5SP-32477-66732

4 vaccinations 8 coded responses 45 check-ins 7 free-text entries 2 call cases

Sex: Male
Age at first dose: 36-40
ZIP prefix: 606 / IL
Registered: 2021-03-18

Relationship: Self
Race: N/A
Ethnicity: Hispanic or Latino

Registered dependents

2ME-28917-23710 Child or adolescent in my care · Female · 2022-07-10

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
2468429 (opens in a new window)	high	11 / 11	—	7 of 10 VAERS symptoms	same dose (4)	IL matches	2022-09-11 / 2022-09-20 / 2022-10-04 received the same day as the last call	case 1056487

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

2021-03-18
Registered in v-safe
2021-03-18
Dose 1 — Pfizer-BioNTech
2021-03-18
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-08
Dose 2 — Pfizer-BioNTech
2021-04-08
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — day 7, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-04-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-08
Survey response — 3 months, dose 2
MedDRA: Fatigue, Headache, Pain, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school

Free text: Congestion, fatigue, body aches, headache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-07
Survey response — 6 months, dose 2
MedDRA: Sensitive skin — Feeling: Good

Free text: Slight skin sensitivity in one leg.

MedDRA releases: 2024-11 · check-in free text available
2021-10-10
Dose 3 — Pfizer-BioNTech
2021-10-10
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-10-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-10-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-10-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-17
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-24
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-31
Survey response — day 21, dose 3
MedDRA: Body temperature increased, Headache, Oropharyngeal pain, Pain, Sinus congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sore throat, sinus congestion, headache, slight increase in temperature, body aches.

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-14
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-21
Survey response — day 42, dose 3
MedDRA: Respiratory tract congestion — Feeling: Good

Free text: Congestion

MedDRA releases: 2024-11 · check-in free text available
2022-01-09
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-10
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-11
Dose 4 — Moderna
2022-09-18
Health check-in — day 7, dose 4
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-09-25
Survey response — day 14, dose 4
MedDRA: Cough, Headache, Nasal congestion, Pain, Respiratory tract congestion, Sinus congestion — Feeling: Poor

Free text: Chest congestion, nasal/sinus congestion, cough, body aches, headaches.

MedDRA releases: 2024-11 · check-in free text available
2022-10-02
Survey response — day 21, dose 4
MedDRA: Chills, Headache, Nasal congestion, Oropharyngeal pain, Pain, Productive cough, Respiratory tract congestion — 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 · Outpatient clinic or urgent care clinic visit

Free text: Productive cough, sore throat, chills, headache, congestion (nasal and chest), body aches.

MedDRA releases: 2024-11 · check-in free text available
2022-10-02
Report sent to call center — day 21, 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 · 1 call case(s)
2022-10-04
Call successful
Completed over the phone
2022-10-09
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-16
Survey response — day 35, dose 4
MedDRA: Aphonia, Dysphonia, Oropharyngeal pain, Productive cough, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Slight sore throat, productive cough and scratchy/losing voice. · Healthcare visit (other): Appointment with GP scheduled for Monday 10/17/22.

MedDRA releases: 2024-11 · check-in free text available
2022-10-16
Report sent to call center — day 35, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-17
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-25
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-11
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-12
Survey response — 6 months, dose 4
MedDRA: Fatigue, Pain, Pyrexia, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Pfizer-BioNTech
2	2021-04-08	Pfizer-BioNTech
3	2021-10-10	Pfizer-BioNTech	No
4	2022-09-11	Moderna	No

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 9 — 3 months, dose 2

2021-07-08

Symptoms: Congestion, fatigue, body aches, headache.

Release 10 — 6 months, dose 2

2021-10-07

Symptoms: Slight skin sensitivity in one leg.

Release 10 — day 21, dose 3

2021-10-31

Symptoms: Sore throat, sinus congestion, headache, slight increase in temperature, body aches.

Release 10 — day 42, dose 3

2021-11-21

Symptoms: Congestion

Release 12 — day 14, dose 4

2022-09-25

Symptoms: Chest congestion, nasal/sinus congestion, cough, body aches, headaches.

Release 12 — day 21, dose 4

2022-10-02

Symptoms: Productive cough, sore throat, chills, headache, congestion (nasal and chest), body aches.

Release 12 — day 35, dose 4

2022-10-16

Symptoms: Slight sore throat, productive cough and scratchy/losing voice.

Healthcare visit (other): Appointment with GP scheduled for Monday 10/17/22.

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	Unevaluable event	·	·	✓
SD	Aphonia	·	·	✓
SD	Body temperature increased	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Dysphonia	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Productive cough	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Sensitive skin	·	·	✓
SD	Sinus congestion	·	·	✓

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