2JY-26369-23729

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
1801216 (opens in a new window)	high	11 / 11	5	2 of 3 VAERS symptoms	same dose (3)	MA matches	2021-09-28 / 2021-10-01 / 2021-10-20 received the same day as the last call	case 1106044

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-07
Dose 1 — Pfizer-BioNTech
2021-03-01
Dose 2 — Pfizer-BioNTech
2021-09-28
Dose 3 — Pfizer-BioNTech
2021-10-15
Registered in v-safe
2021-10-15
Survey response — day 14, dose 3
MedDRA: Herpes zoster, Office visit — Feeling: Good · 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: Symptoms: Shingles 2 infections on left leg · Healthcare visit (other): Primary care facility

MedDRA releases: 2024-11 · check-in free text available
2021-10-15
Report sent to call center — day 14, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-19
Survey response — day 21, dose 3
MedDRA: Fatigue, Nasal congestion, Pre-existing disease, SARS-CoV-2 test — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Still after pain from shingles inJune 2021, shingles pain still exists. Stuffy nose . Tired · Healthcare visit (other): Covid test

MedDRA releases: 2024-11 · check-in free text available
2021-10-19
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-20
Call successful
Completed over the phone
2021-10-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-04
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-09
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-28
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-03-29
Survey response — 6 months, dose 3
MedDRA: Condition aggravated, Herpes zoster, Office visit, Pre-existing disease, Skin irritation — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Muscle issues In hips, not necessarily new but more of a problem. Seeking physical therapy.Still some irritation from the shingles that I had since June 2021. The shingles appeared after my second shot. Have no idea what may be related to the vaccine · Healthcare visit (other): Regular checkup and xrays

MedDRA releases: 2024-11 · check-in free text available
2022-03-29
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

1 call case(s)
2022-03-31
Call successful
Does not wish to fill out VAERS report
2022-09-28
Survey response — 12 months, dose 3
MedDRA: Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Left leg ankle. Something is going on for a year now. Hasn't been identified. Waiting for a dermatologist appointment.

MedDRA releases: 2024-11 · check-in free text available
2022-09-28
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-29
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-07	Pfizer-BioNTech	No
2	2021-03-01	Pfizer-BioNTech	No
3	2021-09-28	Pfizer-BioNTech	No

Call center

4 call center cases

4 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 10 — day 14, dose 3

2021-10-15

Symptoms: Shingles 2 infections on left leg

Healthcare visit (other): Primary care facility

Release 10 — day 21, dose 3

2021-10-19

Symptoms: Still after pain from shingles inJune 2021, shingles pain still exists. Stuffy nose . Tired

Healthcare visit (other): Covid test

Release 11 — 6 months, dose 3

2022-03-29

Symptoms: Muscle issues In hips, not necessarily new but more of a problem. Seeking physical therapy.Still some irritation from the shingles that I had since June 2021. The shingles appeared after my second shot. Have no idea what may be related to the vaccine cut off by CDC

Healthcare visit (other): Regular checkup and xrays

Release 12 — 12 months, dose 3

2022-09-28

Symptoms: Left leg ankle. Something is going on for a year now. Hasn't been identified. Waiting for a dermatologist appointment.

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	·	·	✓
HCVO	SARS-CoV-2 test	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Fatigue	·	·	✓
SD	Herpes zoster	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Skin irritation	·	·	✓
SD	Unevaluable event	·	·	✓

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

Possible VAERS report