3ML-19223-89936

5 vaccinations 24 coded responses 58 check-ins 21 free-text entries 2 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 100 / NY
Registered: 2021-03-27

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
2388359 (opens in a new window)	high	11 / 11	—	6 of 8 VAERS symptoms	same dose (4)	NY matches	2022-06-24 / 2022-07-19 / 2022-07-25 received the same day as the last call	case 881419

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
2021-03-27
Registered in v-safe
2021-03-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Survey response — day 14, dose 1
MedDRA: Rhinorrhoea — Feeling: Good

Free text: Sniffles: possible start of allergy season?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Dose 2 — Pfizer-BioNTech
2021-04-07
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: Not yet - maybe later - just got it 1 1/2 hours ago

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Cough, Nausea, Pyrexia, Respiratory tract congestion — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Coughing, slight congestion, esp. when laying on back; Can't sleep (1.5 hour max until now, after sleeping 12 a.m. - 3:30 a.m. ), want to sleep tossing, turning. Fever/chills cycle up and down. Nausea, just the slightest last night for only a moment.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Body temperature decreased, Chills, Cough, Fatigue, Hyperhidrosis, Pyrexia, Sleep disorder — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Heavy sweating (all bedding and mattress wet) last night; some coughing esp. when laying on back; tired but too sore to sleep until last night when soreness subsided and chills began in earnest; FYI my baseline before symptoms was 97.7 and now post fever back down to 97.2.

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: Nasopharyngitis, Pain, Pain in extremity — Feeling: Good · Site: Pain

Free text: All fine; just FYI my 1st dose (I was late signing up) symptoms were: extremely sore arm; strong aches all over; felt like fighting cold in the middle of the night; resolved by morning within 20 hrs of 1st jab.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-14
Survey response — day 7, dose 2
MedDRA: Pruritus — Feeling: Good

Free text: Sporadic, highly localized itching on calf and elbow on opposite arm from where vaccinated; last few days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 14, dose 2
MedDRA: Headache — Feeling: Good

Free text: Mild headache for a day or twoa week ago after last check-in.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 28, dose 2
Feeling: Good

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

Adult check-in
2021-05-19
Survey response — day 42, dose 2
MedDRA: Upper-airway cough syndrome — Feeling: Good

Free text: Probably seasonal allergy symptoms; dripping nose pre-dawn and dawn hours; one morning headache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-07
Survey response — 3 months, dose 2
MedDRA: Back pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Back pain: thoracic spine somewhere below t-1; have not yet seen doctor; possibly related to extended sitting posture during pandemic

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-01
Dose 3 — Moderna
2021-12-01
Survey response — day 0, dose 3
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: A little early still; we'll see how overnight goes

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-03
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Rhinorrhoea — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Slight Cough, slight nose drip

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-12-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-12-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-12-08
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-22
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-29
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-05
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-12
Survey response — day 42, dose 3
MedDRA: Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair

Free text: Sniffles, light congestion, slight sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-03-02
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-01
Survey response — 6 months, dose 3
MedDRA: Fatigue, Pre-existing disease — Feeling: Good

Free text: Allergies this last month; tired

MedDRA releases: 2024-11 · check-in free text available
2022-06-24
Dose 4 — Moderna
2022-06-25
Survey response — days 1–6 daily, dose 4
MedDRA: Cough — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Coughing, mild, occasional

MedDRA releases: 2024-11 · check-in free text available
2022-06-26
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-06-27
Survey response — days 1–6 daily, dose 4
MedDRA: Balance disorder, Dizziness, Respiratory tract congestion — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Free text: Mild dizziness or unsteadiness this morning, slight congestion in a.m.

MedDRA releases: 2024-11 · check-in free text available
2022-06-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-06-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-30
Survey response — days 1–6 daily, dose 4
MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: Fair

Free text: Sniffles, mild congestion

MedDRA releases: 2024-11 · check-in free text available
2022-07-01
Survey response — day 7, dose 4
MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: Good

Free text: Mild congestion, nasal drip

MedDRA releases: 2024-11 · check-in free text available
2022-07-08
Survey response — day 14, dose 4
MedDRA: Headache, Respiratory tract congestion — Feeling: Good

Free text: Minor congestion, mild headache

MedDRA releases: 2024-11 · check-in free text available
2022-07-15
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-07-24
Survey response — day 28, dose 4
MedDRA: Fatigue, Headache, Nausea, Oropharyngeal pain, Pain, Respiratory tract congestion, Rhinorrhoea — 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 · Outpatient clinic or urgent care clinic visit

Free text: Variably since Tuesday 7/19/2022: Sore throat, aches, tiredness, medium headache, running nose, the beginnings of congestion and a few fleeting moments of nausea. More predominantly in the evening and at night.

MedDRA releases: 2024-11 · check-in free text available
2022-07-24
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-25
Call 1 — Left Voicemail
2022-07-25
Call successful
Completed over the phone
2022-07-29
Survey response — day 35, dose 4
MedDRA: Chest discomfort, Chest pain, Office visit, Oropharyngeal pain, Quarantine, Reading disorder — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Tight chest, sore throat and sore chest. Variable from mild to medium. So far, less each day, but still a little sore today. Early on, I had trouble reading, but that resolved. Saw doctor last week. Quarantining through today.

MedDRA releases: 2024-11 · check-in free text available
2022-08-05
Survey response — day 42, dose 4
MedDRA: Adverse reaction, Chest discomfort, Chest pain, Oropharyngeal pain — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: After last check-in, I had a couple day bout with chest tightness, sore throat and chest, over last weekend particularly 7/30-7/31. By 8/1 I was almost Norma and on 8/2 I was back to normal. 13-14 days of variable symptoms.

