4KP-22596-57445

6 vaccinations 13 coded responses 58 check-ins 12 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 100 / NY
Registered: 2021-01-30

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
2241054 (opens in a new window)	high	9 / 11	5	1 of 5 VAERS symptoms	same dose (4)	NY matches	2022-03-31 / 2022-04-01 / 2022-04-19 received the same day as the last call	case 542991

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

2021-01-29
Dose 1 — Pfizer-BioNTech
2021-01-30
Registered in v-safe
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-19
Dose 2 — Pfizer-BioNTech
2021-02-26
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-12
Survey response — day 21, dose 2
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-01
Dose 3 — Pfizer-BioNTech
2021-10-01
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Constipation, Cough — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Coughing constipation

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-10-05
Survey response — days 1–6 daily, dose 3
MedDRA: Chest X-ray abnormal, Pneumonia — Feeling: Poor · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Yes diagnosed with some pneumonia from chest x-ray yoday

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2021-10-06
Survey response — days 1–6 daily, dose 3
MedDRA: Pneumonia, SARS-CoV-2 test negative — Feeling: Fair

Free text: On 10/5/2021 was diagnosis with some pneumonia taking antibiotics there for previous systoms may have been related to pneumonia diagnosis. Alai givin COVID test on 10/5/2021 results Negative

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-10-07
Call 1 — Left Voicemail
2021-10-08
Health check-in — day 7, dose 3
Feeling: Fair · None

Adult check-in
2021-10-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-22
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-29
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-05
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-31
Survey response — 3 months, dose 3
MedDRA: Cough, Headache, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Sore throat runny nose headache cough · Healthcare visit (other): Covid 19 testing

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-04
Call 1 — Could Not Reach Participant
2022-03-31
Dose 4 — Pfizer-BioNTech
2022-04-01
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-18
Survey response — day 14, dose 4
MedDRA: Headache — 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: Headaches awaiting results of brain scan.see my ocp 4/21/2022.

MedDRA releases: 2024-11 · check-in free text available
2022-04-18
Report sent to call center — day 14, 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 · 1 call case(s)
2022-04-19
Call 1 — Left Voicemail
2022-04-19
Call successful
Completed over the phone
2022-04-21
Survey response — day 21, dose 4
MedDRA: Headache — 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: My head continues to hurt constantly.

MedDRA releases: 2024-11 · check-in free text available
2022-04-21
Report sent to call center — day 21, 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 · 1 call case(s)
2022-04-22
Call 1 — Requested Callback
2022-04-25
Callback requested for
2022-04-25
Call successful
Does not wish to fill out VAERS report
2022-04-28
Survey response — day 28, dose 4
MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: 1. Chest congestion 2. runny nose 3. sore throat 4. Cough

MedDRA releases: 2024-11 · check-in free text available
2022-05-05
Survey response — day 35, dose 4
MedDRA: Cough, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cough and runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-05-13
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-01
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-28
Dose 5 — Pfizer-BioNTech
2022-09-28
Health check-in — day 0, dose 5
Feeling: Good · None

Adult check-in
2022-09-29
Survey response — days 1–6 daily, dose 5
MedDRA: Injection site pain — Feeling: Good

Free text: Tenderness around injection site

MedDRA releases: 2024-11 · check-in free text available
2022-10-01
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-02
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-03
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-04
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-05
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-12
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-19
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-26
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-02
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-09
Survey response — day 42, dose 5
MedDRA: Dyspnoea, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Out of breath Tireness

MedDRA releases: 2024-11 · check-in free text available
2022-12-28
Survey response — 3 months, dose 5
MedDRA: Cough, Rhinorrhoea — Feeling: Fair

Free text: Constantant coughing runny nose

MedDRA releases: 2024-11 · check-in free text available
2023-03-29
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in
2023-03-30
Dose 6 — Pfizer-BioNTech
2023-04-12
Health check-in — day 7, dose 6
Feeling: Good · None

Adult check-in
2023-04-13
Health check-in — day 14, dose 6
Feeling: Good

Adult check-in
2023-04-20
Survey response — day 21, dose 6
MedDRA: Diabetes mellitus, Sjogren's syndrome, Spinal disorder — Feeling: Good

MedDRA releases: 2024-11
2023-04-27
Health check-in — day 28, dose 6
Feeling: Good

Adult check-in
2023-05-04
Health check-in — day 35, dose 6
Feeling: Good

Adult check-in
2023-05-12
Health check-in — day 42, dose 6
Feeling: Good

Adult check-in
2023-06-29
Health check-in — 3 months, dose 6
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Pfizer-BioNTech
2	2021-02-19	Pfizer-BioNTech
3	2021-10-01	Pfizer-BioNTech	No
4	2022-03-31	Pfizer-BioNTech	No
5	2022-09-28	Pfizer-BioNTech	No
6	2023-03-30	Pfizer-BioNTech	No

Call center

4 call center cases

4 successful

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 5 — day 21, dose 2

2021-03-12

Symptoms: Sore throat

Release 9 — days 1–6 daily, dose 3

2021-10-02

Systemic reaction (other): Coughing constipation

Release 10 — days 1–6 daily, dose 3

2021-10-05

Systemic reaction (other): Yes diagnosed with some pneumonia from chest x-ray yoday

2021-10-06

Systemic reaction (other): On 10/5/2021 was diagnosis with some pneumonia taking antibiotics there for previous systoms may have been related to pneumonia diagnosis. Alai givin COVID test on 10/5/2021 results Negative

Release 10 — 3 months, dose 3

2021-12-31

Symptoms: Sore throat runny nose headache cough

Healthcare visit (other): Covid 19 testing

Release 11 — day 14, dose 4

2022-04-18

Symptoms: Headaches awaiting results of brain scan.see my ocp 4/21/2022.

Release 11 — day 21, dose 4

2022-04-21

Symptoms: My head continues to hurt constantly.

Release 11 — day 28, dose 4

2022-04-28

Symptoms: 1. Chest congestion 2. runny nose 3. sore throat 4. Cough

Release 11 — day 35, dose 4

2022-05-05

Symptoms: Cough and runny nose

Release 12 — days 1–6 daily, dose 5

2022-09-29

Systemic reaction (other): Tenderness around injection site

Release 12 — day 42, dose 5

2022-11-09

Symptoms: Out of breath Tireness

Release 12 — 3 months, dose 5

2022-12-28

Symptoms: Constantant coughing runny nose

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	SARS-CoV-2 test	·	·	✓
SD	Cough	·	·	✓
SD	Diabetes mellitus	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sjogren's syndrome	·	·	✓
SD	Spinal disorder	·	·	✓
SRO	Chest X-ray abnormal	·	·	✓
SRO	Constipation	·	·	✓
SRO	Cough	·	·	✓
SRO	Injection site pain	·	·	✓
SRO	Pneumonia	·	·	✓
SRO	SARS-CoV-2 test negative	·	·	✓

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