3DQ-33307-87909

2 vaccinations 5 coded responses 10 check-ins 5 free-text entries 2 call cases

Sex: Male
Age at first dose: 51-55
ZIP prefix: 038 / NH
Registered: 2021-04-14

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
1418102 (opens in a new window)	high	10 / 11	—	3 of 12 VAERS symptoms	same dose (2)	NH matches	2021-05-14 / 2021-05-16 / 2021-06-22 received the same day as the last call	case 793919

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

2021-04-13
Dose 1 — Pfizer-BioNTech
2021-04-14
Registered in v-safe
2021-05-14
Dose 2 — Pfizer-BioNTech
2021-05-20
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-21
Survey response — day 7, dose 2
MedDRA: Decreased appetite — Feeling: Poor · Fever · Chills, Fatigue or tiredness

Free text: A Appetite was off

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Survey response — day 14, dose 2
MedDRA: Unevaluable event — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Ive had liver elevated levels off the charts. Billy 20 x. Others at 1500 shoild be 80. Liver biopsies retuned today. Pos chemicl or auto immune. Remember started 3 days after vax 2 Phifer. Ive lost 10 lb cant work. No covid test 4 times. Call me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Survey response — day 21, dose 2
MedDRA: Asthenia, Hepatic failure, Hospitalisation, Impaired work ability, Weight decreased — Feeling: Poor · 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, Emergency room or emergency department visit, Hospitalization

Free text: Liver failure!! 4 days in hospital. Very weak. Cant work. Lost 15 lb. Yellow. Call me....

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Report sent to call center — day 21, 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)
2021-06-11
Survey response — day 28, dose 2
MedDRA: Asthenia, Malaise, Office visit, Weight decreased — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: The condition im in is stable but im very weak i have lost 18 lbs in 3 weeks. Doc cant find root cause. I got sick after civid vac no 2. What do you know about liver functin and vax and immune response. Call me (b)(6). Thanks

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Survey response — day 35, dose 2
MedDRA: Blood glucose increased, Condition aggravated, Pre-existing disease, 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 · Hospitalization

Free text: Symptoms: My immunity disease went crazy from Pfizer shot 2. Now being treared w steroids that sent my blood sugar to 770 plus. · Healthcare visit (other): Two stays 3 n 10 hr

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Report sent to call center — day 35, 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)
2021-06-22
Call successful
Completed over the phone
2021-06-25
Health check-in — day 42, dose 2
Feeling: Poor

Adult check-in
2021-08-13
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-11-12
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-05-14
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-13	Pfizer-BioNTech
2	2021-05-14	Pfizer-BioNTech

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 8 — day 7, dose 2

2021-05-21

Systemic reaction (other): A Appetite was off

Release 8 — day 14, dose 2

2021-05-28

Symptoms: Ive had liver elevated levels off the charts. Billy 20 x. Others at 1500 shoild be 80. Liver biopsies retuned today. Pos chemicl or auto immune. Remember started 3 days after vax 2 Phifer. Ive lost 10 lb cant work. No covid test 4 times. Call me.

Release 8 — day 21, dose 2

2021-06-04

Symptoms: Liver failure!! 4 days in hospital. Very weak. Cant work. Lost 15 lb. Yellow. Call me....

Release 9 — day 28, dose 2

2021-06-11

Symptoms: The condition im in is stable but im very weak i have lost 18 lbs in 3 weeks. Doc cant find root cause. I got sick after civid vac no 2. What do you know about liver functin and vax and immune response. Call me (b)(6). Thanks

redacted (b)(6)

Release 9 — day 35, dose 2

2021-06-18

Symptoms: My immunity disease went crazy from Pfizer shot 2. Now being treared w steroids that sent my blood sugar to 770 plus.

Healthcare visit (other): Two stays 3 n 10 hr

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	Unevaluable event	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Blood glucose increased	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Hepatic failure	✓	✓	✓
SD	Hospitalisation	✓	✓	✓
SD	Impaired work ability	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SD	Weight decreased	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓

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