46U-82655-44716

5 vaccinations 7 coded responses 35 check-ins 7 free-text entries 5 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 857 / AZ
Registered: 2021-05-10

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
2460731 (opens in a new window)	high	8 / 11	1	0 of 6 VAERS symptoms	same dose (5)	AZ matches	2022-09-22 / 2022-09-24 / 2022-09-26 received the same day as the last call	case 1033019

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

2021-04-16
Dose 1 — Pfizer-BioNTech
2021-05-07
Dose 2 — Pfizer-BioNTech
2021-05-10
Registered in v-safe
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-14
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-21
Survey response — day 14, dose 2
MedDRA: Urinary tract infection — Feeling: Fair · Be unable to do your normal daily activities

Free text: UTI

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-05
Survey response — 6 months, dose 2
MedDRA: Spinal operation — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Had to have back surgery

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
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

Hospitalization · 1 call case(s)
2021-11-08
Call 1 — Left Voicemail
2021-11-13
Dose 3 — Moderna
2022-04-24
Dose 4 — Moderna
2022-04-29
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-04-30
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-05-01
Survey response — day 7, dose 4
MedDRA: Pre-existing disease, Sinus headache — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Diarrhea

Free text: Headache is due to sinus/allergies

MedDRA releases: 2024-11 · check-in free text available
2022-05-10
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-16
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-22
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-29
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-05
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-24
Survey response — 3 months, dose 4
MedDRA: Physiotherapy, Spinal operation, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Hospitalization

Free text: Symptoms: Colonoscopy , back surgery, PT, pain management TX's. · Healthcare visit (other): Pain management Back Tx's.

MedDRA releases: 2024-11 · check-in free text available
2022-07-24
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
2022-07-25
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-25
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-22
Dose 5 — Moderna
2022-09-22
Health check-in — day 0, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-09-23
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-24
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-09-25
Survey response — days 1–6 daily, dose 5
MedDRA: Blood glucose decreased, Emergency care — Feeling: Fair · Site: Pain · Headache · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Systemic reaction (other): Low blood sugar. Had to go to the ER last night because my blood Sugar dropped to 50 · Healthcare visit (other): For low blood sugar of 50

MedDRA releases: 2024-11 · check-in free text available
2022-09-25
Report sent to call center — days 1–6 daily, dose 5
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-09-26
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-26
Call successful
Completed over the phone
2022-09-27
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Itching · Chills, Headache

Adult check-in
2022-09-28
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-09-29
Health check-in — day 7, dose 5
Feeling: Good · Headache

Adult check-in
2022-10-06
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-13
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-20
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-27
Survey response — day 35, dose 5
MedDRA: Infection, Office visit, Tooth fracture — Feeling: Fair · 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: Broke tooth & infection. My Dentists has put me on Amoxicillin & He will be pulling the tooting November 2nd, 2022. · Healthcare visit (other): Dentist

MedDRA releases: 2024-11 · check-in free text available
2022-10-27
Report sent to call center — day 35, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-28
Call successful
Does not wish to fill out VAERS report
2022-11-03
Survey response — day 42, dose 5
MedDRA: Office visit, Tooth extraction, Tooth fracture — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Fractured tooth. Tooth was pulled yesterday · Healthcare visit (other): Dentist

MedDRA releases: 2024-11 · check-in free text available
2022-11-03
Report sent to call center — day 42, dose 5
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-04
Call successful
Does not wish to fill out VAERS report
2022-12-22
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-03-23
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-16	Pfizer-BioNTech
2	2021-05-07	Pfizer-BioNTech
3	2021-11-13	Moderna	No
4	2022-04-24	Moderna	No
5	2022-09-22	Moderna	No

Call center

5 call center cases

5 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 8 — day 14, dose 2

2021-05-21

Symptoms: UTI

Release 10 — 6 months, dose 2

2021-11-05

Symptoms: Had to have back surgery

Release 11 — day 7, dose 4

2022-05-01

Systemic reaction (other): Headache is due to sinus/allergies

Release 12 — 3 months, dose 4

2022-07-24

Symptoms: Colonoscopy , back surgery, PT, pain management TX's.

Healthcare visit (other): Pain management Back Tx's.

Release 12 — days 1–6 daily, dose 5

2022-09-25

Systemic reaction (other): Low blood sugar. Had to go to the ER last night because my blood Sugar dropped to 50

Healthcare visit (other): For low blood sugar of 50

Release 12 — day 35, dose 5

2022-10-27

Symptoms: Broke tooth & infection. My Dentists has put me on Amoxicillin & He will be pulling the tooting November 2nd, 2022.

Healthcare visit (other): Dentist

Release 12 — day 42, dose 5

2022-11-03

Symptoms: Fractured tooth. Tooth was pulled yesterday

Healthcare visit (other): Dentist

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	Blood glucose decreased	·	·	✓
HCVO	Office visit	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Infection	·	·	✓
SD	Office visit	·	·	✓
SD	Physiotherapy	·	·	✓
SD	Spinal operation	·	·	✓
SD	Tooth extraction	·	·	✓
SD	Tooth fracture	·	·	✓
SD	Urinary tract infection	✓	✓	✓
SRO	Blood glucose decreased	·	·	✓
SRO	Emergency care	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Sinus headache	·	·	✓

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