4C3-17049-27268

5 vaccinations 16 coded responses 37 check-ins 15 free-text entries 5 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 379 / TN
Registered: 2021-01-23

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
2600398 (opens in a new window)	high	11 / 11	4	2 of 3 VAERS symptoms	same dose (5)	TN matches	2022-09-17 / 2023-02-01 / 2023-03-21 received the same day as the last call	case 372663

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

2021-01-23
Registered in v-safe
2021-01-23
Dose 1 — Pfizer-BioNTech
2021-01-23
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Good · Chills

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Pain

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Dry mouth, Thirst — Feeling: Fair · Chills

Free text: Dry mouth, thirsty frequently.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Dry mouth — Feeling: Good

Free text: I am experiencing a dryness in my mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Dry mouth — Feeling: Good

Free text: Dryness in my mouth is still there but reduced

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills

Adult check-in
2021-01-29
Survey response — days 1–6 daily, dose 1
MedDRA: Chills — Feeling: Good · Chills

Free text: Chills are diminishing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — day 7, dose 1
MedDRA: Dry mouth — Feeling: Fair · Chills

Free text: Dryness of my mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-13
Dose 2 — Pfizer-BioNTech
2021-02-13
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-02-22
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-02-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
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
2021-05-15
Survey response — 3 months, dose 2
MedDRA: Cough, Productive cough — Feeling: Fair

Free text: Cough that brings up phlegm

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

Free text: Needed 3stints, and need a replacement aortic valve.

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)
2021-08-23
Call 1 — Left Voicemail
2021-08-23
Call successful
Completed over the phone
2022-02-13
Survey response — 12 months, dose 2
MedDRA: Back pain, Upper respiratory tract congestion — Feeling: Good

Free text: Aches between my shoulder blades and upper respiratory congestion

MedDRA releases: 2024-11 · check-in free text available
2022-03-30
Dose 3 — Pfizer-BioNTech
2022-04-22
Dose 4 — Pfizer-BioNTech
2022-04-22
Health check-in — day 0, dose 4
Feeling: Fair · Site: Itching · Joint pains, Diarrhea

Adult check-in
2022-04-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2022-04-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-04-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-01
Health check-in — day 7, dose 4
Feeling: Fair · Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-05-06
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-15
Survey response — day 21, dose 4
MedDRA: Bronchitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Developed bronchitis.

MedDRA releases: 2024-11 · check-in free text available
2022-05-15
Report sent to call center — day 21, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-16
Call successful
Participant prefers to complete VAERS report online
2022-05-20
Survey response — day 28, dose 4
MedDRA: Bronchitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Developed bronchitis

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
Report sent to call center — day 28, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-23
Call successful
Participant prefers to complete VAERS report online
2022-09-17
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-24
Survey response — day 35, dose 5
MedDRA: Arthralgia, Balance disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Unusual joint pain, and more intense balance issues

MedDRA releases: 2024-11 · check-in free text available
2022-10-29
Survey response — day 42, dose 5
MedDRA: Arthralgia, Dyspnoea, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Joint pain (knees) and shortness of breath · Healthcare visit (other): Family doctor office visit

MedDRA releases: 2024-11 · check-in free text available
2022-10-29
Report sent to call center — day 42, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-31
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-17
Survey response — 3 months, dose 5
MedDRA: Dyspnoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2023-03-20
Survey response — 6 months, dose 5
MedDRA: Arthralgia, Tremor — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-03-20
Report sent to call center — 6 months, dose 5
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-03-21
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-23	Pfizer-BioNTech
2	2021-02-13	Pfizer-BioNTech
3	2022-03-30	Pfizer-BioNTech	No
4	2022-04-22	Pfizer-BioNTech	No
5	2022-09-17	Pfizer-BioNTech	Flu

Call center

5 call center cases

5 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-23

Systemic reaction (other): No

Release 2 — days 1–6 daily, dose 1

2021-01-24

Systemic reaction (other): No

2021-01-25

Systemic reaction (other): Dry mouth, thirsty frequently.

2021-01-26

Systemic reaction (other): I am experiencing a dryness in my mouth

2021-01-27

Systemic reaction (other): Dryness in my mouth is still there but reduced

Release 3 — days 1–6 daily, dose 1

2021-01-29

Systemic reaction (other): Chills are diminishing

Release 3 — day 7, dose 1

2021-01-30

Systemic reaction (other): Dryness of my mouth

Release 8 — 3 months, dose 2

2021-05-15

Symptoms: Cough that brings up phlegm

Release 9 — 6 months, dose 2

2021-08-14

Symptoms: Needed 3stints, and need a replacement aortic valve.

Release 11 — 12 months, dose 2

2022-02-13

Symptoms: Aches between my shoulder blades and upper respiratory congestion

Release 11 — day 21, dose 4

2022-05-15

Symptoms: Developed bronchitis.

Release 11 — day 28, dose 4

2022-05-20

Symptoms: Developed bronchitis

Release 12 — day 35, dose 5

2022-10-24

Symptoms: Unusual joint pain, and more intense balance issues

Release 12 — day 42, dose 5

2022-10-29

Symptoms: Joint pain (knees) and shortness of breath

Healthcare visit (other): Family doctor office visit

Release 12 — 3 months, dose 5

2022-12-17

Symptoms: Shortness of breath

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	Arthralgia	·	·	✓
SD	Back pain	·	·	✓
SD	Balance disorder	·	·	✓
SD	Bronchitis	·	·	✓
SD	Cough	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Productive cough	✓	✓	✓
SD	Stent placement	✓	·	✓
SD	Tremor	·	·	✓
SD	Upper respiratory tract congestion	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Dry mouth	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Thirst	✓	✓	✓

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