53Z-19778-66647

1 vaccination 10 coded responses 13 check-ins 10 free-text entries 6 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 302 / GA
Registered: 2021-02-03

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
1392629 (opens in a new window)	high	10 / 11	-1	1 of 3 VAERS symptoms	same dose (1)	GA matches	2021-01-30 / 2021-01-30 / 2021-06-11 received 97 days after the last call	case 298247

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

2021-01-30
Dose 1 — Pfizer-BioNTech
2021-02-03
Registered in v-safe
2021-02-03
Survey response — days 1–6 daily, dose 1
MedDRA: Rash, Unevaluable event — Feeling: Poor · Site: Pain · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): Severe rash all over body · Healthcare visit (other): Made appointment for more help with dermatology

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-04
Survey response — days 1–6 daily, dose 1
MedDRA: Rash — Feeling: Poor · Site: Itching · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Rash over my entire body

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: Rash — Feeling: Fair · Rash, not including the immediate area around the injection site

Free text: Still have the rash

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — day 7, dose 1
MedDRA: Rash — Feeling: Poor · Site: Pain · Headache, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Rash getting worse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Redness, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-02-11
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-13
Survey response — day 14, dose 1
MedDRA: Office visit, Rash — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: Increasing body rash · Healthcare visit (other): Immune. Clinic

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-20
Survey response — day 21, dose 1
MedDRA: Rash — Feeling: Fair

Free text: Still have rash over body I was told not to get the second shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — day 28, dose 1
MedDRA: Injection site rash — Feeling: Fair

Free text: Still have a rash from first shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — day 35, dose 1
MedDRA: Bladder mass — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Another mass in my bladder

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Report sent to call center — day 35, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-14
Health check-in — day 42, dose 1
Feeling: Fair

Adult check-in
2021-05-01
Survey response — 3 months, dose 1
MedDRA: Bladder cancer, Pre-existing disease, Rash, Reaction to previous exposure to any vaccine — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Have bladder cancer tumor removeHave new body rash Had severe reaction to first pay Ser vac

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Report sent to call center — 3 months, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-11
Call successful
Completed over the phone
2021-07-31
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2022-01-30
Survey response — 12 months, dose 1
MedDRA: Cough, Headache, Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Coughing head ache , cold like symptoms

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-30	Pfizer-BioNTech

Call center

6 call center cases

6 successful

VAERS report filed, before or during a call: 6

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-03

Systemic reaction (other): Severe rash all over body

Healthcare visit (other): Made appointment for more help with dermatology

2021-02-04

Systemic reaction (other): Rash over my entire body

2021-02-05

Systemic reaction (other): Still have the rash

Release 3 — day 7, dose 1

2021-02-06

Systemic reaction (other): Rash getting worse

Release 4 — day 14, dose 1

2021-02-13

Symptoms: Increasing body rash

Healthcare visit (other): Immune. Clinic

Release 4 — day 21, dose 1

2021-02-20

Symptoms: Still have rash over body I was told not to get the second shot

Release 4 — day 28, dose 1

2021-02-28

Symptoms: Still have a rash from first shot

Release 5 — day 35, dose 1

2021-03-06

Symptoms: Another mass in my bladder

Release 8 — 3 months, dose 1

2021-05-01

Symptoms: Have bladder cancer tumor removeHave new body rash Had severe reaction to first pay Ser vac

Release 11 — 12 months, dose 1

2022-01-30

Symptoms: Coughing head ache , cold like symptoms

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	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Bladder cancer	✓	✓	✓
SD	Bladder mass	✓	✓	✓
SD	Cough	·	·	✓
SD	Headache	·	·	✓
SD	Injection site rash	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Reaction to previous exposure to any vaccine	✓	✓	✓
SRO	Rash	✓	✓	✓

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