4UR-20938-55484

2 vaccinations 5 coded responses 14 check-ins 5 free-text entries 4 call cases

Sex: Female
Age at first dose: 16-20
ZIP prefix: 304 / GA
Registered: 2021-08-29

Relationship: Child or adolescent in my care
Guardian: M5C-25419-30374
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
1670748 (opens in a new window)	high	10 / 11	—	2 of 5 VAERS symptoms	same dose (2)	GA matches	2021-08-28 / 2021-08-29 / 2021-09-03 received 365 days before the last call	case 980781

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

2021-08-07
Dose 1 — Pfizer-BioNTech
2021-08-28
Dose 2 — Pfizer-BioNTech
2021-08-29
Registered in v-safe
2021-08-29
Survey response — days 1–6 daily, dose 2, dependent
MedDRA: Loss of consciousness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend school, Be unable to do their normal daily activities

Free text: passed out twice

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-30
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Poor · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to do their normal daily activities

Adult check-in
2021-08-31
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do their normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Adult check-in
2021-08-31
Report sent to call center — days 1–6 daily, dose 2, dependent
Be unable to work or attend school · Be unable to do their normal daily activities · Get care from a doctor or other healthcare p

1 call case(s)
2021-09-02
Survey response — days 1–6 daily, dose 2, dependent
MedDRA: Seizure — Feeling: Poor · Headache, Muscle or body aches · Be unable to work or attend school, Be unable to do their normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Convulsions/seizures

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-02
Report sent to call center — days 1–6 daily, dose 2, dependent
Be unable to work or attend school · Be unable to do their normal daily activities · Get care from a doctor or other healthcare p

1 call case(s)
2021-09-03
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do their normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-09-03
Report sent to call center — days 1–6 daily, dose 2, dependent
Be unable to work or attend school · Be unable to do their normal daily activities · Get care from a doctor or other healthcare p

1 call case(s)
2021-09-03
Call successful
Completed over the phone
2021-09-04
Health check-in — day 7, dose 2, dependent
Feeling: Poor · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do their normal daily activities

Adult check-in
2021-09-08
Call 1 — Left Voicemail
2021-09-09
Call successful
Participant prefers to complete VAERS report online
2021-09-11
Health check-in — day 14, dose 2, dependent
Feeling: Fair

Adult check-in
2021-09-18
Survey response — day 21, dose 2, dependent
MedDRA: Unevaluable event — Feeling: Fair

Free text: She has experienced tunnel vision with the migraine that is now on day 21 and she feels her limbs are heavy and she feels like her circulation is off. We are waiting on an MRI and neurologist appointment.

MedDRA releases: 2024-11 · check-in free text available
2021-09-25
Survey response — day 28, dose 2, dependent
MedDRA: Headache, Muscular weakness, Pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Her headache had two days where her pain was at a 7 and then is went back up to a 10. She has had weakness in her arms and legs.

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Health check-in — day 35, dose 2, dependent
Feeling: Poor

Adult check-in
2021-10-09
Health check-in — day 42, dose 2, dependent
Feeling: Poor

Adult check-in
2021-11-27
Health check-in — 3 months, dose 2, dependent
Feeling: Fair

Adult check-in
2022-02-26
Health check-in — 6 months, dose 2, dependent
Feeling: Poor

Adult check-in
2022-08-28
Survey response — 12 months, dose 2, dependent
MedDRA: Abdominal pain upper, Migraine, Nausea, Office visit, Vomiting, Weight decreased — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: Daily migraine, stomach pain, constant vomiting and nausea causing weight loss. · Healthcare visit (other): in person doctor's visit and referral to specialist

MedDRA releases: 2024-11 · check-in free text available
2022-08-28
Report sent to call center — 12 months, dose 2, dependent
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2022-08-30
Call 1 — Left Voicemail
2022-09-03
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-07	Pfizer-BioNTech	No
2	2021-08-28	Pfizer-BioNTech	No

Call center

4 call center cases

3 successful · 1 unsuccessful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 2, dependent

2021-08-29

Systemic reaction (other): passed out twice

2021-09-02

Systemic reaction (other): Convulsions/seizures

Release 9 — day 21, dose 2, dependent

2021-09-18

Symptoms: She has experienced tunnel vision with the migraine that is now on day 21 and she feels her limbs are heavy and she feels like her circulation is off. We are waiting on an MRI and neurologist appointment.

Release 9 — day 28, dose 2, dependent

2021-09-25

Symptoms: Her headache had two days where her pain was at a 7 and then is went back up to a 10. She has had weakness in her arms and legs.

Release 12 — 12 months, dose 2, dependent

2022-08-28

Symptoms: Daily migraine, stomach pain, constant vomiting and nausea causing weight loss.

Healthcare visit (other): in person doctor's visit and referral to specialist

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	Abdominal pain upper	·	·	✓
SD	Headache	·	·	✓
SD	Migraine	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Nausea	·	·	✓
SD	Pain	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Vomiting	·	·	✓
SD	Weight decreased	·	·	✓
SRO	Loss of consciousness	✓	·	✓
SRO	Seizure	✓	·	✓

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