3NK-12750-00986

3 vaccinations 8 coded responses 27 check-ins 8 free-text entries 5 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 357 / AL
Registered: 2021-04-30

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

U3F-64485-18194 Child or adolescent in my care · Male · 2021-08-20

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
1731516 (opens in a new window)	high	10 / 11	2	4 of 10 VAERS symptoms	same dose (2)	AL matches	2021-04-30 / 2021-05-18 / 2021-09-24 received 126 days after the last call	case 715504

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

2021-04-07
Dose 1 — Pfizer-BioNTech
2021-04-30
Registered in v-safe
2021-04-30
Dose 2 — Pfizer-BioNTech
2021-04-30
Health check-in — day 0, dose 2
Feeling: Poor · Chills, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain upper — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Stomach cramps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

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

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-07
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-14
Survey response — day 14, dose 2
MedDRA: Cough, Office visit, Pyrexia, SARS-CoV-2 test negative, Viral infection — Feeling: Poor · Be unable to work, 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: Last vaccine shot 4/30/21. Symptoms of Viral infection lungs & coughing started a week later. Went to the Doctor and tested negative for Covid, flu, & strep. Most likely viral bronchitis. I highly doubt it is related but still reporting to you

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Report sent to call center — day 14, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-21
Survey response — day 21, dose 2
MedDRA: Bronchitis, Ear infection — Feeling: Fair · Be unable to work, 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: Bronchitis & ear infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-28
Survey response — day 28, dose 2
MedDRA: Dizziness, Ear discomfort, Impaired driving ability, Impaired work ability, Loss of personal independence in daily activities, Meniere's disease, Office visit — Feeling: Fair · Be unable to work, 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: Symptoms: Onset of suspected Meniere's disease never before diagnosed. Increasing ear pressure and dizziness. Unable to work, drive, or do normal activities · Healthcare visit (other): ENT Specialist & testing

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

1 call case(s)
2021-06-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-11
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-30
Survey response — 3 months, dose 2
MedDRA: Autoimmune disorder, Meniere's disease — 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: Diagnosed with Meniere's Disease, auto-immune

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-30
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-18
Dose 3 — Pfizer-BioNTech
2021-08-20
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-08-21
Survey response — days 1–6 daily, dose 3
MedDRA: Pruritus — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Itching all over last 18 hours not at injection site

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-08-23
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site rash, Injection site swelling, Unevaluable event — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Rash on arm around injection, large swelling around injection site & lymph node under arm near injection

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-25
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-09-01
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-09-08
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-09-15
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-09-22
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-09-24
Call successful
Completed over the phone
2021-09-29
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-17
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-02-16
Survey response — 6 months, dose 3
MedDRA: Brain fog, COVID-19, Fatigue, Muscular weakness, Post-acute COVID-19 syndrome, Walking aid user — 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

Free text: Covid positive 1/21/22 experiencing long Covid symptoms, leg weakness requiring a cane, extreme fatigue, brain fog

MedDRA releases: 2024-11 · check-in free text available
2022-02-16
Report sent to call center — 6 months, dose 3
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)
2022-02-17
Call 1 — Left Voicemail
2022-08-20
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Pfizer-BioNTech
2	2021-04-30	Pfizer-BioNTech
3	2021-08-18	Pfizer-BioNTech	No

Call center

5 call center cases

4 successful · 1 unsuccessful

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-01

Systemic reaction (other): Stomach cramps

Release 8 — day 14, dose 2

2021-05-14

Symptoms: Last vaccine shot 4/30/21. Symptoms of Viral infection lungs & coughing started a week later. Went to the Doctor and tested negative for Covid, flu, & strep. Most likely viral bronchitis. I highly doubt it is related but still reporting to you

Release 8 — day 21, dose 2

2021-05-21

Symptoms: Bronchitis & ear infection

Release 8 — day 28, dose 2

2021-05-28

Symptoms: Onset of suspected Meniere's disease never before diagnosed. Increasing ear pressure and dizziness. Unable to work, drive, or do normal activities

Healthcare visit (other): ENT Specialist & testing

Release 9 — 3 months, dose 2

2021-07-30

Symptoms: Diagnosed with Meniere's Disease, auto-immune

Release 9 — days 1–6 daily, dose 3

2021-08-21

Systemic reaction (other): Itching all over last 18 hours not at injection site

2021-08-23

Systemic reaction (other): Rash on arm around injection, large swelling around injection site & lymph node under arm near injection

Release 11 — 6 months, dose 3

2022-02-16

Symptoms: Covid positive 1/21/22 experiencing long Covid symptoms, leg weakness requiring a cane, extreme fatigue, brain fog

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	Autoimmune disorder	✓	·	✓
SD	Brain fog	·	·	✓
SD	Bronchitis	✓	✓	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Ear discomfort	✓	✓	✓
SD	Ear infection	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Impaired driving ability	✓	✓	✓
SD	Impaired work ability	✓	✓	✓
SD	Loss of personal independence in daily activities	✓	✓	✓
SD	Meniere's disease	✓	✓	✓
SD	Muscular weakness	·	·	✓
SD	Office visit	✓	✓	✓
SD	Post-acute COVID-19 syndrome	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Viral infection	✓	✓	✓
SD	Walking aid user	·	·	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Injection site rash	✓	·	✓
SRO	Injection site swelling	✓	·	✓
SRO	Pruritus	✓	·	✓
SRO	Unevaluable event	✓	·	✓

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