59M-25780-95545

3 vaccinations 12 coded responses 17 check-ins 11 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 928 / CA
Registered: 2021-02-11

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
2581591 (opens in a new window)	high	10 / 11	3	3 of 7 VAERS symptoms	same dose (3)	CA matches	2022-02-10 / 2022-02-10 / 2023-02-14 received the same day as the last call	case 929144

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

2021-01-20
Dose 1 — Pfizer-BioNTech
2021-02-11
Registered in v-safe
2021-02-11
Dose 2 — Pfizer-BioNTech
2021-02-11
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Good

Free text: Slight dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Mild dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Scintillating scotoma — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness

Free text: Had scintillating scotoma x 5 minutes duration on 2-5-2921, two weeks after the first dose. Never experienced this before very scary at first. Called eye doctor who saw me 3 to 3-/2 hours later abd did complete evaluation and explained the diagnosis.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain, Pain in extremity — Feeling: Good

Free text: I want to say that I actually felt pain in BOTH upper arms after the injection, not now (pretty well healed). I didnt report it because I didnt think it was significant, but I actually had to think about where I got the shot because both were hurting. Someone else I knew who got the vaccine said she experienced this same thing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — day 7, dose 2
MedDRA: Mouth ulceration — Feeling: Good

Free text: Ulcer in mouth the one on inside of lower lip healed. Now have one on hard palate area behind upper central incisors

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — day 14, dose 2
MedDRA: Aphthous ulcer — Feeling: Good

Free text: More canker sores in mouth that quickly resolved.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — day 21, dose 2
MedDRA: Dry mouth, Dry throat — Feeling: Good

Free text: Excessive dry mouth and throat nothing productive

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-13
Survey response — 3 months, dose 2
MedDRA: Nasal congestion, Rhinorrhoea, Secretion discharge — Feeling: Good

Free text: Feeling like I cant breathe out of left nostril. Sone minimal clear watery to mucoid discharge from L nare.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-14
Survey response — 6 months, dose 2
MedDRA: Rhinorrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Almost constant minor clear drainage from nose, mostly L nare.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-14
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-08
Call successful
Not applicable - Accidental Reporting
2022-02-10
Dose 3 — Pfizer-BioNTech
2022-02-13
Survey response — 12 months, dose 2
MedDRA: Body temperature increased, Fatigue, Pain, Pain in extremity, Palpitations, SARS-CoV-2 test negative, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Had dose#3 on 2-10-22.Next day had fever over 100, extreme fatigue, sore arm, increased cardiac palpitations and body aches all over. Resolved by last night (2-12-22). However, still have sore arm. Had + covid test on 1-3-22 & 1-9-22. Neg on 1-18

MedDRA releases: 2024-11 · check-in free text available
2022-08-11
Survey response — 6 months, dose 3
MedDRA: Electrocardiogram abnormal, Fatigue, Heart rate decreased, Medical counselling, Office visit — 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 · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Generalized fatigue. I also had low pulse rate (below 60) and otherEKG abnormalities. The nurse practitioner who saw me sent me to the cardiologist's office. When he saw me (Feb 2022), he recommended an echo stress test scheduled on 6/22/22 · Healthcare visit (other): And cardiologist at recommendation of the NP in Urgent Care

MedDRA releases: 2024-11 · check-in free text available
2022-08-11
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-08-12
Call 2 — Left Voicemail
2023-02-11
Survey response — 12 months, dose 3
MedDRA: Arthralgia, Hip arthroplasty, Pain in extremity — 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

MedDRA releases: 2024-11
2023-02-11
Report sent to call center — 12 months, dose 3
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)
2023-02-13
Call 1 — Could Not Reach Participant
2023-02-13
Call 1 — Could Not Reach Participant
2023-02-13
Callback requested for
02:00PM ET
2023-02-14
Call successful
Completed over the phone
2023-02-14
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-20	Pfizer-BioNTech
2	2021-02-11	Pfizer-BioNTech
3	2022-02-10	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 4 — day 0, dose 2

2021-02-11

Systemic reaction (other): Slight dizziness

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): Mild dizziness

2021-02-14

Systemic reaction (other): Had scintillating scotoma x 5 minutes duration on 2-5-2921, two weeks after the first dose. Never experienced this before very scary at first. Called eye doctor who saw me 3 to 3-/2 hours later abd did complete evaluation and explained the diagnosis.

2021-02-16

Systemic reaction (other): I want to say that I actually felt pain in BOTH upper arms after the injection, not now (pretty well healed). I didnt report it because I didnt think it was significant, but I actually had to think about where I got the shot because both were hurting. Someone else I knew who got the vaccine said she experienced this same thing.

Release 4 — day 7, dose 2

2021-02-18

Systemic reaction (other): Ulcer in mouth the one on inside of lower lip healed. Now have one on hard palate area behind upper central incisors

Release 4 — day 14, dose 2

2021-02-25

Symptoms: More canker sores in mouth that quickly resolved.

Release 5 — day 21, dose 2

2021-03-04

Symptoms: Excessive dry mouth and throat nothing productive

Release 8 — 3 months, dose 2

2021-05-13

Symptoms: Feeling like I cant breathe out of left nostril. Sone minimal clear watery to mucoid discharge from L nare.

Release 9 — 6 months, dose 2

2021-08-14

Symptoms: Almost constant minor clear drainage from nose, mostly L nare.

Release 11 — 12 months, dose 2

2022-02-13

Symptoms: Had dose#3 on 2-10-22.Next day had fever over 100, extreme fatigue, sore arm, increased cardiac palpitations and body aches all over. Resolved by last night (2-12-22). However, still have sore arm. Had + covid test on 1-3-22 & 1-9-22. Neg on 1-18 cut off by CDC

Release 12 — 6 months, dose 3

2022-08-11

Symptoms: Generalized fatigue. I also had low pulse rate (below 60) and otherEKG abnormalities. The nurse practitioner who saw me sent me to the cardiologist's office. When he saw me (Feb 2022), he recommended an echo stress test scheduled on 6/22/22

Healthcare visit (other): And cardiologist at recommendation of the NP in Urgent Care

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	Medical counselling	·	·	✓
HCVO	Office visit	·	·	✓
SD	Aphthous ulcer	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Body temperature increased	·	·	✓
SD	Dry mouth	✓	✓	✓
SD	Dry throat	✓	✓	✓
SD	Electrocardiogram abnormal	·	·	✓
SD	Fatigue	·	·	✓
SD	Heart rate decreased	·	·	✓
SD	Hip arthroplasty	·	·	✓
SD	Medical counselling	·	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Office visit	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Palpitations	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Secretion discharge	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Mouth ulceration	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Scintillating scotoma	✓	✓	✓

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