3D8-40056-21529

4 vaccinations 20 coded responses 24 check-ins 19 free-text entries 9 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 923 / CA
Registered: 2021-04-08

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
2409940 (opens in a new window)	high	11 / 11	3	10 of 16 VAERS symptoms	same dose (4)	CA matches	2022-08-01 / 2022-08-01 / 2022-08-12 received the same day as the last call	case 929080

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

2021-03-17
Dose 1 — Pfizer-BioNTech
2021-04-07
Dose 2 — Pfizer-BioNTech
2021-04-08
Registered in v-safe
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Back pain, Breast pain, Musculoskeletal pain, Oedema peripheral — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Muscle or body aches · 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: Pain & swelling in arm pit, side of breast, upper back and shoulder blade

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Report sent to call center — days 1–6 daily, 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)
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Oedema peripheral — Feeling: Fair · Site: Pain · Fever · Joint pains · Be unable to work, Be unable to do your normal daily activities

Free text: Huge swelling in the arm pit went down to 5 by 3 in size. Arm and arm joint pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Oedema peripheral — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Sore, swollen armpit and pain. Less swelling than yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Oedema peripheral, Swelling — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Armpit swelling extends into the chest near collar bone. I just noticed last night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Back pain, Oedema peripheral — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Free text: Armpit pain and swelling. Pain in upper left side of back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Oedema peripheral — Feeling: Fair · Site: Swelling · Joint pains · Be unable to work

Free text: Underarm swelling. Some upper back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — day 7, dose 2
MedDRA: Axillary pain, Fatigue, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Pain and underarm swelling lymph nodes. Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 14, dose 2
MedDRA: Blepharospasm, Eye pain, Headache, Lacrimation increased, Lymphadenopathy, Ocular hyperaemia, Office visit, Pain — Feeling: Good · Be unable to work, 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: Constant twitching, pain, and redness in enter corner of left eye. Pain radiates from back left of head to front. Tearing and worse when lying on left side. Ongoing several days · Healthcare visit (other): Saw opthalmogist today and saw Allergist on 4/13/21 for underarm swelling of lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Report sent to call center — day 14, 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)
2021-04-29
Survey response — day 21, dose 2
MedDRA: Blepharospasm, Eye pain, Muscle twitching, Office visit — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Constant twitching of the top left eye lid and eye with pain in the inter corner. Tearing at times. Lasted 5 days none stop. Saw ophthalmologist. Got meds and was referred to oculoplastic

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — day 28, dose 2
MedDRA: Fatigue, Headache, Hypersomnia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Feel extremely fatigued some days and I will sleep 12 to 18 hours. Get headaches at times

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-09
Survey response — 3 months, dose 2
MedDRA: Cough, Emergency care, Fatigue, Headache, Impaired work ability, Nasal congestion, Oropharyngeal pain, Pre-existing disease, Respiratory tract congestion, Rhinorrhoea, Sinusitis, Tearfulness — Feeling: Good · Be unable to work or attend school, 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: Stuffy nose, sore throat, runny nose, congestion, headache, fatigue, tearing, and chronic cough. Prescribed by ER doctor Augmentin, Sudefed, Flonase, Cough Syrup with Codine. Diagnosed as Sinus Infection. Off work from 6/11 thru 7/6.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-09
Report sent to call center — 3 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)
2021-07-13
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-10-06
Survey response — 6 months, dose 2
MedDRA: Headache, Pain in extremity, Thrombosis, Tremor — Feeling: Good · Be unable to do your normal daily activities

Free text: Frequent left pinky finger tremors throughout the day.. Sudden headache to the forehead, top front of head. It last approx 5 min. Pain in left leg cafe that moves to other leg areas. I think it's blood clots. This has been since my 2nd shot

MedDRA releases: 2024-11 · check-in free text available
2021-10-17
Dose 3 — Pfizer-BioNTech
2022-04-09
Survey response — 12 months, dose 2
MedDRA: Blindness transient, Eye pain, Fatigue, Headache, Musculoskeletal pain, Nasal congestion, Neuralgia, Rhinorrhoea, Sciatica — 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

Free text: 10 seconds of not being able to see out of left or right eye, headache top & side of head. Extreme fatique. Pain in left buttocks and sciatica nerve. Pain in eyes. Stuffy runny nose.

