3J4-16570-39609

4 vaccinations 6 coded responses 15 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 040 / ME
Registered: 2021-03-14

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
2374795 (opens in a new window)	high	10 / 11	—	5 of 14 VAERS symptoms	same dose (4)	ME matches	2022-06-03 / 2022-06-04 / 2022-07-20 received the same day as the last call	case 862085

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

2021-03-02
Dose 1 — Pfizer-BioNTech
2021-03-14
Registered in v-safe
2021-03-14
Survey response — day 7, dose 1
MedDRA: Ear pruritus, Pruritus — Feeling: Good · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Itching on scalp, chest, earlobes, and palms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-23
Dose 2 — Pfizer-BioNTech
2021-03-23
Health check-in — day 0, dose 2
Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain — Feeling: Fair · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Had awful abdominal pain yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills, Headache

Adult check-in
2021-03-30
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-09-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-24
Dose 3 — Pfizer-BioNTech
2022-03-30
Survey response — 12 months, dose 2
MedDRA: Nausea, Office visit — Feeling: Good · 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: Symptoms: Nausea when skiing to the point that I cannot ski downhill at all. · Healthcare visit (other): Screening for crystals. Neg. Medication that didn't help. Next ENT.

MedDRA releases: 2024-11 · check-in free text available
2022-03-30
Report sent to call center — 12 months, dose 2
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)
2022-03-31
Call 1 — Left Voicemail
2022-04-15
Call successful
Not applicable - Accidental Reporting
2022-06-03
Dose 4 — Moderna
Co-administered: Pneumonia
2022-06-21
Survey response — day 14, dose 4
MedDRA: Fatigue, Fibromyalgia, Herpes virus infection, Herpes zoster — Feeling: Poor · Be unable to do your normal daily activities

Free text: Since my fourth dose I have had extreme fatigue, shingles, fibromyalgia, and herpes #2 with onset of symptoms less than 24 hours after vaccine.

MedDRA releases: 2024-11 · check-in free text available
2022-06-24
Health check-in — day 21, dose 4
Feeling: Poor

Adult check-in
2022-07-08
Health check-in — day 35, dose 4
Feeling: Poor

Adult check-in
2022-07-16
Survey response — day 42, dose 4
MedDRA: Fibromyalgia, Gastrointestinal disorder, Herpes simplex, Herpes zoster, Office visit, Pre-existing disease — Feeling: Poor · 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: Symptoms: Reinfectios since June 4th. Herpes 2, Fibromyalgia pain and digestive symptoms, Shingles pain has subsided. · Healthcare visit (other): In-office visit

MedDRA releases: 2024-11 · check-in free text available
2022-07-16
Report sent to call center — day 42, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-07-20
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-02	Pfizer-BioNTech
2	2021-03-23	Pfizer-BioNTech
3	2021-11-24	Pfizer-BioNTech	No
4	2022-06-03	Moderna	Pneumonia

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 5 — day 7, dose 1

2021-03-14

Systemic reaction (other): Itching on scalp, chest, earlobes, and palms.

Release 6 — days 1–6 daily, dose 2

2021-03-25

Systemic reaction (other): Had awful abdominal pain yesterday.

2021-03-26

Systemic reaction (other): Brain fog

Release 11 — 12 months, dose 2

2022-03-30

Symptoms: Nausea when skiing to the point that I cannot ski downhill at all.

Healthcare visit (other): Screening for crystals. Neg. Medication that didn't help. Next ENT.

Release 12 — day 14, dose 4

2022-06-21

Symptoms: Since my fourth dose I have had extreme fatigue, shingles, fibromyalgia, and herpes #2 with onset of symptoms less than 24 hours after vaccine.

Release 12 — day 42, dose 4

2022-07-16

Symptoms: Reinfectios since June 4th. Herpes 2, Fibromyalgia pain and digestive symptoms, Shingles pain has subsided.

Healthcare visit (other): In-office visit

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	·	·	✓
SD	Fatigue	·	·	✓
SD	Fibromyalgia	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Herpes simplex	·	·	✓
SD	Herpes virus infection	·	·	✓
SD	Herpes zoster	·	·	✓
SD	Nausea	·	·	✓
SD	Pre-existing disease	·	·	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Ear pruritus	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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