2WU-31738-61437

4 vaccinations 15 coded responses 44 check-ins 14 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 981 / WA
Registered: 2021-03-15

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
2465760 (opens in a new window)	high	11 / 11	9	9 of 17 VAERS symptoms	same dose (4)	WA matches	2022-09-19 / 2022-09-19 / 2022-09-30 received the same day as the last call	case 1033161

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

2021-03-14
Dose 1 — Pfizer-BioNTech
2021-03-15
Registered in v-safe
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Oral pruritus, Pruritus — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: Itching on face, mouth and arms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Eye pruritus, Pruritus — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Itching - face eyes arms,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Fair · Fatigue or tiredness · Be unable to work

Free text: Itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache · Be unable to do your normal daily activities

Adult check-in
2021-03-21
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-06
Dose 2 — Pfizer-BioNTech
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache, Joint pains, Diarrhea · Be unable to work

Adult check-in
2021-04-14
Health check-in — day 7, dose 2
Feeling: Fair · Site: Itching · Headache · Be unable to work

Adult check-in
2021-04-20
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-11
Dose 3 — Pfizer-BioNTech
2021-10-11
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-12
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness, Feeling hot — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizziness and hot

MedDRA releases: 2024-11 · check-in free text available
2021-10-13
Survey response — days 1–6 daily, dose 3
MedDRA: Pruritus — Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Mild facial itching

MedDRA releases: 2024-11 · check-in free text available
2021-10-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-18
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-26
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-01
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-08
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-15
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-22
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-11
Survey response — 6 months, dose 3
MedDRA: Anxiety, Insomnia, Migraine — Feeling: Fair · 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: Insomnia, increased migraines, anxiety

MedDRA releases: 2024-11 · check-in free text available
2022-04-11
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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-29
Call 1 — Left Voicemail
2022-09-19
Dose 4 — Pfizer-BioNTech
2022-09-21
Survey response — days 1–6 daily, dose 4
MedDRA: Erythema, Eye pruritus, Pruritus, Urticaria — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Two days ago, itchy face, eyes and red welps around eyes

MedDRA releases: 2024-11 · check-in free text available
2022-09-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness, Diarrhea

Adult check-in
2022-09-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2022-09-24
Survey response — days 1–6 daily, dose 4
MedDRA: Brain fog, Dizziness, Flatulence, Insomnia, Medical counselling — Feeling: Poor · Site: Itching · Joint pains, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Feeling like I'm going to pass out since last night called the on call nurse at (b)(6) Clinic, not sleeping, a foggy brain. Extremely gassy

MedDRA releases: 2024-11 · check-in free text available
2022-09-25
Survey response — days 1–6 daily, dose 4
MedDRA: Confusional state, Dizziness, Emergency care, Heart rate decreased, Hospitalisation, Hypertension, Office visit, Seizure — Feeling: Poor · Headache, Joint pains, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Systemic reaction (other): Confusion , low heart rate, high blood pressure, feeling faint , seizure · Healthcare visit (other): 1st urget care, medica took me to er, then admitted to hospital for low heart rate and high blood pressure. Drs. believe its reaction to 4th covid shot. Cant explain symptoms admitted for observation and tests

MedDRA releases: 2024-11 · check-in free text available
2022-09-25
Report sent to call center — days 1–6 daily, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-09-26
Survey response — day 7, dose 4
MedDRA: Aura, Dyskinesia, Hospitalisation, Migraine, Seizure, Tongue disorder — Feeling: Fair · Headache · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Systemic reaction (other): Migraine, jerky, thick tongue Aura of my seizure symptoms · Healthcare visit (other): Still on hospital

MedDRA releases: 2024-11 · check-in free text available
2022-09-26
Report sent to call center — day 7, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2022-09-26
Call 2 — Left Voicemail
2022-09-26
Call 1 — Left Voicemail
2022-09-27
Call 3 — Left Voicemail
2022-09-27
Call 2 — Left Voicemail
2022-09-27
Call 1 — Left Voicemail
2022-09-30
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-30
Call successful
Completed over the phone
2022-09-30
Call successful
Completed over the phone
2022-10-03
Survey response — day 14, dose 4
MedDRA: Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches, tiredness

MedDRA releases: 2024-11 · check-in free text available
2022-10-10
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-10-17
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-10-27
Survey response — day 35, dose 4
MedDRA: Confusional state, Fatigue, Hypertension, Speech disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: High BP, extreme fatigue, confusion, speech issues.

