5AF-28018-55360

4 vaccinations 11 coded responses 39 check-ins 10 free-text entries 4 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 551 / MN
Registered: 2021-03-25

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
1943605 (opens in a new window)	high	11 / 11	—	1 of 2 VAERS symptoms	same dose (1)	MN matches	2021-03-25 / 2021-03-26 / 2021-12-13 received the same day as the last call	case 526425

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

2021-03-25
Registered in v-safe
2021-03-25
Dose 1 — Pfizer-BioNTech
2021-03-25
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · Headache, Muscle or body aches, Nausea

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-01
Health check-in — day 7, dose 1
Feeling: Poor · Fever · Headache, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-15
Survey response — day 21, dose 1
MedDRA: Accelerated hypertension, Office visit, SARS-CoV-2 test — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Erratic hypertension. Covid-like symptoms. Cancelled 2nd shot and got tested for Covid per Dr instructions. Test results should be available by Sat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Report sent to call center — day 21, 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)
2021-04-24
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-28
Dose 2 — Pfizer-BioNTech
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Renal pain — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Pain from lower back - kidneys

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-05-05
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-12
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-19
Survey response — day 21, dose 2
MedDRA: Pneumonia bacterial — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Bacterial Pneumonia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-28
Survey response — 3 months, dose 2
MedDRA: Asthenia, Balance disorder, Dizziness, Headache — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Headache, lack of energy, Balance and dizziness issues

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-24
Dose 3 — Pfizer-BioNTech
2021-12-13
Call successful
Completed over the phone
2022-04-28
Survey response — 12 months, dose 2
MedDRA: Migraine, Nausea — Feeling: Poor · Be unable to work or attend school

Free text: Nausea, migraine,

MedDRA releases: 2024-11 · check-in free text available
2022-06-23
Dose 4 — Pfizer-BioNTech
2022-06-23
Health check-in — day 0, dose 4
Feeling: Fair · Fever · Nausea

Adult check-in
2022-06-24
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · None

Adult check-in
2022-06-25
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-06-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache

Adult check-in
2022-06-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-30
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-07-07
Survey response — day 14, dose 4
MedDRA: Emergency care, Pneumonia, SARS-CoV-2 test negative — 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, Emergency room or emergency department visit

Free text: I went to the ER and was tested for Covid. The results negative. Its pneumonia

MedDRA releases: 2024-11 · check-in free text available
2022-07-07
Report sent to call center — day 14, 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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-07-08
Call 1 — Left Voicemail
2022-07-08
Call 1 — Left Voicemail
2022-07-08
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-14
Survey response — day 21, dose 4
MedDRA: Pneumonia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I had pneumonia

MedDRA releases: 2024-11 · check-in free text available
2022-08-09
Survey response — day 42, dose 4
MedDRA: Pain in extremity — 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 · Telehealth, virtual health, or email health consultation

Free text: Feels like my right leg is jamming into the hipbone

MedDRA releases: 2024-11 · check-in free text available
2022-08-09
Report sent to call center — day 42, 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-08-10
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-22
Survey response — 3 months, dose 4
MedDRA: Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Having to do with my vertigo and disbetes

MedDRA releases: 2024-11 · check-in free text available
2022-09-22
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-09-23
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-22
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2023-06-24
Survey response — 12 months, dose 4
MedDRA: Pre-existing disease, Spinal operation — 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 · Hospitalization

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Pfizer-BioNTech
2	2021-04-28	Pfizer-BioNTech
3	2021-11-24	Pfizer-BioNTech	No
4	2022-06-23	Pfizer-BioNTech	No

Call center

4 call center cases

4 successful

VAERS report filed, before or during a call: 1

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-27

Systemic reaction (other): No

Release 7 — day 21, dose 1

2021-04-15

Symptoms: Erratic hypertension. Covid-like symptoms. Cancelled 2nd shot and got tested for Covid per Dr instructions. Test results should be available by Sat

Release 8 — days 1–6 daily, dose 2

2021-04-29

Systemic reaction (other): Pain from lower back - kidneys

Release 8 — day 21, dose 2

2021-05-19

Symptoms: Bacterial Pneumonia

Release 9 — 3 months, dose 2

2021-07-28

Symptoms: Headache, lack of energy, Balance and dizziness issues

Release 11 — 12 months, dose 2

2022-04-28

Symptoms: Nausea, migraine,

Release 12 — day 14, dose 4

2022-07-07

Symptoms: I went to the ER and was tested for Covid. The results negative. Its pneumonia

Release 12 — day 21, dose 4

2022-07-14

Symptoms: I had pneumonia

Release 12 — day 42, dose 4

2022-08-09

Symptoms: Feels like my right leg is jamming into the hipbone

Release 12 — 3 months, dose 4

2022-09-22

Symptoms: Having to do with my vertigo and disbetes

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	Accelerated hypertension	✓	✓	✓
SD	Asthenia	✓	·	✓
SD	Balance disorder	✓	·	✓
SD	Dizziness	✓	·	✓
SD	Emergency care	·	·	✓
SD	Headache	✓	·	✓
SD	Migraine	·	·	✓
SD	Nausea	·	·	✓
SD	Office visit	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Pneumonia	·	·	✓
SD	Pneumonia bacterial	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	SARS-CoV-2 test	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Spinal operation	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Renal pain	✓	✓	✓

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