3MN-11912-79125

5 vaccinations 13 coded responses 41 check-ins 12 free-text entries 8 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 274 / NC
Registered: 2021-03-23

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
1894676 (opens in a new window)	high	10 / 11	1	2 of 7 VAERS symptoms	same dose (3)	NC matches	2021-08-20 / 2021-10-01 / 2021-11-23 received the same day as the last call	case 1003336

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

2021-03-18
Dose 1 — Pfizer-BioNTech
2021-03-23
Registered in v-safe
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-08
Dose 2 — Pfizer-BioNTech
2021-04-08
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

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

Adult check-in
2021-04-15
Survey response — day 7, dose 2
MedDRA: Diarrhoea, Intestinal operation, Pre-existing disease — Feeling: Good · Diarrhea

Free text: I have diarrhea daily but it is due to intestinal sugery last fall.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 14, dose 2
MedDRA: Diarrhoea — Feeling: Fair

Free text: Diarthea has become more severe but dr has changed meds. I dont think,its vaccine. Have had this problem since intestinal surgery in October

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-06
Survey response — day 28, dose 2
MedDRA: Unevaluable event — Feeling: Poor · 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: Colonoscopy and pain the day after (today)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-08
Survey response — 3 months, dose 2
MedDRA: Dehydration, Pre-existing disease, Vertigo — Feeling: Poor · 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: Crohns diagnosis. Dehydration and vertigo.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-08
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-12
Call 1 — Left Voicemail
2021-07-12
Call 1 — Left Voicemail
2021-08-20
Dose 3 — Pfizer-BioNTech
Co-administered: Pneumonia
2021-08-23
Survey response — days 1–6 daily, dose 3
MedDRA: Chills, Pain in extremity — Feeling: Good · Chills

Free text: Had chills 8/21 day after shot and some arm soreness but no fever.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-25
Survey response — days 1–6 daily, dose 3
MedDRA: Adverse reaction, Pre-existing disease — Feeling: Good · Diarrhea

Free text: This Crohns related

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-27
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-09-03
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-09-10
Survey response — day 21, dose 3
MedDRA: Crohn's disease, Foot fracture, Office visit, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Broken foot and crohns flare · Healthcare visit (other): Dr office

MedDRA releases: 2024-11 · check-in free text available
2021-09-10
Report sent to call center — day 21, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-14
Call 1 — Left Voicemail
2021-09-17
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-09-24
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-01
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-19
Survey response — 3 months, dose 3
MedDRA: Deafness unilateral, Office visit, Scleritis, Vertigo — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Scleritis, vertigo and hearing loss in one ear · Healthcare visit (other): Office visit

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-23
Call successful
Not applicable - Accidental Reporting
2021-11-23
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-11-23
Call successful
Completed over the phone
2021-11-23
Call successful
Completed over the phone
2022-02-18
Survey response — 6 months, dose 3
MedDRA: Crohn's disease, Office visit, Pre-existing disease, Scleritis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Scleritis Crohns flares periodically · Healthcare visit (other): In person dr visit

MedDRA releases: 2024-11 · check-in free text available
2022-02-18
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-21
Call 1 — Left Voicemail
2022-04-19
Dose 4 — Pfizer-BioNTech
2022-05-14
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-17
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-24
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-31
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-19
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-07
Dose 5 — Pfizer-BioNTech
2022-10-14
Survey response — day 7, dose 5
MedDRA: COVID-19 — Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Covid positive

MedDRA releases: 2024-11 · check-in free text available
2022-10-21
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-10-28
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-11-04
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-11-11
Survey response — day 35, dose 5
MedDRA: Office visit, Sinusitis, Vertigo — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Sinus infection and vertigo · Healthcare visit (other): Primary care Dr visit

MedDRA releases: 2024-11 · check-in free text available
2022-11-11
Report sent to call center — day 35, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-11-14
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-14
Call successful
Completed over the phone
2022-11-18
Survey response — day 42, dose 5
MedDRA: Nasal congestion, Office visit, Sinusitis, Vertigo — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Vertigo worse. Continued nasal congestion even after antibiotics for sinus infection. · Healthcare visit (other): Portal this week after office visit with primary doctor last week

MedDRA releases: 2024-11 · check-in free text available
2022-11-18
Report sent to call center — day 42, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-11-21
Call successful
Does not wish to fill out VAERS report
2023-01-06
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-07
Survey response — 6 months, dose 5
MedDRA: Office visit, Skin cancer — Feeling: Good · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-04-07
Report sent to call center — 6 months, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2023-04-10
Call successful
Reported to VAERS during previous contact from GDIT

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Pfizer-BioNTech
2	2021-04-08	Pfizer-BioNTech
3	2021-08-20	Pfizer-BioNTech	Pneumonia
4	2022-04-19	Pfizer-BioNTech	No
5	2022-10-07	Pfizer-BioNTech	No

Call center

8 call center cases

8 successful

VAERS report filed, before or during a call: 4

See the call center timeline

Free text

Release 7 — day 7, dose 2

2021-04-15

Systemic reaction (other): I have diarrhea daily but it is due to intestinal sugery last fall.

Release 7 — day 14, dose 2

2021-04-22

Symptoms: Diarthea has become more severe but dr has changed meds. I dont think,its vaccine. Have had this problem since intestinal surgery in October

Release 8 — day 28, dose 2

2021-05-06

Symptoms: Colonoscopy and pain the day after (today)

Release 9 — 3 months, dose 2

2021-07-08

Symptoms: Crohns diagnosis. Dehydration and vertigo.

Release 9 — days 1–6 daily, dose 3

2021-08-23

Systemic reaction (other): Had chills 8/21 day after shot and some arm soreness but no fever.

2021-08-25

Systemic reaction (other): This Crohns related

Release 9 — day 21, dose 3

2021-09-10

Symptoms: Broken foot and crohns flare

Healthcare visit (other): Dr office

Release 10 — 3 months, dose 3

2021-11-19

Symptoms: Scleritis, vertigo and hearing loss in one ear

Healthcare visit (other): Office visit

Release 11 — 6 months, dose 3

2022-02-18

Symptoms: Scleritis Crohns flares periodically

Healthcare visit (other): In person dr visit

Release 12 — day 7, dose 5

2022-10-14

Systemic reaction (other): Covid positive

Release 12 — day 35, dose 5

2022-11-11

Symptoms: Sinus infection and vertigo

Healthcare visit (other): Primary care Dr visit

Release 12 — day 42, dose 5

2022-11-18

Symptoms: Vertigo worse. Continued nasal congestion even after antibiotics for sinus infection.

Healthcare visit (other): Portal this week after office visit with primary doctor last week

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	Crohn's disease	·	·	✓
SD	Deafness unilateral	·	·	✓
SD	Dehydration	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Foot fracture	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Scleritis	·	·	✓
SD	Sinusitis	·	·	✓
SD	Skin cancer	·	·	✓
SD	Unevaluable event	✓	✓	✓
SD	Vertigo	✓	✓	✓
SRO	Adverse reaction	✓	·	✓
SRO	Chills	✓	·	✓
SRO	COVID-19	·	·	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Intestinal operation	✓	✓	✓
SRO	Pain in extremity	✓	·	✓
SRO	Pre-existing disease	✓	✓	✓

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