54Z-15953-93505

3 vaccinations 10 coded responses 37 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 480 / MI
Registered: 2021-01-04

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
2214026 (opens in a new window)	high	11 / 11	2	2 of 4 VAERS symptoms	same dose (3)	MI matches	2021-10-01 / 2022-03-01 / 2022-04-04 received the same day as the last call	case 439262

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

2021-01-04
Registered in v-safe
2021-01-04
Dose 1 — Pfizer-BioNTech
2021-01-04
Health check-in — day 0, dose 1
Feeling: Good · Site: Itching · Chills, Nausea

Adult check-in
2021-01-05
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Fair · Site: Pain, Itching · Chills, Headache, Nausea

Free text: Itching head, back, legs, and arms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Fair · Site: Pain, Itching · Chills, Headache, Nausea

Free text: Itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-08
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Good · Headache · Be unable to do your normal daily activities

Free text: Itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-11
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-25
Dose 2 — Pfizer-BioNTech
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Nausea

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Diarrhea

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-22
Survey response — day 28, dose 2
MedDRA: Abdominal discomfort, Oropharyngeal pain, Sinus congestion — Feeling: Fair

Free text: Abdominal discomfort, sore throat, and sinus congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-26
Survey response — 3 months, dose 2
MedDRA: Oropharyngeal pain, Sinus congestion — Feeling: Good

Free text: Sinus congestion and sore throat. Not certain if allergies. Only lasted a few days. Didnt get tested for COVID

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-01
Dose 3 — Pfizer-BioNTech
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Good · Site: Pain · Headache, Nausea, Abdominal pain

Free text: Dizziness

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Good · Headache, Abdominal pain

Free text: Dizziness

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Good · Fever · Chills, Headache

Free text: Dizziness

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

Adult check-in
2021-10-08
Health check-in — day 7, dose 3
Feeling: Good · Headache

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

Adult check-in
2021-10-22
Survey response — day 21, dose 3
MedDRA: Carbohydrate antigen 125 increased, Pre-existing disease — Feeling: Good

Free text: I am not certain if the vaccine side effects is related to this but my CA-125 tumor markers went up after vaccination however CT scan shows no evidence of metastasis.

MedDRA releases: 2024-11 · check-in free text available
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
2022-01-03
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-01
Survey response — 6 months, dose 3
MedDRA: COVID-19, Chills, Chronic kidney disease, Diarrhoea, Headache, Oropharyngeal pain, Sinus congestion, Vomiting — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: COVID-19. Symptoms include chills, headache, sore throat, sinus congestion, vomiting and diarrhea. Also, was diagnosed with CKD stage 2

MedDRA releases: 2024-11 · check-in free text available
2022-04-01
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-04-04
Call successful
Completed over the phone
2022-10-03
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-04	Pfizer-BioNTech
2	2021-01-25	Pfizer-BioNTech
3	2021-10-01	Pfizer-BioNTech	No

Call center

2 call center cases

1 successful · 1 priority 2/3 (triaged and no follow up)

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-05

Systemic reaction (other): Itching head, back, legs, and arms

2021-01-06

Systemic reaction (other): Itching

2021-01-08

Systemic reaction (other): Itching

Release 4 — day 28, dose 2

2021-02-22

Symptoms: Abdominal discomfort, sore throat, and sinus congestion

Release 8 — 3 months, dose 2

2021-04-26

Symptoms: Sinus congestion and sore throat. Not certain if allergies. Only lasted a few days. Didnt get tested for COVID

Release 9 — days 1–6 daily, dose 3

2021-10-03

Systemic reaction (other): Dizziness

Release 10 — days 1–6 daily, dose 3

2021-10-04

Systemic reaction (other): Dizziness

2021-10-05

Systemic reaction (other): Dizziness

Release 10 — day 21, dose 3

2021-10-22

Symptoms: I am not certain if the vaccine side effects is related to this but my CA-125 tumor markers went up after vaccination however CT scan shows no evidence of metastasis.

Release 11 — 6 months, dose 3

2022-04-01

Symptoms: COVID-19. Symptoms include chills, headache, sore throat, sinus congestion, vomiting and diarrhea. Also, was diagnosed with CKD stage 2

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
SD	Abdominal discomfort	✓	✓	✓
SD	Carbohydrate antigen 125 increased	·	·	✓
SD	Chills	·	·	✓
SD	Chronic kidney disease	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Headache	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Sinus congestion	✓	✓	✓
SD	Vomiting	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Pruritus	✓	✓	✓

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