4JU-73689-46960

2 vaccinations 6 coded responses 14 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 981 / WA
Registered: 2021-04-11

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
1415691 (opens in a new window)	high	8 / 11	—	0 of 1 VAERS symptoms	same dose (2)	WA matches	2021-05-02 / 2021-05-03 / 2021-06-21 received 50 days after the last call	case 627404

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

2021-04-11
Registered in v-safe
2021-04-11
Dose 1 — Pfizer-BioNTech
2021-04-11
Health check-in — day 0, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-02
Dose 2 — Pfizer-BioNTech
2021-05-02
Survey response — day 0, dose 2
MedDRA: Eye haemorrhage, Office visit — Feeling: Good · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): Four days after my first shot I had eye symptoms that turned out to be hemorrhaging (I saw my eye doc and a retina specialist last week). Assuming its not related, but I thought Id mention it. · Healthcare visit (other): Eye doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Report sent to call center — day 0, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Photopsia, Vitreous floaters — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: More flashes and floaters in my eye againcomes and goes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Retinal haemorrhage, Vitreous floaters — Feeling: Fair

Free text: Still having the floaters in my right eye consistentl with the retinal hemorrhaging that was diagnosed after my first shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Medical counselling, Vitreous floaters — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Eye floaters again, mostly in the morning. · Healthcare visit (other): Left a message with my retinal specialist, he hasnt returned my call.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-11
Survey response — day 7, dose 2
MedDRA: Retinal haemorrhage — Feeling: Fair · Fatigue or tiredness

Free text: Continued effects of retinal hemorrhage.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Survey response — day 42, dose 2
MedDRA: Condition aggravated, Dizziness, Emergency care, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, 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, Emergency room or emergency department visit

Free text: Second, more serious CRVO (central retinal vein occlusion). Also a dizzy spell that landed me in the ER with recurring dizzy episodes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Report sent to call center — day 42, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-06-17
Call 1 — Left Voicemail
2021-06-21
Call successful
Completed over the phone
2021-10-31
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-11	Pfizer-BioNTech
2	2021-05-02	Pfizer-BioNTech

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 8 — day 0, dose 2

2021-05-02

Systemic reaction (other): Four days after my first shot I had eye symptoms that turned out to be hemorrhaging (I saw my eye doc and a retina specialist last week). Assuming its not related, but I thought Id mention it.

Healthcare visit (other): Eye doctor

Release 8 — days 1–6 daily, dose 2

2021-05-03

Systemic reaction (other): More flashes and floaters in my eye againcomes and goes.

2021-05-04

Systemic reaction (other): Still having the floaters in my right eye consistentl with the retinal hemorrhaging that was diagnosed after my first shot.

2021-05-05

Systemic reaction (other): Eye floaters again, mostly in the morning.

Healthcare visit (other): Left a message with my retinal specialist, he hasnt returned my call.

Release 8 — day 7, dose 2

2021-05-11

Systemic reaction (other): Continued effects of retinal hemorrhage.

Release 9 — day 42, dose 2

2021-06-15

Symptoms: Second, more serious CRVO (central retinal vein occlusion). Also a dizzy spell that landed me in the ER with recurring dizzy episodes.

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	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Eye haemorrhage	✓	✓	✓
SRO	Office visit	✓	·	✓
SRO	Photopsia	✓	✓	✓
SRO	Retinal haemorrhage	✓	✓	✓
SRO	Vitreous floaters	✓	✓	✓

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