5PE-47547-13227

5 vaccinations 9 coded responses 62 check-ins 9 free-text entries 3 call cases

Sex: —
Age at first dose: 56-60
ZIP prefix: 233 / VA
Registered: 2021-01-14

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
2374785 (opens in a new window)	high	11 / 11	2	2 of 4 VAERS symptoms	same dose (4)	VA matches	2022-04-19 / 2022-05-01 / 2022-07-20 received the same day as the last call	case 867613

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

2021-01-14
Registered in v-safe
2021-01-15
Dose 1 — Pfizer-BioNTech
2021-01-15
Survey response — day 0, dose 1
MedDRA: Drainage, Injection site pain — Feeling: Good

Free text: Slight soreness at injection site, a little sinus drainage.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · Chills, Fatigue or tiredness

Adult check-in
2021-01-29
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-05
Dose 2 — Pfizer-BioNTech
2021-02-05
Survey response — day 0, dose 2
MedDRA: Pruritus — Feeling: Fair · Headache

Free text: A little itchy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-12
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-06
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-03
Dose 3 — Pfizer-BioNTech
2021-10-03
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fever · Fatigue or tiredness

Adult check-in
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Chills

Adult check-in
2021-10-09
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Fair

Free text: Dizzuness

MedDRA releases: 2024-11 · check-in free text available
2021-10-10
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-17
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-24
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-31
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-07
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-02
Survey response — 3 months, dose 3
MedDRA: Chills, Fatigue, Pain, Paranasal sinus hypersecretion, Upper-airway cough syndrome — Feeling: Fair

Free text: Tiredness, aches, chills and post nasal, sinus and throat drainage

MedDRA releases: 2024-11 · check-in free text available
2022-04-03
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-04-19
Dose 4 — Pfizer-BioNTech
2022-04-19
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-04-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Swelling, Itching · None

Adult check-in
2022-04-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2022-04-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2022-04-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-26
Health check-in — day 7, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-05-03
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-10
Survey response — day 21, dose 4
MedDRA: Arthralgia, Breast mass, Pain in extremity, Skin irritation — Feeling: Fair

Free text: Persistant Arm and shoulder pain and armpit irritation too, felt a lump in right breast also.

MedDRA releases: 2024-11 · check-in free text available
2022-05-17
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-24
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-31
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-19
Survey response — 3 months, dose 4
MedDRA: Lymphadenopathy, Office visit, Physical breast examination abnormal — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Last covid boister on 4/19/22 cause me to have abnormal breast exam and enlarge lymph nodes. Doubt if I take another booster! · Healthcare visit (other): Monthly doctor's appointment for keep a watch on enlarged lymph node

MedDRA releases: 2024-11 · check-in free text available
2022-07-19
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-07-20
Call 1 — Requested Callback
2022-07-20
Callback requested for
01:00PM ET
2022-07-20
Call successful
Completed over the phone
2022-09-26
Dose 5 — Pfizer-BioNTech
2022-09-26
Health check-in — day 0, dose 5
Feeling: Good · None

Adult check-in
2022-09-28
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-09-30
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Chills, Fatigue or tiredness

Adult check-in
2022-10-02
Survey response — days 1–6 daily, dose 5
MedDRA: Arthralgia, Breast mass, Lymphadenopathy, Pain in extremity — Feeling: Good · Fatigue or tiredness

Free text: Lump found in right breast and enlarged lymph node under armpits, achy right shoulder and arm periodically since last covid booster done on April 19, 2022

MedDRA releases: 2024-11 · check-in free text available
2022-10-03
Health check-in — day 7, dose 5
Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-10
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-19
Survey response — day 21, dose 5
MedDRA: Lymphadenopathy, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: A smaller size lymph node was found by my Primary Care physician today at my appt. · Healthcare visit (other): 2 month follow up Appt . Dr.(b)(6) is monitoring the lymph nodes shes found in my neck atea on the right side. Advised a biopsy be done.

MedDRA releases: 2024-11 · check-in free text available
2022-10-19
Report sent to call center — day 21, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-20
Call successful
Completed over the phone
2022-10-24
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-02
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-07
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-26
Survey response — 3 months, dose 5
MedDRA: Pain in extremity, Peripheral swelling — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Soreness and some swelling in right arm.

MedDRA releases: 2024-11 · check-in free text available
2022-12-26
Report sent to call center — 3 months, dose 5
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-28
Call 1 — Could Not Reach Participant
2022-12-29
Call 2 — Left Voicemail
2022-12-29
Callback requested for
2022-12-29
Call successful
Reported to VAERS during previous contact from GDIT
2023-03-29
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Pfizer-BioNTech
2	2021-02-05	Pfizer-BioNTech
3	2021-10-03	Pfizer-BioNTech	No
4	2022-04-19	Pfizer-BioNTech	No
5	2022-09-26	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-15

Systemic reaction (other): Slight soreness at injection site, a little sinus drainage.

Release 3 — day 0, dose 2

2021-02-05

Systemic reaction (other): A little itchy

Release 10 — days 1–6 daily, dose 3

2021-10-09

Systemic reaction (other): Dizzuness

Release 10 — 3 months, dose 3

2022-01-02

Symptoms: Tiredness, aches, chills and post nasal, sinus and throat drainage

Release 11 — day 21, dose 4

2022-05-10

Symptoms: Persistant Arm and shoulder pain and armpit irritation too, felt a lump in right breast also.

Release 12 — 3 months, dose 4

2022-07-19

Symptoms: Last covid boister on 4/19/22 cause me to have abnormal breast exam and enlarge lymph nodes. Doubt if I take another booster!

Healthcare visit (other): Monthly doctor's appointment for keep a watch on enlarged lymph node

Release 12 — days 1–6 daily, dose 5

2022-10-02

Systemic reaction (other): Lump found in right breast and enlarged lymph node under armpits, achy right shoulder and arm periodically since last covid booster done on April 19, 2022

Release 12 — day 21, dose 5

2022-10-19

Symptoms: A smaller size lymph node was found by my Primary Care physician today at my appt.

Healthcare visit (other): 2 month follow up Appt . Dr.(b)(6) is monitoring the lymph nodes shes found in my neck atea on the right side. Advised a biopsy be done.

redacted (b)(6)

Release 12 — 3 months, dose 5

2022-12-26

Symptoms: Soreness and some swelling in right arm.

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	Lymphadenopathy	·	·	✓
HCVO	Office visit	·	·	✓
SD	Arthralgia	·	·	✓
SD	Breast mass	·	·	✓
SD	Chills	·	·	✓
SD	Fatigue	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Office visit	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Paranasal sinus hypersecretion	·	·	✓
SD	Peripheral swelling	·	·	✓
SD	Physical breast examination abnormal	·	·	✓
SD	Skin irritation	·	·	✓
SD	Upper-airway cough syndrome	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Breast mass	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Drainage	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Pruritus	✓	✓	✓

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