4HX-19128-64002

4 vaccinations 13 coded responses 47 check-ins 13 free-text entries 5 call cases

Sex: —
Age at first dose: 66+
ZIP prefix: 600 / IL
Registered: 2021-02-15

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
1771565 (opens in a new window)	high	9 / 11	5	1 of 11 VAERS symptoms	same dose (3)	IL matches	2021-09-27 / 2021-09-27 / 2021-10-08 received the same day as the last call	case 1060591

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

2021-02-15
Registered in v-safe
2021-02-15
Dose 1 — Pfizer-BioNTech
2021-02-15
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-19
Survey response — days 1–6 daily, dose 1
MedDRA: Depression — Feeling: Fair · Fatigue or tiredness

Free text: Depression

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-09
Dose 2 — Pfizer-BioNTech
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-16
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-23
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-31
Survey response — day 21, dose 2
MedDRA: Constipation — Feeling: Poor · Be unable to work

Free text: Terrible constipation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — day 28, dose 2
MedDRA: Fatigue, Oropharyngeal pain, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sour throat fatigue achy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — day 35, dose 2
MedDRA: Fatigue, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sour throat very tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — day 42, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to work

Free text: Severe fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Fatigue, Skin lesion — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Joint pain, severe fatigue, tired legs and skin lesion under arm that shot was given

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-08
Survey response — 6 months, dose 2
MedDRA: Allergy to arthropod sting, Endodontic procedure, Malaise, Urticaria — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: New allergic reaction to bees. Hives over entire torso. Also had a root canal and became very ill for the following 24 hours

MedDRA releases: 2024-11 · check-in free text available
2021-09-08
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-09
Call 1 — Left Voicemail
2021-09-11
Call 2 — Requested Callback
2021-09-15
Call successful
Completed over the phone
2021-09-15
Call successful
Completed over the phone
2021-09-27
Dose 3 — Pfizer-BioNTech
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Headache, Joint pains, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-04
Health check-in — day 7, dose 3
Feeling: Poor · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-10-04
Report sent to call center — day 7, dose 3
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)
2021-10-08
Call successful
Completed over the phone
2021-10-11
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-10-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-01
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-27
Survey response — 3 months, dose 3
MedDRA: Cardiac discomfort — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I've done heart pressure.

MedDRA releases: 2024-11 · check-in free text available
2021-12-27
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-28
Call 1 — Left Voicemail
2021-12-29
Call successful
Participant prefers to complete VAERS report online
2022-03-28
Survey response — 6 months, dose 3
MedDRA: Arthralgia, Joint stiffness — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: More stiffness and pain in my joints

MedDRA releases: 2024-11 · check-in free text available
2022-03-28
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)
2022-03-30
Call successful
Does not wish to fill out VAERS report
2022-04-18
Dose 4 — Pfizer-BioNTech
2022-04-19
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-04-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-04-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches

Adult check-in
2022-04-22
Survey response — days 1–6 daily, dose 4
MedDRA: Pruritus — Feeling: Good · Joint pains

Free text: Itching in other areas of my body

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-24
Survey response — days 1–6 daily, dose 4
MedDRA: Pruritus — Feeling: Good · Site: Itching

Free text: Still a little itchy around my torso area

MedDRA releases: 2024-11 · check-in free text available
2022-04-25
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-02
Survey response — day 14, dose 4
MedDRA: Nasopharyngitis — Feeling: Good

Free text: I got a cold

MedDRA releases: 2024-11 · check-in free text available
2022-05-09
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-17
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-23
Survey response — day 35, dose 4
MedDRA: Back pain, Muscular weakness — Feeling: Fair · Be unable to do your normal daily activities

Free text: A little more weakness in my muscles in my legs so my back has been hurting a lot

MedDRA releases: 2024-11 · check-in free text available
2022-05-30
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-18
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-17
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-18
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-15	Pfizer-BioNTech
2	2021-03-09	Pfizer-BioNTech
3	2021-09-27	Pfizer-BioNTech	No
4	2022-04-18	Pfizer-BioNTech	No

Call center

5 call center cases

5 successful

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-19

Systemic reaction (other): Depression

Release 6 — day 21, dose 2

2021-03-31

Symptoms: Terrible constipation

Release 7 — day 28, dose 2

2021-04-08

Symptoms: Sour throat fatigue achy

Release 7 — day 35, dose 2

2021-04-13

Symptoms: Sour throat very tired

Release 7 — day 42, dose 2

2021-04-20

Symptoms: Severe fatigue

Release 8 — 3 months, dose 2

2021-06-08

Symptoms: Joint pain, severe fatigue, tired legs and skin lesion under arm that shot was given

Release 9 — 6 months, dose 2

2021-09-08

Symptoms: New allergic reaction to bees. Hives over entire torso. Also had a root canal and became very ill for the following 24 hours

Release 10 — 3 months, dose 3

2021-12-27

Symptoms: I've done heart pressure.

Release 11 — 6 months, dose 3

2022-03-28

Symptoms: More stiffness and pain in my joints

Release 11 — days 1–6 daily, dose 4

2022-04-22

Systemic reaction (other): Itching in other areas of my body

2022-04-24

Systemic reaction (other): Still a little itchy around my torso area

Release 11 — day 14, dose 4

2022-05-02

Symptoms: I got a cold

Release 11 — day 35, dose 4

2022-05-23

Symptoms: A little more weakness in my muscles in my legs so my back has been hurting a lot

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	Allergy to arthropod sting	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	·	·	✓
SD	Cardiac discomfort	·	·	✓
SD	Constipation	✓	✓	✓
SD	Endodontic procedure	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Joint stiffness	·	·	✓
SD	Malaise	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Skin lesion	✓	✓	✓
SD	Urticaria	·	·	✓
SRO	Depression	✓	✓	✓
SRO	Pruritus	·	·	✓

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