this before. Then on May 2nd, while normally walking, my peroneal tendon ruptured.

Release 11 — 6 months, dose 3

2022-04-20

Symptoms: After January 22nd second vaccine developed left shoulder pain that progressed to an acute left shoulder bursitis. Have never had that before. Pain was excruciating. Did multiple PT, chiropractic, massage and acupuncture treatments with no relief.

Healthcare visit (other): Also multiple ATR chiropractic treatments, acupuncture and massage.

Release 12 — 12 months, dose 3

2022-10-17

Symptoms: I developed SIRVA after my 1/22/21 Covid vaccine booster as it was given in my L deltoid w/a 1.5 inch prefilled syringe. 4/28/21 developed acute L bursitis which led to spontaneous rupture of L supraspinatus tendon and L ft peroneus longus tendon

Healthcare visit (other): Had surgical repair of L peroneus longus tendon 6/10/21 and 9/26/22 repair of ruptured supraspinatus tendon

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	Acupuncture	·	·	✓
HCVO	Chiropractic	·	·	✓
HCVO	Massage	·	·	✓
HCVO	Tendon rupture	·	·	✓
HCVO	Tenoplasty	·	·	✓
SD	Acupuncture	·	·	✓
SD	Arthralgia	✓	·	✓
SD	Arthritis	✓	✓	✓
SD	Bursitis	✓	·	✓
SD	Chiropractic	·	·	✓
SD	Headache	✓	✓	✓
SD	Massage	·	·	✓
SD	Physiotherapy	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sensitivity to weather change	✓	✓	✓
SD	Shoulder injury related to vaccine administration	·	·	✓
SD	Tendon rupture	✓	·	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Feeding disorder	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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