MedDRA releases: 2024-11 · check-in free text available
2022-04-09
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)
2022-04-19
Call 1 — Left Voicemail
2022-04-21
Survey response — 6 months, dose 3
MedDRA: Eye pain, Fatigue, Headache, Somnolence — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Headache at top of head, side, and frontal. Back of eye pain. Fatigue & sleepy

MedDRA releases: 2024-11 · check-in free text available
2022-08-01
Dose 4 — Pfizer-BioNTech
2022-08-11
Survey response — day 7, dose 4
MedDRA: Axillary pain, Crying, Fatigue, Headache, Immediate post-injection reaction, Impaired work ability, Injection site pain, Neck pain, Oedema peripheral, Somnolence — Feeling: Good · Muscle or body aches · 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: Date of injection the injection stung and was burning up to 1 minute after the injection. It was extremely painful. I cried out. I had arm pit pain and swelling. Neck and head pain for 4 days. Was off work 5 days. Fatigue and sleepy

MedDRA releases: 2024-11 · check-in free text available
2022-08-11
Report sent to call center — day 7, dose 4
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)
2022-08-12
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-08-12
Call successful
Completed over the phone
2022-08-18
Survey response — day 14, dose 4
MedDRA: Headache, Neck pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Pain in side and back of neck, and sharp pain on right side of head. Top of the head headache

MedDRA releases: 2024-11 · check-in free text available
2022-08-22
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-08-31
Survey response — day 28, dose 4
MedDRA: Back pain, Cough, Gait disturbance, Headache, Migraine, Neck pain, Pain in extremity, Pollakiuria, Unevaluable event — 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 · Emergency room or emergency department visit

Free text: Severe migraine, and periodic sharp pain in the left side of head to the right temple that will last 30 seconds. Pain in the neck back of head and down left arm. Difficulty walking and pain in the entire back. Frequent urination. When coughing head p

MedDRA releases: 2024-11 · check-in free text available
2022-08-31
Report sent to call center — day 28, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2022-09-01
Call successful
Reported to VAERS during previous contact from GDIT
2022-09-06
Survey response — day 35, dose 4
MedDRA: Abdominal pain upper, Back pain, Cough, Eye pain, Gait disturbance, Headache, Migraine, Neck pain, Secretion discharge — 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 · Emergency room or emergency department visit

Free text: Neck and head sharp pains and migraines. Eye pain and stomach. Coughing with mucus. Back pain and difficulty walking

MedDRA releases: 2024-11 · check-in free text available
2022-09-06
Report sent to call center — day 35, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2022-09-07
Call 1 — Left Voicemail
2022-09-13
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-11-02
Survey response — 3 months, dose 4
MedDRA: Fatigue, Headache, Hypersomnia, Migraine, Neck pain — Feeling: Good · Be unable to work or attend school, 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: Severe migraine. Pain left side of neck and back of head. Fatigue and sleeping a lot

MedDRA releases: 2024-11 · check-in free text available
2022-11-02
Report sent to call center — 3 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2022-11-03
Call 1 — Could Not Reach Participant
2022-11-09
Call 2 — Left Voicemail
2022-11-09
Call successful
Reported to VAERS during previous contact from GDIT
2023-01-31
Survey response — 6 months, dose 4
MedDRA: Asthenia, Back pain, Decreased interest, Fatigue, Headache, Hypersomnia, Increased upper airway secretion, Neck pain, Office visit, Respiratory tract congestion — 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

MedDRA releases: 2024-11
2023-01-31
Report sent to call center — 6 months, dose 4
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)
2023-01-31
Call 1 — Could Not Reach Participant
2023-02-03
Call 2 — Could Not Reach Participant
2023-02-03
Callback requested for
12:00PM ET

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Pfizer-BioNTech
2	2021-04-07	Pfizer-BioNTech
3	2021-10-17	Pfizer-BioNTech	No
4	2022-08-01	Pfizer-BioNTech	No

Call center

9 call center cases

7 successful · 2 unsuccessful

VAERS report filed, before or during a call: 7

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): Pain & swelling in arm pit, side of breast, upper back and shoulder blade

2021-04-09

Systemic reaction (other): Huge swelling in the arm pit went down to 5 by 3 in size. Arm and arm joint pain

2021-04-10

Systemic reaction (other): Sore, swollen armpit and pain. Less swelling than yesterday

2021-04-11

Systemic reaction (other): Armpit swelling extends into the chest near collar bone. I just noticed last night

2021-04-12

Systemic reaction (other): Armpit pain and swelling. Pain in upper left side of back

