66T-16358-47397

3 vaccinations 9 coded responses 17 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 606 / IL
Registered: 2021-04-18

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
1761804 (opens in a new window)	high	10 / 11	2	3 of 9 VAERS symptoms	same dose (2)	IL matches	2021-02-20 / 2021-02-20 / 2021-10-05 received 136 days after the last call	case 719749

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

2021-01-30
Dose 1 — Pfizer-BioNTech
2021-02-20
Dose 2 — Pfizer-BioNTech
2021-04-18
Registered in v-safe
2021-05-22
Survey response — 3 months, dose 2
MedDRA: Back pain, Magnetic resonance imaging, Pain in extremity, Physiotherapy, X-ray — 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

Free text: Symptoms: Severe pain in back and both legs. · Healthcare visit (other): X- rays, MRI, physical therapy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-21
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-09-30
Dose 3 — Pfizer-BioNTech
2021-09-30
Survey response — day 0, dose 3
MedDRA: Pain — 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

Free text: Not yet with the second dose I had severe pain 6 hours later

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Report sent to call center — day 0, 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)
2021-10-01
Survey response — days 1–6 daily, dose 3
MedDRA: Pain in extremity — Feeling: Good

Free text: I only have the pain in my leg that I already had before the booster

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Pre-existing disease — Feeling: Good

Free text: Leg pain that I had before the booster

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches

Adult check-in
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Fair · Joint pains

Free text: Already had joint pain before the Booster

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Call 1 — Requested Callback
2021-10-05
Callback requested for
2:00PM ET
2021-10-05
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-06
Survey response — days 1–6 daily, dose 3
MedDRA: Pre-existing disease — Feeling: Good · Muscle or body aches

Free text: I had these before the booster

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Health check-in — day 7, dose 3
Feeling: Fair · Muscle or body aches, Abdominal pain · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Adult check-in
2021-10-08
Report sent to call center — day 7, dose 3
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2021-10-14
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-15
Call 1 — Left Voicemail
2021-10-21
Health check-in — day 21, dose 3
Feeling: Fair

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

Adult check-in
2021-11-04
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-11
Survey response — day 42, dose 3
MedDRA: Asthenia, Fatigue, Pyrexia — Feeling: Good · Be unable to do your normal daily activities

Free text: I had a fever, I was weak and weak and real tired.

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Survey response — 3 months, dose 3
MedDRA: Abdominal discomfort, Abdominal pain upper, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: Upset stomach and stomach pain. I have IBS and. I get bad upset stomachs occasionally.

MedDRA releases: 2024-11 · check-in free text available
2022-03-31
Survey response — 6 months, dose 3
MedDRA: Rotator cuff syndrome — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Rotator cuff tear

MedDRA releases: 2024-11 · check-in free text available
2022-03-31
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-04
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-10-02
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-30	Pfizer-BioNTech
2	2021-02-20	Pfizer-BioNTech
3	2021-09-30	Pfizer-BioNTech	No

Call center

4 call center cases

4 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 8 — 3 months, dose 2

2021-05-22

Symptoms: Severe pain in back and both legs.

Healthcare visit (other): X- rays, MRI, physical therapy

Release 9 — day 0, dose 3

2021-09-30

Systemic reaction (other): Not yet with the second dose I had severe pain 6 hours later

Release 9 — days 1–6 daily, dose 3

2021-10-01

Systemic reaction (other): I only have the pain in my leg that I already had before the booster

2021-10-02

Systemic reaction (other): Leg pain that I had before the booster

2021-10-04

Systemic reaction (other): Already had joint pain before the Booster

Release 10 — days 1–6 daily, dose 3

2021-10-06

Systemic reaction (other): I had these before the booster

Release 10 — day 42, dose 3

2021-11-11

Symptoms: I had a fever, I was weak and weak and real tired.

Release 10 — 3 months, dose 3

2021-12-30

Symptoms: Upset stomach and stomach pain. I have IBS and. I get bad upset stomachs occasionally.

Release 11 — 6 months, dose 3

2022-03-31

Symptoms: Rotator cuff tear

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	Magnetic resonance imaging	✓	✓	✓
HCVO	Physiotherapy	✓	✓	✓
HCVO	X-ray	✓	✓	✓
SD	Abdominal discomfort	·	·	✓
SD	Abdominal pain upper	·	·	✓
SD	Asthenia	·	·	✓
SD	Back pain	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rotator cuff syndrome	·	·	✓
SRO	Pain	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Unevaluable event	·	·	✓

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