55J-33721-45030

5 vaccinations 17 coded responses 33 check-ins 16 free-text entries 6 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 998 / AK
Registered: 2021-01-22

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
2620075 (opens in a new window)	high	10 / 11	-2	4 of 12 VAERS symptoms	same dose (5)	AK matches	2022-10-08 / 2023-01-22 / 2023-04-24 received the same day as the last call	case 571352

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

2020-12-29
Dose 1 — Pfizer-BioNTech
2021-01-22
Registered in v-safe
2021-01-22
Dose 2 — Pfizer-BioNTech
2021-01-22
Survey response — day 0, dose 2
MedDRA: Pain — Feeling: Good

Free text: Only age appropriate aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-01-26
Survey response — days 1–6 daily, dose 2
MedDRA: Rhinorrhoea, Sneezing — Feeling: Fair

Free text: Sneezing and runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Rhinorrhoea — Feeling: Good · Site: Itching

Free text: Runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-02-05
Survey response — day 14, dose 2
MedDRA: Impaired work ability, Laryngitis — Feeling: Good · Be unable to work

Free text: Laryngitis. I am a radio broadcaster so I could not work. I think completely unrelated to the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-20
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-02-26
Health check-in — day 35, dose 2
Feeling: Poor

Adult check-in
2021-03-05
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-04-23
Survey response — 3 months, dose 2
MedDRA: Diarrhoea, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Diarrhea, tested negative for COVID. Fine now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-23
Survey response — 6 months, dose 2
MedDRA: Cough, Eye pruritus, Nasopharyngitis, Sneezing — Feeling: Fair

Free text: I have a cold. Sneezing coughing itchy eyes. Or it could be allergies. Other members of my family have the same symptoms they will take in Covid test last two days and its negative. No fever.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-19
Dose 3 — Moderna
2022-01-22
Survey response — 12 months, dose 2
MedDRA: Breakthrough COVID-19, Dyspnoea, Hospitalisation — Feeling: Good · 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, Hospitalization

Free text: Had a breakthrough case of Covid in Aug-September and ended up in hospital for five days. I'm still somewhat short of breath but feeling pretty good

MedDRA releases: 2024-11 · check-in free text available
2022-01-22
Report sent to call center — 12 months, dose 2
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 · Hospitalization · 1 call case(s)
2022-01-25
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-02-18
Survey response — 3 months, dose 3
MedDRA: Constipation — Feeling: Good

Free text: Constipation

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Dose 4 — Pfizer-BioNTech
2022-04-22
Survey response — day 0, dose 4
MedDRA: Unevaluable event — Feeling: Good

Free text: I just had the shot 4 1/2 hours ago

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
Survey response — days 1–6 daily, dose 4
MedDRA: Pain — Feeling: Good · Muscle or body aches

Free text: I think the aches are not shot related

MedDRA releases: 2024-11 · check-in free text available
2022-04-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches

Adult check-in
2022-04-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches

Adult check-in
2022-04-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches

Adult check-in
2022-04-27
Survey response — days 1–6 daily, dose 4
MedDRA: Pain — Feeling: Good · Muscle or body aches

Free text: The aches are no greater than normal.

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Survey response — days 1–6 daily, dose 4
MedDRA: Unevaluable event — Feeling: Good · Muscle or body aches

Free text: No more than normal.

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Survey response — day 7, dose 4
MedDRA: Unevaluable event — Feeling: Good · Muscle or body aches

Free text: No different from most days.

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-14
Survey response — day 21, dose 4
MedDRA: Cough, Incontinence, Office visit, Pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative — 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: I have a cough, slight fever, aches, incontinence and congestion. Under Dr's caretaking antibiotics started two days after seeing Dr, not wanting to start antibiotics until we knew bacteria was the problem. Tested negative for COVID.

MedDRA releases: 2024-11 · check-in free text available
2022-05-14
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)
2022-05-16
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-22
Survey response — day 28, dose 4
MedDRA: Cholecystectomy, Emergency care, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: Had emergency gall bladder removal. Air evacuation to (b)(6). Released today. · Healthcare visit (other): Air evacuation from (b)(6)

MedDRA releases: 2024-11 · check-in free text available
2022-05-22
Report sent to call center — day 28, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-05-23
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-23
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-27
Survey response — day 35, dose 4
MedDRA: Cholecystectomy — 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, Emergency room or emergency department visit, Hospitalization

Free text: I had my gall bladder removed.