2021-04-13

Systemic reaction (other): Underarm swelling. Some upper back pain

Release 7 — day 7, dose 2

2021-04-14

Systemic reaction (other): Pain and underarm swelling lymph nodes. Fatigue

Release 7 — day 14, dose 2

2021-04-21

Symptoms: Constant twitching, pain, and redness in enter corner of left eye. Pain radiates from back left of head to front. Tearing and worse when lying on left side. Ongoing several days

Healthcare visit (other): Saw opthalmogist today and saw Allergist on 4/13/21 for underarm swelling of lymph nodes

Release 8 — day 21, dose 2

2021-04-29

Symptoms: Constant twitching of the top left eye lid and eye with pain in the inter corner. Tearing at times. Lasted 5 days none stop. Saw ophthalmologist. Got meds and was referred to oculoplastic

Release 8 — day 28, dose 2

2021-05-05

Symptoms: Feel extremely fatigued some days and I will sleep 12 to 18 hours. Get headaches at times

Release 9 — 3 months, dose 2

2021-07-09

Symptoms: Stuffy nose, sore throat, runny nose, congestion, headache, fatigue, tearing, and chronic cough. Prescribed by ER doctor Augmentin, Sudefed, Flonase, Cough Syrup with Codine. Diagnosed as Sinus Infection. Off work from 6/11 thru 7/6.

Release 10 — 6 months, dose 2

2021-10-06

Symptoms: Frequent left pinky finger tremors throughout the day.. Sudden headache to the forehead, top front of head. It last approx 5 min. Pain in left leg cafe that moves to other leg areas. I think it's blood clots. This has been since my 2nd shot

Release 11 — 12 months, dose 2

2022-04-09

Symptoms: 10 seconds of not being able to see out of left or right eye, headache top & side of head. Extreme fatique. Pain in left buttocks and sciatica nerve. Pain in eyes. Stuffy runny nose.

Release 11 — 6 months, dose 3

2022-04-21

Symptoms: Headache at top of head, side, and frontal. Back of eye pain. Fatigue & sleepy

Release 12 — day 7, dose 4

2022-08-11

Systemic reaction (other): Date of injection the injection stung and was burning up to 1 minute after the injection. It was extremely painful. I cried out. I had arm pit pain and swelling. Neck and head pain for 4 days. Was off work 5 days. Fatigue and sleepy

Release 12 — day 14, dose 4

2022-08-18

Symptoms: Pain in side and back of neck, and sharp pain on right side of head. Top of the head headache

Release 12 — day 28, dose 4

2022-08-31

Symptoms: Severe migraine, and periodic sharp pain in the left side of head to the right temple that will last 30 seconds. Pain in the neck back of head and down left arm. Difficulty walking and pain in the entire back. Frequent urination. When coughing head p cut off by CDC

Release 12 — day 35, dose 4

2022-09-06

Symptoms: Neck and head sharp pains and migraines. Eye pain and stomach. Coughing with mucus. Back pain and difficulty walking

Release 12 — 3 months, dose 4

2022-11-02

Symptoms: Severe migraine. Pain left side of neck and back of head. Fatigue and sleeping a lot

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	Lymphadenopathy	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Abdominal pain upper	·	·	✓
SD	Asthenia	·	·	✓
SD	Back pain	·	·	✓
SD	Blepharospasm	✓	✓	✓
SD	Blindness transient	·	·	✓
SD	Cough	✓	✓	✓
SD	Decreased interest	·	·	✓
SD	Emergency care	✓	✓	✓
SD	Eye pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gait disturbance	·	·	✓
SD	Headache	✓	✓	✓
SD	Hypersomnia	✓	✓	✓
SD	Impaired work ability	✓	✓	✓
SD	Increased upper airway secretion	·	·	✓
SD	Lacrimation increased	✓	✓	✓
SD	Migraine	·	·	✓
SD	Muscle twitching	✓	✓	○
SD	Musculoskeletal pain	·	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Neck pain	·	·	✓
SD	Neuralgia	·	·	✓
SD	Ocular hyperaemia	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Pollakiuria	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sciatica	·	·	✓
SD	Secretion discharge	·	·	✓
SD	Sinusitis	✓	✓	✓
SD	Somnolence	·	·	✓
SD	Tearfulness	✓	✓	✓
SD	Thrombosis	·	·	✓
SD	Tremor	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Breast pain	✓	✓	✓
SRO	Crying	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	·	·	✓
SRO	Immediate post-injection reaction	·	·	✓
SRO	Impaired work ability	·	·	✓
SRO	Injection site pain	·	·	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Musculoskeletal pain	✓	✓	✓
SRO	Neck pain	·	·	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Somnolence	·	·	✓
SRO	Swelling	✓	✓	✓

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