2LF-15433-92974

3 vaccinations 7 coded responses 40 check-ins 6 free-text entries 5 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 601 / IL
Registered: 2021-03-23

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
2527059 (opens in a new window)	high	11 / 11	—	2 of 4 VAERS symptoms	same dose (3)	IL matches	2022-10-26 / 2022-11-21 / 2022-12-08 received the same day as the last call	case 1208474

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

2021-03-23
Registered in v-safe
2021-03-23
Dose 1 — Janssen/Johnson & Johnson
2021-03-23
Health check-in — day 0, dose 1
Feeling: Fair · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache · Be unable to work

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-30
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-09-23
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-11-26
Dose 2 — Pfizer-BioNTech
2021-11-26
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches · Be unable to work or attend school

Adult check-in
2021-11-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache · Be unable to work or attend school

Adult check-in
2021-11-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-12-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-12-03
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-12-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-12-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-12-24
Survey response — day 28, dose 2
MedDRA: Hypersensitivity, Pre-existing disease, Self-medication — Feeling: Fair

Free text: Pollen allergies (on home plants) have been very intense in the past week. I do have pollen allergies but during the winter due to low level of allergens the symptoms are insignificant. Now due to intense symptom, i need to take oral antihistamine

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2022-01-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-02-25
Survey response — 3 months, dose 2
MedDRA: Abdominal pain upper, Hyperchlorhydria — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Hyperacidity and gastric pain. Symptoms not existent now.

MedDRA releases: 2024-11 · check-in free text available
2022-02-25
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-18
Call 1 — Left Voicemail
2022-05-27
Survey response — 6 months, dose 2
MedDRA: Gastrooesophageal reflux disease, Hyperchlorhydria — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Hyperacidity and GERD

MedDRA releases: 2024-11 · check-in free text available
2022-05-27
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-31
Call 2 — Could Not Reach Participant
2022-05-31
Call 1 — Could Not Reach Participant
2022-06-03
Call 3 — Could Not Reach Participant
2022-06-03
Call 2 — Could Not Reach Participant
2022-10-26
Dose 3 — Pfizer-BioNTech
2022-10-26
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None · Be unable to work or attend school

Adult check-in
2022-10-27
Survey response — days 1–6 daily, dose 3
MedDRA: Back pain, Pre-existing disease — Feeling: Fair · Site: Pain · Chills, Muscle or body aches · Be unable to work or attend school

Free text: Lower back pain (sometimes i do suffer from L4-L5 back Pain)

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-11-04
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-11-09
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-11-16
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-11-23
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-11-30
Survey response — day 35, dose 3
MedDRA: Blood pressure increased, Dizziness, Heart rate increased, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Dizziness and increased heart rate with increased BP (bp does not exceed 142/100). Will see HCP tomorrow. · Healthcare visit (other): Will go tomorrow in immediate care

MedDRA releases: 2024-11 · check-in free text available
2022-11-30
Report sent to call center — day 35, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-12-01
Call X — Left Voicemail
2022-12-01
Call 3 — Left Voicemail
2022-12-01
Call 1 — Left Voicemail
2022-12-01
Call successful
Does not wish to fill out VAERS report
2022-12-01
Call successful
Does not wish to fill out VAERS report
2022-12-01
Call successful
Completed over the phone
2022-12-07
Survey response — day 42, dose 3
MedDRA: Vertigo — Feeling: Poor · 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: Vertigo

MedDRA releases: 2024-11 · check-in free text available
2022-12-07
Report sent to call center — day 42, 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)
2022-12-08
Call 1 — Left Voicemail
2022-12-08
Call successful
Completed over the phone
2023-01-25
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2023-04-28
Survey response — 6 months, dose 3
MedDRA: Back pain, Physiotherapy, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-04-28
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2023-05-01
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-23	Janssen/Johnson & Johnson
2	2021-11-26	Pfizer-BioNTech	No
3	2022-10-26	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-02-25	Successful 2022-12-01	Does not wish to fill out VAERS report
2022-05-27	Successful 2022-12-01	Does not wish to fill out VAERS report
2022-11-30	Successful 2022-12-01	Completed over the phone
2022-12-07	Successful 2022-12-08	Completed over the phone
2023-04-28	Unsuccessful	Reported to VAERS during previous contact from GDIT

Free text

Release 10 — day 28, dose 2

2021-12-24

Symptoms: Pollen allergies (on home plants) have been very intense in the past week. I do have pollen allergies but during the winter due to low level of allergens the symptoms are insignificant. Now due to intense symptom, i need to take oral antihistamine cut off by CDC

Release 11 — 3 months, dose 2

2022-02-25

Symptoms: Hyperacidity and gastric pain. Symptoms not existent now.

Release 11 — 6 months, dose 2

2022-05-27

Symptoms: Hyperacidity and GERD

Release 12 — days 1–6 daily, dose 3

2022-10-27

Systemic reaction (other): Lower back pain (sometimes i do suffer from L4-L5 back Pain)

Release 12 — day 35, dose 3

2022-11-30

Symptoms: Dizziness and increased heart rate with increased BP (bp does not exceed 142/100). Will see HCP tomorrow.

Healthcare visit (other): Will go tomorrow in immediate care

Release 12 — day 42, dose 3

2022-12-07

Symptoms: Vertigo

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	Physiotherapy	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Abdominal pain upper	·	·	✓
SD	Back pain	·	·	✓
SD	Blood pressure increased	·	·	✓
SD	Dizziness	·	·	✓
SD	Gastrooesophageal reflux disease	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Hyperchlorhydria	·	·	✓
SD	Hypersensitivity	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Self-medication	·	·	✓
SD	Vertigo	·	·	✓
SRO	Back pain	·	·	✓
SRO	Pre-existing disease	·	·	✓

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