MedDRA releases: 2024-11 · check-in free text available
2022-05-27
Report sent to call center — day 35, 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 · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-05-31
Call successful
Participant prefers to complete VAERS report online
2022-06-03
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-22
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-08
Dose 5 — Pfizer-BioNTech
2022-10-21
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-22
Survey response — 12 months, dose 4
MedDRA: COVID-19, Diverticulum, Intensive care, Internal haemorrhage, Transfusion — Feeling: Fair · 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, Hospitalization

MedDRA releases: 2024-11
2023-04-22
Report sent to call center — 12 months, dose 4
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 · Hospitalization · 1 call case(s)
2023-04-24
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Pfizer-BioNTech
2	2021-01-22	Pfizer-BioNTech
3	2021-11-19	Moderna	No
4	2022-04-22	Pfizer-BioNTech	No
5	2022-10-08	Pfizer-BioNTech	No

Call center

6 call center cases

6 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 2 — day 0, dose 2

2021-01-22

Systemic reaction (other): Only age appropriate aches

Release 2 — days 1–6 daily, dose 2

2021-01-26

Systemic reaction (other): Sneezing and runny nose

2021-01-27

Systemic reaction (other): Runny nose

Release 3 — day 14, dose 2

2021-02-05

Symptoms: Laryngitis. I am a radio broadcaster so I could not work. I think completely unrelated to the vaccine.

Release 7 — 3 months, dose 2

2021-04-23

Symptoms: Diarrhea, tested negative for COVID. Fine now.

Release 9 — 6 months, dose 2

2021-07-23

Symptoms: I have a cold. Sneezing coughing itchy eyes. Or it could be allergies. Other members of my family have the same symptoms they will take in Covid test last two days and its negative. No fever.

Release 11 — 12 months, dose 2

2022-01-22

Symptoms: Had a breakthrough case of Covid in Aug-September and ended up in hospital for five days. I'm still somewhat short of breath but feeling pretty good

Release 11 — 3 months, dose 3

2022-02-18

Symptoms: Constipation

Release 11 — day 0, dose 4

2022-04-22

Systemic reaction (other): I just had the shot 4 1/2 hours ago

Release 11 — days 1–6 daily, dose 4

2022-04-23

Systemic reaction (other): I think the aches are not shot related

2022-04-27

Systemic reaction (other): The aches are no greater than normal.

2022-04-28

Systemic reaction (other): No more than normal.

Release 11 — day 7, dose 4

2022-04-29

Systemic reaction (other): No different from most days.

Release 11 — day 21, dose 4

2022-05-14

Symptoms: I have a cough, slight fever, aches, incontinence and congestion. Under Dr's caretaking antibiotics started two days after seeing Dr, not wanting to start antibiotics until we knew bacteria was the problem. Tested negative for COVID.

Release 11 — day 28, dose 4

2022-05-22

Symptoms: Had emergency gall bladder removal. Air evacuation to (b)(6). Released today.

Healthcare visit (other): Air evacuation from (b)(6)

redacted (b)(6)

Release 11 — day 35, dose 4

2022-05-27

Symptoms: I had my gall bladder removed.

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	Intensive care	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Breakthrough COVID-19	·	·	✓
SD	Cholecystectomy	·	·	✓
SD	Constipation	·	·	✓
SD	Cough	✓	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Diverticulum	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Emergency care	·	·	✓
SD	Eye pruritus	✓	·	✓
SD	Hospitalisation	·	·	✓
SD	Impaired work ability	✓	✓	✓
SD	Incontinence	·	·	✓
SD	Intensive care	·	·	✓
SD	Internal haemorrhage	·	·	✓
SD	Laryngitis	✓	✓	✓
SD	Nasopharyngitis	✓	·	✓
SD	Office visit	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Sneezing	✓	·	✓
SD	Transfusion	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sneezing	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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