3PH-16290-97377

4 vaccinations 17 coded responses 46 check-ins 16 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 600 / IL
Registered: 2021-01-21

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

Registered dependents

LCA-19821-24338 Adult relative or friend · Male · 2021-08-19

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
1921025 (opens in a new window)	high	10 / 11	4	2 of 5 VAERS symptoms	same dose (2)	IL matches	2021-02-13 / 2021-02-15 / 2021-12-03 received the same day as the last call	case 938310

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

2021-01-19
Dose 1 — Pfizer-BioNTech
2021-01-21
Registered in v-safe
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Glossodynia, Oral pain — Feeling: Fair · Fever

Free text: Sore tongue & mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Medical counselling, Stomatitis — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Mouth & tongue sores · Healthcare visit (other): Telephone call

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-09
Survey response — day 21, dose 1
MedDRA: Immobile, Muscle spasms, Pain, Peripheral swelling — Feeling: Good · Be unable to do your normal daily activities

Free text: Thumb inflamed, cramped, immobilized. Sudden severe pain started Saturday. It is getting much better. Getting 2nd vaccine 2/13/21

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Dose 2 — Pfizer-BioNTech
2021-02-13
Health check-in — day 0, dose 2
Feeling: Fair · Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-02-19
Survey response — days 1–6 daily, dose 2
MedDRA: Eye haemorrhage — Feeling: Good · Site: Redness, Swelling, Itching

Free text: Right eye severalBroken blood vessels last night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2021-02-27
Survey response — day 14, dose 2
MedDRA: Oedema peripheral, Rash — Feeling: Good

Free text: Arm is very very swollen in the back and had a rash

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — day 21, dose 2
MedDRA: Peripheral swelling — Feeling: Good

Free text: Swollen arm of injection arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — day 28, dose 2
MedDRA: Abdominal pain upper — Feeling: Fair · Be unable to do your normal daily activities

Free text: Stomach pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-02
Call successful
Completed over the phone
2021-05-15
Survey response — 3 months, dose 2
MedDRA: Dizziness, Immunisation reaction — Feeling: Good

Free text: Dizzy & I have COVID arm. But Im grateful

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-14
Survey response — 6 months, dose 2
MedDRA: Myalgia, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Back pain muscle right side · Healthcare visit (other): Personal doctor visit

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-14
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-31
Dose 3 — Pfizer-BioNTech
2021-08-31
Health check-in — day 0, dose 3
Feeling: Good · Site: Redness · Abdominal pain

Adult check-in
2021-09-01
Survey response — days 1–6 daily, dose 3
MedDRA: Eye pain — Feeling: Good · Site: Pain, Swelling · Fever · Joint pains

Free text: Eye pain

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-09-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2021-09-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2021-09-05
Survey response — days 1–6 daily, dose 3
MedDRA: Back pain — Feeling: Fair · Site: Redness, Itching · Headache, Muscle or body aches

Free text: back pain right side

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness · None

Adult check-in
2021-09-07
Health check-in — day 7, dose 3
Feeling: Good · Site: Swelling · None

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

Adult check-in
2021-09-21
Survey response — day 21, dose 3
MedDRA: Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Diahrea

MedDRA releases: 2024-11 · check-in free text available
2021-09-28
Survey response — day 28, dose 3
MedDRA: Fatigue, Respiratory tract congestion — Feeling: Fair

Free text: Fatigue, congestion

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Survey response — day 35, dose 3
MedDRA: Brain fog, Ear pain, Headache, Sinus congestion, Unevaluable event — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Earache, sinus congestion, headache, foggy · Healthcare visit (other): On Zpak now

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Report sent to call center — day 35, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-06
Call 1 — Left Voicemail
2021-10-06
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-12
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-30
Survey response — 3 months, dose 3
MedDRA: COVID-19, Muscle rupture, Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activities

Free text: Still have COVID swollen arm & now tear in glute muscle. Otherwise very good

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Call successful
Completed over the phone
2022-03-01
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-01
Dose 4 — Pfizer-BioNTech
2022-04-14
Health check-in — day 7, dose 4
Feeling: Good · Chills, Headache, Muscle or body aches

Adult check-in
2022-04-15
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-04-24
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-04-29
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-06
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-13
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-01
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-09-30
Survey response — 6 months, dose 4
MedDRA: Brain fog, Headache, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: Foggy feeling. Headache · Healthcare visit (other): My internist

MedDRA releases: 2024-11 · check-in free text available
2022-09-30
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-04
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-01
Survey response — 12 months, dose 4
MedDRA: Arthralgia, Dizziness, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-04-01
Report sent to call center — 12 months, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-04-04
Call 1 — Requested Callback
2023-04-06
Call 2 — Left Voicemail
2023-04-06
Callback requested for
02:00PM

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-19	Pfizer-BioNTech
2	2021-02-13	Pfizer-BioNTech
3	2021-08-31	Pfizer-BioNTech	No
4	2022-04-01	Pfizer-BioNTech	No

Call center

5 call center cases

4 successful · 1 unsuccessful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): Sore tongue & mouth

2021-01-23

Systemic reaction (other): Mouth & tongue sores

Healthcare visit (other): Telephone call

Release 3 — day 21, dose 1

2021-02-09

Symptoms: Thumb inflamed, cramped, immobilized. Sudden severe pain started Saturday. It is getting much better. Getting 2nd vaccine 2/13/21

Release 4 — days 1–6 daily, dose 2

2021-02-19

Systemic reaction (other): Right eye severalBroken blood vessels last night

Release 4 — day 14, dose 2

2021-02-27

Symptoms: Arm is very very swollen in the back and had a rash

Release 5 — day 21, dose 2

2021-03-06

Symptoms: Swollen arm of injection arm

Release 5 — day 28, dose 2

2021-03-13

Symptoms: Stomach pain

Release 8 — 3 months, dose 2

2021-05-15

Symptoms: Dizzy & I have COVID arm. But Im grateful

Release 9 — 6 months, dose 2

2021-08-14

Symptoms: Back pain muscle right side

Healthcare visit (other): Personal doctor visit

Release 9 — days 1–6 daily, dose 3

2021-09-01

Systemic reaction (other): Eye pain

2021-09-05

Systemic reaction (other): back pain right side

Release 9 — day 21, dose 3

2021-09-21

Symptoms: Diahrea

Release 9 — day 28, dose 3

2021-09-28

Symptoms: Fatigue, congestion

Release 10 — day 35, dose 3

2021-10-05

Symptoms: Earache, sinus congestion, headache, foggy

Healthcare visit (other): On Zpak now

Release 10 — 3 months, dose 3

2021-11-30

Symptoms: Still have COVID swollen arm & now tear in glute muscle. Otherwise very good

Release 12 — 6 months, dose 4

2022-09-30

Symptoms: Foggy feeling. Headache

Healthcare visit (other): My internist

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	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Brain fog	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Ear pain	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Immobile	✓	✓	✓
SD	Immunisation reaction	✓	✓	✓
SD	Muscle rupture	·	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Myalgia	✓	·	✓
SD	Oedema peripheral	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinus congestion	·	·	✓
SRO	Back pain	✓	·	✓
SRO	Eye haemorrhage	✓	✓	✓
SRO	Eye pain	✓	·	✓
SRO	Glossodynia	✓	✓	✓
SRO	Oral pain	✓	✓	✓
SRO	Stomatitis	✓	✓	✓

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