3T8-10490-57679

3 vaccinations 9 coded responses 39 check-ins 9 free-text entries 3 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 750 / TX
Registered: 2021-03-09

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
2452123 (opens in a new window)	high	10 / 11	—	1 of 3 VAERS symptoms	same dose (3)	TX matches	2021-09-14 / 2021-11-01 / 2022-09-20 received the same day as the last call	case 1219466

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

2021-03-09
Registered in v-safe
2021-03-09
Dose 1 — Pfizer-BioNTech
2021-03-09
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Diarrhea

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Chills, Muscle or body aches, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-30
Dose 2 — Pfizer-BioNTech
2021-03-30
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tiredness

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

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

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-20
Survey response — day 21, dose 2
MedDRA: Diarrhoea, Hyperhidrosis — Feeling: Fair

Free text: Diareha, sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-14
Dose 3 — Pfizer-BioNTech
2021-09-14
Survey response — day 0, dose 3
MedDRA: Arthralgia — Feeling: Fair · Site: Pain, Redness · Muscle or body aches

Free text: Entire shoulder is sore up to the base of my neck

MedDRA releases: 2024-11 · check-in free text available
2021-09-15
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Pain in extremity — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Arm and shoulder very sore

MedDRA releases: 2024-11 · check-in free text available
2021-09-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-09-17
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site erythema, Injection site pain — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches

Free text: Redness around the injection site on the outer ends of the sore spot

MedDRA releases: 2024-11 · check-in free text available
2021-09-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-09-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches

Adult check-in
2021-09-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-09-21
Health check-in — day 7, dose 3
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-09-28
Survey response — day 14, dose 3
MedDRA: Injection site discolouration — Feeling: Good

Free text: I have developed several small white patches around the perimeter of the injection site

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Survey response — day 21, dose 3
MedDRA: Injection site discolouration — Feeling: Good

Free text: Small white patches around the injection site

MedDRA releases: 2024-11 · check-in free text available
2021-10-12
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-19
Survey response — day 35, dose 3
MedDRA: Haematuria, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Blood in urine · Healthcare visit (other): PCP & HAVE APPT WITH UROLOGIST & HAD CT SCAN

MedDRA releases: 2024-11 · check-in free text available
2021-10-19
Report sent to call center — day 35, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-25
Call 1 — Left Voicemail
2021-10-26
Call 2 — Left Voicemail
2021-10-27
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-12-14
Survey response — 3 months, dose 3
MedDRA: Nephrolithiasis — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Kidney stones

MedDRA releases: 2024-11 · check-in free text available
2021-12-14
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-15
Call 1 — Could Not Reach Participant
2021-12-20
Call 2 — Left Voicemail
2021-12-20
Callback requested for
11:00AM ET
2022-03-15
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-19
Survey response — 12 months, dose 3
MedDRA: Nephrolithiasis, Surgery — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Kidney stones which required surgery in February 2022

MedDRA releases: 2024-11 · check-in free text available
2022-09-19
Report sent to call center — 12 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

Hospitalization · 1 call case(s)
2022-09-20
Call successful
Completed over the phone
2022-09-20
Call successful
Completed over the phone
2022-09-20
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Pfizer-BioNTech
2	2021-03-30	Pfizer-BioNTech
3	2021-09-14	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 7 — day 21, dose 2

2021-04-20

Symptoms: Diareha, sweats

Release 9 — day 0, dose 3

2021-09-14

Systemic reaction (other): Entire shoulder is sore up to the base of my neck

Release 9 — days 1–6 daily, dose 3

2021-09-15

Systemic reaction (other): Arm and shoulder very sore

2021-09-17

Systemic reaction (other): Redness around the injection site on the outer ends of the sore spot

Release 9 — day 14, dose 3

2021-09-28

Symptoms: I have developed several small white patches around the perimeter of the injection site

Release 10 — day 21, dose 3

2021-10-05

Symptoms: Small white patches around the injection site

Release 10 — day 35, dose 3

2021-10-19

Symptoms: Blood in urine

Healthcare visit (other): PCP & HAVE APPT WITH UROLOGIST & HAD CT SCAN

Release 10 — 3 months, dose 3

2021-12-14

Symptoms: Kidney stones

Release 12 — 12 months, dose 3

2022-09-19

Symptoms: Kidney stones which required surgery in February 2022

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	Diarrhoea	✓	✓	✓
SD	Haematuria	·	·	✓
SD	Hyperhidrosis	✓	✓	✓
SD	Injection site discolouration	·	·	✓
SD	Nephrolithiasis	·	·	✓
SD	Surgery	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Injection site erythema	·	·	✓
SRO	Injection site pain	·	·	✓
SRO	Pain in extremity	·	·	✓

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