MedDRA releases: 2024-11 · check-in free text available
2022-10-31
Survey response — day 42, dose 4
MedDRA: Chills, Dizziness, Fatigue, Hypertension, Insomnia, Oropharyngeal pain, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Dizziness, high Bp, not able to sleep, fatigue, chills, body aches, sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-12-21
Health check-in — 3 months, dose 4
Feeling: Poor

Adult check-in
2023-03-21
Survey response — 6 months, dose 4
MedDRA: Confusional state, Dizziness, Emergency care, Fatigue, Heart rate decreased, Hospitalisation, Hypertension, Office visit, Unevaluable event — 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, Emergency room or emergency department visit, Hospitalization

MedDRA releases: 2024-11
2023-03-21
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2023-03-22
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-14	Pfizer-BioNTech
2	2021-04-06	Pfizer-BioNTech
3	2021-10-11	Pfizer-BioNTech	No
4	2022-09-19	Pfizer-BioNTech	No

Call center

4 call center cases

3 successful · 1 unsuccessful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-15

Systemic reaction (other): Itching on face, mouth and arms

2021-03-16

Systemic reaction (other): Itching - face eyes arms,

2021-03-17

Systemic reaction (other): Itching

2021-03-18

Systemic reaction (other): Itching

Release 10 — days 1–6 daily, dose 3

2021-10-12

Systemic reaction (other): Dizziness and hot

2021-10-13

Systemic reaction (other): Mild facial itching

Release 11 — 6 months, dose 3

2022-04-11

Symptoms: Insomnia, increased migraines, anxiety

Release 12 — days 1–6 daily, dose 4

2022-09-21

Systemic reaction (other): Two days ago, itchy face, eyes and red welps around eyes

2022-09-24

Systemic reaction (other): Feeling like I'm going to pass out since last night called the on call nurse at (b)(6) Clinic, not sleeping, a foggy brain. Extremely gassy

redacted (b)(6)

2022-09-25

Systemic reaction (other): Confusion , low heart rate, high blood pressure, feeling faint , seizure

Healthcare visit (other): 1st urget care, medica took me to er, then admitted to hospital for low heart rate and high blood pressure. Drs. believe its reaction to 4th covid shot. Cant explain symptoms admitted for observation and tests

Release 12 — day 7, dose 4

2022-09-26

Systemic reaction (other): Migraine, jerky, thick tongue Aura of my seizure symptoms

Healthcare visit (other): Still on hospital

Release 12 — day 14, dose 4

2022-10-03

Symptoms: Headaches, tiredness

Release 12 — day 35, dose 4

2022-10-27

Symptoms: High BP, extreme fatigue, confusion, speech issues.

Release 12 — day 42, dose 4

2022-10-31

Symptoms: Dizziness, high Bp, not able to sleep, fatigue, chills, body aches, sore throat

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	Emergency care	·	·	✓
HCVO	Heart rate decreased	·	·	✓
HCVO	Hospitalisation	·	·	✓
HCVO	Hypertension	·	·	✓
HCVO	Office visit	·	·	✓
SD	Anxiety	·	·	✓
SD	Chills	·	·	✓
SD	Confusional state	·	·	✓
SD	Dizziness	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Heart rate decreased	·	·	✓
SD	Hospitalisation	·	·	✓
SD	Hypertension	·	·	✓
SD	Insomnia	·	·	✓
SD	Migraine	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Speech disorder	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Aura	·	·	✓
SRO	Brain fog	·	·	✓
SRO	Confusional state	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Dyskinesia	·	·	✓
SRO	Erythema	·	·	✓
SRO	Eye pruritus	✓	✓	✓
SRO	Feeling hot	·	·	✓
SRO	Flatulence	·	·	✓
SRO	Heart rate decreased	·	·	✓
SRO	Hypertension	·	·	✓
SRO	Insomnia	·	·	✓
SRO	Medical counselling	·	·	✓
SRO	Migraine	·	·	✓
SRO	Oral pruritus	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Seizure	·	·	✓
SRO	Tongue disorder	·	·	✓
SRO	Urticaria	·	·	✓

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