3ZV-17609-02636

5 vaccinations 6 coded responses 26 check-ins 5 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 105 / NY
Registered: 2021-03-03

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
2119307 (opens in a new window)	high	8 / 11	3	0 of 2 VAERS symptoms	same dose (3)	NY matches	2021-08-15 / 2021-11-24 / 2022-02-17 received 180 days before the last call	case 940263

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

2021-03-01
Dose 1 — Pfizer-BioNTech
2021-03-03
Registered in v-safe
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — day 7, dose 1
Feeling: Poor · Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-22
Dose 2 — Pfizer-BioNTech
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen lymph node under arm where I got the shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-03-26
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Lymph node pain, Lymphadenopathy — Feeling: Poor · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Very swollen lymph node at the end of my left collarbone near the hollow of my neck. Radiated pain through my entire left shoulder. Accompanied by intense fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-29
Health check-in — day 7, dose 2
Feeling: Good · Nausea, Diarrhea

Adult check-in
2021-04-05
Survey response — day 14, dose 2
MedDRA: Nausea — Feeling: Good · Be unable to do your normal daily activities

Free text: Mild somewhat persistent underlying nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-15
Dose 3 — Pfizer-BioNTech
2021-09-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-02
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-16
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-02-13
Survey response — 6 months, dose 3
MedDRA: Arteriosclerosis, Cardiac stress test abnormal, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Atherosclerotic heart disease - small abnormality detected on a nuclear stress test · Healthcare visit (other): Nuclear stress test at the hospital

MedDRA releases: 2024-11 · check-in free text available
2022-02-13
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-17
Call successful
Completed over the phone
2022-07-10
Dose 4 — Moderna
2022-08-15
Survey response — 12 months, dose 3
MedDRA: Cardiovascular disorder, Vertigo — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Vertigo and cardiovascular disease

MedDRA releases: 2024-11 · check-in free text available
2022-08-15
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-08-16
Call successful
Reported to VAERS during previous contact from GDIT
2022-11-06
Dose 5 — Pfizer-BioNTech
2023-02-05
Survey response — 3 months, dose 5
MedDRA: Office visit, Ovarian cyst, Ovarian mass — Feeling: Good · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-02-05
Report sent to call center — 3 months, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2023-02-06
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-05-08
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-01	Pfizer-BioNTech
2	2021-03-22	Pfizer-BioNTech
3	2021-08-15	Pfizer-BioNTech	No
4	2022-07-10	Moderna	No
5	2022-11-06	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-24

Systemic reaction (other): Swollen lymph node under arm where I got the shot

2021-03-26

Systemic reaction (other): Very swollen lymph node at the end of my left collarbone near the hollow of my neck. Radiated pain through my entire left shoulder. Accompanied by intense fatigue.

Release 6 — day 14, dose 2

2021-04-05

Symptoms: Mild somewhat persistent underlying nausea

Release 11 — 6 months, dose 3

2022-02-13

Symptoms: Atherosclerotic heart disease - small abnormality detected on a nuclear stress test

Healthcare visit (other): Nuclear stress test at the hospital

Release 12 — 12 months, dose 3

2022-08-15

Symptoms: Vertigo and cardiovascular disease

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	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Arteriosclerosis	·	·	✓
SD	Cardiac stress test abnormal	·	·	✓
SD	Cardiovascular disorder	·	·	✓
SD	Nausea	✓	✓	✓
SD	Ovarian cyst	·	·	✓
SD	Ovarian mass	·	·	✓
SD	Vertigo	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓

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