45A-28569-04861

1 vaccination 7 coded responses 9 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 981 / WA
Registered: 2021-05-06

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
1494206 (opens in a new window)	high	10 / 11	-2	4 of 15 VAERS symptoms	same dose (1)	WA matches	2021-04-28 / 2021-04-30 / 2021-07-22 received 56 days after the last call	case 736351

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

2021-04-28
Dose 1 — Pfizer-BioNTech
2021-05-06
Registered in v-safe
2021-05-06
Survey response — day 7, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Chills, Joint pains · Be unable to do your normal daily activities

Free text: Worsening of autonomic nervous system condition (autoimmune)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Survey response — day 14, dose 1
MedDRA: Chills, Condition aggravated, Pre-existing disease — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Worsening underlying autoimmune autonomic symptoms, plus chills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Survey response — day 21, dose 1
MedDRA: Condition aggravated, Immunoglobulin therapy, Pre-existing disease — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Received IVIG dose for my autonomic autoimmune condition and the side effects were significantly worse after (not quite 2 weeks post vaccination)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — day 28, dose 1
MedDRA: Condition aggravated, Heavy menstrual bleeding, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Continued flare of underlying autoimmune autonomic nervous system condition. Very heavy menstrual bleeding

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Report sent to call center — day 28, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-02
Survey response — day 35, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Continued flare of autoimmune autonomic condition

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Report sent to call center — day 35, dose 1
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)
2021-06-09
Survey response — day 42, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Be unable to work, 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: Continued severe flare of autoimmune autonomic condition

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Report sent to call center — day 42, dose 1
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)
2021-07-15
Call 1 — Left Voicemail
2021-07-22
Call successful
Completed over the phone
2021-07-28
Survey response — 3 months, dose 1
MedDRA: Chest pain, Hypoaesthesia oral, Sensory disturbance — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Increased chest pain, upper palate numbness, sensation left arm detached from body,

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-28
Report sent to call center — 3 months, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-05
Call 1 — Left Voicemail
2021-10-27
Health check-in — 6 months, dose 1
Feeling: Poor

Adult check-in
2022-04-28
Health check-in — 12 months, dose 1
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-28	Pfizer-BioNTech

Call center

4 call center cases

3 successful · 1 unsuccessful

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 8 — day 7, dose 1

2021-05-06

Systemic reaction (other): Worsening of autonomic nervous system condition (autoimmune)

Release 8 — day 14, dose 1

2021-05-16

Symptoms: Worsening underlying autoimmune autonomic symptoms, plus chills

Release 8 — day 21, dose 1

2021-05-19

Symptoms: Received IVIG dose for my autonomic autoimmune condition and the side effects were significantly worse after (not quite 2 weeks post vaccination)

Release 8 — day 28, dose 1

2021-05-27

Symptoms: Continued flare of underlying autoimmune autonomic nervous system condition. Very heavy menstrual bleeding

Release 8 — day 35, dose 1

2021-06-02

Symptoms: Continued flare of autoimmune autonomic condition

Release 9 — day 42, dose 1

2021-06-09

Symptoms: Continued severe flare of autoimmune autonomic condition

Release 9 — 3 months, dose 1

2021-07-28

Symptoms: Increased chest pain, upper palate numbness, sensation left arm detached from body,

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	Chest pain	✓	·	✓
SD	Chills	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Hypoaesthesia oral	✓	·	✓
SD	Immunoglobulin therapy	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Sensory disturbance	✓	·	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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