3J9-26756-87410

4 vaccinations 14 coded responses 36 check-ins 13 free-text entries 3 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 723 / AR
Registered: 2021-03-30

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

Registered dependents

BFV-86290-30747 Child or adolescent in my care · Female · 2021-12-08

WUT-94983-21129 Child or adolescent in my care · Male · 2021-12-08

63L-72205-05987 Child or adolescent in my care · Male · 2021-12-29

4MG-29939-30835 Child or adolescent in my care · Female · 2022-06-20

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
2597689 (opens in a new window)	high	8 / 11	4	0 of 9 VAERS symptoms	same dose (4)	AR matches	2022-09-12 / 2023-03-07 / 2023-03-16 received the same day as the last call	case 345021

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

2021-03-30
Registered in v-safe
2021-03-30
Dose 1 — Pfizer-BioNTech
2021-03-30
Health check-in — day 0, dose 1
Feeling: Fair · Site: Itching · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Joint pains, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Good

Free text: Ichy skin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — day 7, dose 1
MedDRA: Pruritus — Feeling: Good · Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Free text: Itchy skin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — day 14, dose 1
MedDRA: Arthralgia, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities

Free text: Hip and foot pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-26
Dose 2 — Pfizer-BioNTech
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Muscle or body aches

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-05-03
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-05-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-19
Survey response — day 21, dose 2
MedDRA: Ear pain, Headache, Nasal congestion, Rhinorrhoea, Sneezing — Feeling: Poor · Be unable to do your normal daily activities

Free text: Headaches and earache. Sneezing, runny nose, nasal congestion.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — day 28, dose 2
MedDRA: Asthma, Bronchitis, Cough, Respiratory tract congestion — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Cough and congestion. · Healthcare visit (other): I'm going to the doctor today. I also have Bronchitis and Asthma.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-02
Survey response — day 35, dose 2
MedDRA: Arthralgia, Headache, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches and joint and muscle pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-10-25
Survey response — 6 months, dose 2
MedDRA: Cough — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: A persistent cough since July 2021.

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Dose 3 — Pfizer-BioNTech
2021-12-08
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-12-09
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal distension — Feeling: Fair · Site: Pain, Itching · Nausea

Free text: Bloating

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-12-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Nausea · Be unable to do your normal daily activities

Adult check-in
2021-12-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-15
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-23
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-29
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-12
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-21
Survey response — day 42, dose 3
MedDRA: Fatigue, Myalgia, Night sweats, Paranasal sinus discomfort, Respiratory tract congestion — 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

Free text: Sinus pressure, congestion, muscle aches, fatigue, and night sweats.

MedDRA releases: 2024-11 · check-in free text available
2022-01-21
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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-24
Call 1 — Left Voicemail
2022-09-12
Dose 4 — Pfizer-BioNTech
2022-09-19
Health check-in — day 7, dose 4
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-26
Survey response — day 14, dose 4
MedDRA: Cough, Headache, Myalgia, Throat irritation — Feeling: Good · Be unable to do your normal daily activities

Free text: Scratchy throat, muscle aches, headaches, persistent cough.

MedDRA releases: 2024-11 · check-in free text available
2022-10-03
Survey response — day 21, dose 4
MedDRA: Cough — Feeling: Fair · Be unable to do your normal daily activities

Free text: Persistent cough

MedDRA releases: 2024-11 · check-in free text available
2022-10-03
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-03
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-10
Survey response — day 28, dose 4
MedDRA: Cough, Headache, Lethargy — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lethargy, persistent cough, and headaches.

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Survey response — day 42, dose 4
MedDRA: Headache, Oropharyngeal pain, Paranasal sinus discomfort, Productive cough, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sinus pressure, congestion, soar throat, headaches, and excess phlegm.

MedDRA releases: 2024-11 · check-in free text available
2023-03-15
Survey response — 6 months, dose 4
MedDRA: Back pain, Urethral pain, Urine abnormality, Urine odour abnormal — 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 · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-03-15
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-03-16
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Pfizer-BioNTech
2	2021-04-26	Pfizer-BioNTech
3	2021-12-08	Pfizer-BioNTech	No
4	2022-09-12	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-26	Successful 2022-10-03	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-01-21	Successful 2022-10-03	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-15	Successful 2023-03-16	Completed over the phone

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-05

Systemic reaction (other): Ichy skin

Release 7 — day 7, dose 1

2021-04-06

Systemic reaction (other): Itchy skin

Release 7 — day 14, dose 1

2021-04-13

Symptoms: Hip and foot pain.

Release 8 — day 21, dose 2

2021-05-19

Symptoms: Headaches and earache. Sneezing, runny nose, nasal congestion.

Release 8 — day 28, dose 2

2021-05-26

Symptoms: Cough and congestion.

Healthcare visit (other): I'm going to the doctor today. I also have Bronchitis and Asthma.

Release 8 — day 35, dose 2

2021-06-02

Symptoms: Headaches and joint and muscle pain.

Release 10 — 6 months, dose 2

2021-10-25

Symptoms: A persistent cough since July 2021.

Release 10 — days 1–6 daily, dose 3

2021-12-09

Systemic reaction (other): Bloating

Release 11 — day 42, dose 3

2022-01-21

Symptoms: Sinus pressure, congestion, muscle aches, fatigue, and night sweats.

Release 12 — day 14, dose 4

2022-09-26

Symptoms: Scratchy throat, muscle aches, headaches, persistent cough.

Release 12 — day 21, dose 4

2022-10-03

Symptoms: Persistent cough

Release 12 — day 28, dose 4

2022-10-10

Symptoms: Lethargy, persistent cough, and headaches.

Release 12 — day 42, dose 4

2022-10-28

Symptoms: Sinus pressure, congestion, soar throat, headaches, and excess phlegm.

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	Asthma	✓	✓	✓
HCVO	Bronchitis	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	·	·	✓
SD	Cough	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Lethargy	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Night sweats	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Productive cough	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sneezing	✓	✓	✓
SD	Throat irritation	·	·	✓
SD	Urethral pain	·	·	✓
SD	Urine abnormality	·	·	✓
SD	Urine odour abnormal	·	·	✓
SRO	Abdominal distension	·	·	✓
SRO	Pruritus	✓	✓	✓

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