3NJ-25607-39908

4 vaccinations 11 coded responses 32 check-ins 11 free-text entries 1 call case

Sex: Male
Age at first dose: 51-55
ZIP prefix: 972 / OR
Registered: 2021-04-07

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
2273598 (opens in a new window)	high	9 / 11	—	1 of 8 VAERS symptoms	same dose (4)	OR matches	2022-04-18 / 2022-04-18 / 2022-05-12 received the same day as the last call	case 663868

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

2021-04-05
Dose 1 — Pfizer-BioNTech
2021-04-07
Registered in v-safe
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Blood glucose increased — Feeling: Fair · Site: Pain, Redness · Chills, Joint pains, Muscle or body aches, Diarrhea

Free text: Increased blood sugar readings.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Bladder discomfort, Pollakiuria, Urinary retention — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Consistent feeling of a full bladder, constant urination

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-26
Survey response — day 21, dose 1
MedDRA: Headache, Myalgia — Feeling: Fair

Free text: Headache(s) muscle pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Dose 2 — Pfizer-BioNTech
2021-05-10
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-07-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-17
Dose 3 — Pfizer-BioNTech
2021-11-20
Survey response — days 1–6 daily, dose 3
MedDRA: Diabetes mellitus, Diabetes mellitus inadequate control, Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: I'm a type-1 diabetic and have lost all control of my blood sugar's! Instead of a nice flat line, I'm experiencing peeks & valleys BS wise!

MedDRA releases: 2024-11 · check-in free text available
2021-11-21
Survey response — days 1–6 daily, dose 3
MedDRA: Blood glucose fluctuation — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: High and low blood sugar readings.

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Survey response — days 1–6 daily, dose 3
MedDRA: Dysuria, Vaccine positive rechallenge — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Dificulties in urinating. Each time I was given the Pfizer vaccine (3X's) I've had trouble relieving my bladder.

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2021-11-24
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-09
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-15
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-22
Survey response — day 35, dose 3
MedDRA: Influenza, Malaise, Nasopharyngitis — Feeling: Fair

Free text: Cold and/or flu like symptoms. Everything on the Omicron checklists MINUS headache, chills, feverish.

MedDRA releases: 2024-11 · check-in free text available
2021-12-29
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-16
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-18
Dose 4 — Pfizer-BioNTech
2022-04-19
Survey response — days 1–6 daily, dose 4
MedDRA: Dry mouth, Oropharyngeal pain — Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dry mouth, sore throat.

MedDRA releases: 2024-11 · check-in free text available
2022-04-20
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-04-21
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-22
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-23
Survey response — days 1–6 daily, dose 4
MedDRA: Disturbance in attention, Dyspnoea — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Difficulties with attention, easily winded, hard to concentrate!

MedDRA releases: 2024-11 · check-in free text available
2022-04-24
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-25
Survey response — day 7, dose 4
MedDRA: Diabetes mellitus inadequate control, Type 1 diabetes mellitus — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Since the administration of the 4th shots total(Pfizer), 2nd booster as a Type 1 diabetic blood sugar control went right out the window!

MedDRA releases: 2024-11 · check-in free text available
2022-05-02
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-09
Survey response — day 21, dose 4
MedDRA: Malaise, SARS-CoV-2 test negative — Feeling: Fair · 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: Covid like symptoms-POCT test neg.

MedDRA releases: 2024-11 · check-in free text available
2022-05-09
Report sent to call center — day 21, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-10
Call 1 — Left Voicemail
2022-05-12
Call 2 — Left Voicemail
2022-05-12
Call successful
Completed over the phone
2022-05-16
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-23
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-05	Pfizer-BioNTech
2	2021-04-27	Pfizer-BioNTech
3	2021-11-17	Pfizer-BioNTech	No
4	2022-04-18	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-07

Systemic reaction (other): Increased blood sugar readings.

2021-04-08

Systemic reaction (other): Consistent feeling of a full bladder, constant urination

Release 8 — day 21, dose 1

2021-04-26

Symptoms: Headache(s) muscle pain

Release 10 — days 1–6 daily, dose 3

2021-11-20

Systemic reaction (other): I'm a type-1 diabetic and have lost all control of my blood sugar's! Instead of a nice flat line, I'm experiencing peeks & valleys BS wise!

2021-11-21

Systemic reaction (other): High and low blood sugar readings.

2021-11-22

Systemic reaction (other): Dificulties in urinating. Each time I was given the Pfizer vaccine (3X's) I've had trouble relieving my bladder.

Release 10 — day 35, dose 3

2021-12-22

Symptoms: Cold and/or flu like symptoms. Everything on the Omicron checklists MINUS headache, chills, feverish.

Release 11 — days 1–6 daily, dose 4

2022-04-19

Systemic reaction (other): Dry mouth, sore throat.

2022-04-23

Systemic reaction (other): Difficulties with attention, easily winded, hard to concentrate!

Release 11 — day 7, dose 4

2022-04-25

Systemic reaction (other): Since the administration of the 4th shots total(Pfizer), 2nd booster as a Type 1 diabetic blood sugar control went right out the window!

Release 11 — day 21, dose 4

2022-05-09

Symptoms: Covid like symptoms-POCT test neg.

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
SD	Headache	✓	✓	✓
SD	Influenza	·	·	✓
SD	Malaise	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Bladder discomfort	✓	·	✓
SRO	Blood glucose fluctuation	·	·	✓
SRO	Blood glucose increased	✓	✓	✓
SRO	Diabetes mellitus	·	·	✓
SRO	Diabetes mellitus inadequate control	·	·	✓
SRO	Disturbance in attention	·	·	✓
SRO	Dry mouth	·	·	✓
SRO	Dyspnoea	·	·	✓
SRO	Dysuria	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pollakiuria	✓	✓	✓
SRO	Pre-existing disease	·	·	✓
SRO	Type 1 diabetes mellitus	·	·	✓
SRO	Urinary retention	○	✓	○
SRO	Vaccine positive rechallenge	·	·	✓

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