4XQ-27004-11497

5 vaccinations 5 coded responses 55 check-ins 4 free-text entries 4 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 486 / MI
Registered: 2021-03-09

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
2596327 (opens in a new window)	medium	11 / 11	10	7 of 9 VAERS symptoms	same dose (5)	MI matches	2022-09-07 / 2023-03-06 / 2023-03-14 received the same day as the last call	case 309341

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

2021-03-09
Registered in v-safe
2021-03-09
Dose 1 — Pfizer-BioNTech
2021-03-09
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

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

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-30
Dose 2 — Pfizer-BioNTech
2021-03-30
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-06
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-29
Survey response — 3 months, dose 2
MedDRA: Prostatitis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Prostatitis. Started early May. I see no relation to the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-02
Call 1 — Left Voicemail
2021-08-14
Dose 3 — Pfizer-BioNTech
Co-administered: Flu:Shingles
2021-09-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-28
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-13
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-01-27
Dose 4 — Pfizer-BioNTech
2022-01-27
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-01-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2022-01-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2022-01-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2022-01-31
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2022-02-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-02-02
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-02-03
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-02-10
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-02-17
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-02-24
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-03-03
Survey response — day 35, dose 4
MedDRA: Diarrhoea, Gingival pain, Haematoma, Irritable bowel syndrome, Mouth injury, Office visit, Toothache — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Gum laceration and hematoma and toothache Gums have been more sensitive when flossing More diarrhea with IBS · Healthcare visit (other): Dentist office

MedDRA releases: 2024-11 · check-in free text available
2022-03-03
Report sent to call center — day 35, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-04
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-03-04
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-10
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-04-28
Survey response — 3 months, dose 4
MedDRA: Bronchitis, Condition aggravated, Illness, Malaise, Office visit, Pre-existing disease, Sinusitis — Feeling: Poor · 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: Symptoms: Sinus infection, bronchial infection, ear infection. Quite ill. On medicine. Other than the ear infection, I get this one or more times per year, usually 2 or 3 times. I don't equate this with the vaccine. I was fine before this illness. · Healthcare visit (other): Two visits, maybe another tomorrow.

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Report sent to call center — 3 months, 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)
2022-05-02
Call 2 — Left Voicemail
2022-07-28
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-09-07
Dose 5 — Pfizer-BioNTech
2022-09-07
Health check-in — day 0, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-09-08
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2022-09-09
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-10
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2022-09-11
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-09-12
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-09-16
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-09-21
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-09-28
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-05
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-12
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-19
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-09
Survey response — 3 months, dose 5
MedDRA: Anxiety, Exposure to SARS-CoV-2, Fatigue, Malaise, Nasal disorder, Pyrexia, SARS-CoV-2 test positive — Feeling: Good

Free text: Anxiety Exposed to girlfriend's Covid, Dec.4 & 5. I had no mask on 4th (1h+45m), surgical mask on 5th (45m). She felt a little sick on 4th, like a cold starting, tested (-). Fatigue, nasal issues, fever on 5th, no test. More ill on 6th, tested (+).

MedDRA releases: 2024-11 · check-in free text available
2023-03-08
Survey response — 6 months, dose 5
MedDRA: Asthma, COVID-19, Chills, Decreased appetite, Diarrhoea, Dizziness, Dysgeusia, Ear pain, Eye pain, Facial pain, Fatigue, Headache, Hyposmia, Lacrimation increased, Nausea, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion, Rhinorrhoea, Sleep disorder, Sneezing — 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

MedDRA releases: 2024-11
2023-03-08
Report sent to call center — 6 months, dose 5
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)
2023-03-09
Call 1 — Could Not Reach Participant
2023-03-09
Call 1 — Could Not Reach Participant
2023-03-14
Call successful
Not applicable - Accidental Reporting
2023-03-14
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Pfizer-BioNTech
2	2021-03-30	Pfizer-BioNTech
3	2021-08-14	Pfizer-BioNTech	Flu:Shingles
4	2022-01-27	Pfizer-BioNTech	No
5	2022-09-07	Pfizer-BioNTech	No

Call center

4 call center cases

4 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 9 — 3 months, dose 2

2021-06-29

Symptoms: Prostatitis. Started early May. I see no relation to the vaccine.

Release 11 — day 35, dose 4

2022-03-03

Symptoms: Gum laceration and hematoma and toothache Gums have been more sensitive when flossing More diarrhea with IBS

Healthcare visit (other): Dentist office

Release 11 — 3 months, dose 4

2022-04-28

Symptoms: Sinus infection, bronchial infection, ear infection. Quite ill. On medicine. Other than the ear infection, I get this one or more times per year, usually 2 or 3 times. I don't equate this with the vaccine. I was fine before this illness.

Healthcare visit (other): Two visits, maybe another tomorrow.

Release 12 — 3 months, dose 5

2022-12-09

Symptoms: Anxiety Exposed to girlfriend's Covid, Dec.4 & 5. I had no mask on 4th (1h+45m), surgical mask on 5th (45m). She felt a little sick on 4th, like a cold starting, tested (-). Fatigue, nasal issues, fever on 5th, no test. More ill on 6th, tested (+). cut off by CDC

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	Anxiety	·	·	✓
SD	Asthma	·	·	✓
SD	Bronchitis	·	·	✓
SD	Chills	·	·	✓
SD	Condition aggravated	·	·	✓
SD	COVID-19	·	·	✓
SD	Decreased appetite	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dizziness	·	·	✓
SD	Dysgeusia	·	·	✓
SD	Ear pain	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Eye pain	·	·	✓
SD	Facial pain	·	·	✓
SD	Fatigue	·	·	✓
SD	Gingival pain	·	·	✓
SD	Haematoma	·	·	✓
SD	Headache	·	·	✓
SD	Hyposmia	·	·	✓
SD	Illness	·	·	✓
SD	Irritable bowel syndrome	·	·	✓
SD	Lacrimation increased	·	·	✓
SD	Malaise	·	·	✓
SD	Mouth injury	·	·	✓
SD	Nasal disorder	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Prostatitis	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sinusitis	·	·	✓
SD	Sleep disorder	·	·	✓
SD	Sneezing	·	·	✓
SD	Toothache	·	·	✓

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