MedDRA releases: 2024-11 · check-in free text available
2022-09-23
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-12-26
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-02-03
Dose 5 — Moderna
2023-02-05
Survey response — days 1–6 daily, dose 5
MedDRA: Chills, Fatigue, Headache, Metamorphopsia, Nausea, Pain, Pyrexia — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-02-06
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2023-02-07
Survey response — days 1–6 daily, dose 5
MedDRA: Metamorphopsia — Feeling: Fair · Headache

MedDRA releases: 2024-11
2023-02-08
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2023-02-09
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2023-02-10
Health check-in — day 7, dose 5
Feeling: Fair · Fatigue or tiredness

Adult check-in
2023-02-17
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2023-02-24
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2023-03-03
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2023-03-10
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2023-03-17
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-05-09
Survey response — 3 months, dose 5
MedDRA: Metamorphopsia, Photopsia, Unevaluable event, Vision blurred — Feeling: Fair · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-05-09
Report sent to call center — 3 months, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2023-05-10
Call successful
Not applicable - Accidental Reporting

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Pfizer-BioNTech
2	2021-04-07	Pfizer-BioNTech
3	2021-12-01	Moderna	No
4	2022-06-24	Moderna	No
5	2023-02-03	Moderna	No

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 6 — day 14, dose 1

2021-03-31

Symptoms: Sniffles: possible start of allergy season?

Release 7 — day 0, dose 2

2021-04-07

Systemic reaction (other): Not yet - maybe later - just got it 1 1/2 hours ago

Release 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): Coughing, slight congestion, esp. when laying on back; Can't sleep (1.5 hour max until now, after sleeping 12 a.m. - 3:30 a.m. ), want to sleep tossing, turning. Fever/chills cycle up and down. Nausea, just the slightest last night for only a moment.

2021-04-09

Systemic reaction (other): Heavy sweating (all bedding and mattress wet) last night; some coughing esp. when laying on back; tired but too sore to sleep until last night when soreness subsided and chills began in earnest; FYI my baseline before symptoms was 97.7 and now post fever back down to 97.2.

2021-04-10

Systemic reaction (other): All fine; just FYI my 1st dose (I was late signing up) symptoms were: extremely sore arm; strong aches all over; felt like fighting cold in the middle of the night; resolved by morning within 20 hrs of 1st jab.

Release 7 — day 7, dose 2

2021-04-14

Systemic reaction (other): Sporadic, highly localized itching on calf and elbow on opposite arm from where vaccinated; last few days

Release 7 — day 14, dose 2

2021-04-21

Symptoms: Mild headache for a day or twoa week ago after last check-in.

Release 8 — day 42, dose 2

2021-05-19

Symptoms: Probably seasonal allergy symptoms; dripping nose pre-dawn and dawn hours; one morning headache.

Release 9 — 3 months, dose 2

2021-07-07

Symptoms: Back pain: thoracic spine somewhere below t-1; have not yet seen doctor; possibly related to extended sitting posture during pandemic

Release 10 — day 0, dose 3

2021-12-01

Systemic reaction (other): A little early still; we'll see how overnight goes

Release 10 — days 1–6 daily, dose 3

2021-12-03

Systemic reaction (other): Slight Cough, slight nose drip

Release 10 — day 42, dose 3

2022-01-12

Symptoms: Sniffles, light congestion, slight sore throat

Release 11 — 6 months, dose 3

2022-06-01

Symptoms: Allergies this last month; tired

Release 12 — days 1–6 daily, dose 4

2022-06-25

Systemic reaction (other): Coughing, mild, occasional

2022-06-27

Systemic reaction (other): Mild dizziness or unsteadiness this morning, slight congestion in a.m.

2022-06-30

Systemic reaction (other): Sniffles, mild congestion

Release 12 — day 7, dose 4

2022-07-01

Systemic reaction (other): Mild congestion, nasal drip

Release 12 — day 14, dose 4

2022-07-08

Symptoms: Minor congestion, mild headache

Release 12 — day 28, dose 4

2022-07-24

Symptoms: Variably since Tuesday 7/19/2022: Sore throat, aches, tiredness, medium headache, running nose, the beginnings of congestion and a few fleeting moments of nausea. More predominantly in the evening and at night.

Release 12 — day 35, dose 4

2022-07-29

Symptoms: Tight chest, sore throat and sore chest. Variable from mild to medium. So far, less each day, but still a little sore today. Early on, I had trouble reading, but that resolved. Saw doctor last week. Quarantining through today.

Release 12 — day 42, dose 4

2022-08-05

Symptoms: After last check-in, I had a couple day bout with chest tightness, sore throat and chest, over last weekend particularly 7/30-7/31. By 8/1 I was almost Norma and on 8/2 I was back to normal. 13-14 days of variable symptoms.

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	Adverse reaction	·	·	✓
SD	Back pain	✓	✓	✓
SD	Chest discomfort	·	·	✓
SD	Chest pain	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Metamorphopsia	·	·	✓
SD	Nausea	·	·	✓
SD	Office visit	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Photopsia	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Quarantine	·	·	✓
SD	Reading disorder	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Upper-airway cough syndrome	✓	✓	✓
SD	Vision blurred	·	·	✓
SRO	Balance disorder	·	·	✓
SRO	Body temperature decreased	✓	·	✓
SRO	Chills	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	·	·	✓
SRO	Fatigue	✓	·	✓
SRO	Headache	·	·	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Metamorphopsia	·	·	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Sleep disorder	✓	·	✓
SRO	Unevaluable event	·	·	✓

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