6QW-29162-17777

5 vaccinations 13 coded responses 52 check-ins 13 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 836 / ID
Registered: 2021-04-22

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
2155047 (opens in a new window)	medium	10 / 11	9	2 of 5 VAERS symptoms	same dose (3)	ID matches	2021-11-29 / 2022-02-03 / 2022-03-03 received the same day as the last call	case 272142

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

2021-04-22
Registered in v-safe
2021-04-22
Dose 1 — Pfizer-BioNTech
2021-04-22
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-25
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Respiratory tract congestion — Feeling: Good

Free text: Congestion, cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Vomiting, Diarrhea

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-29
Survey response — day 7, dose 1
MedDRA: Dizziness, Feeling abnormal — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness, brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-17
Dose 2 — Pfizer-BioNTech
2021-05-27
Survey response — day 7, dose 2
MedDRA: Temporomandibular joint syndrome — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: TMJ

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-29
Dose 3 — Pfizer-BioNTech
2021-12-01
Survey response — days 1–6 daily, dose 3
MedDRA: Pain in extremity — Feeling: Good

Free text: Sore arm the first day

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-04
Survey response — days 1–6 daily, dose 3
MedDRA: Energy increased, Vaccine positive rechallenge — Feeling: Good

Free text: I just want to say that after each Phizer shot...including the Phizer booster...I had a lot of energy...more so than usual. One of my friends shared the same. My husband though had less energy and was more tired..

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-06
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-20
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-28
Survey response — 3 months, dose 3
MedDRA: Blood pressure decreased, Heart rate decreased, Syncope — 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 · Emergency room or emergency department visit

Free text: Blood pressure drop to 75/53. Pulse 44 faintng spells

MedDRA releases: 2024-11 · check-in free text available
2022-02-28
Report sent to call center — 3 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

Emergency room or emergency department visit · 1 call case(s)
2022-03-03
Call successful
Completed over the phone
2022-05-30
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-06-01
Dose 4 — Pfizer-BioNTech
2022-06-01
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-06-02
Survey response — days 1–6 daily, dose 4
MedDRA: Injection site pain — Feeling: Good

Free text: Just a little soreness at the injection site as to be expected

MedDRA releases: 2024-11 · check-in free text available
2022-06-03
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-05
Survey response — days 1–6 daily, dose 4
MedDRA: Anxiety, Heart rate increased — Feeling: Fair · Headache · Be unable to do your normal daily activities

Free text: Anxiety, fast heart beat

MedDRA releases: 2024-11 · check-in free text available
2022-06-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-08
Survey response — day 7, dose 4
MedDRA: Blood glucose decreased — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Low blood sugar

MedDRA releases: 2024-11 · check-in free text available
2022-06-15
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-22
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-29
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-08
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-13
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-31
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-17
Dose 5 — Pfizer-BioNTech
2022-11-30
Survey response — 6 months, dose 4
MedDRA: Lower respiratory tract infection, Nasopharyngitis — Feeling: Good

Free text: Cold....head and chest

MedDRA releases: 2024-11 · check-in free text available
2022-12-01
Survey response — day 14, dose 5
MedDRA: Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Head cold, sore throat, chest congestion

MedDRA releases: 2024-11 · check-in free text available
2022-12-08
Survey response — day 21, dose 5
MedDRA: Parainfluenzae virus infection — Feeling: Fair · 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: Parainfluenza

MedDRA releases: 2024-11 · check-in free text available
2022-12-08
Report sent to call center — day 21, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-12-09
Call 1 — Requested Callback
2022-12-14
Call 2 — Could Not Reach Participant
2022-12-15
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-12-22
Survey response — day 35, dose 5
MedDRA: Lower respiratory tract infection, Pain, Pyrexia — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Chest cold body aches fever

MedDRA releases: 2024-11 · check-in free text available
2022-12-22
Report sent to call center — day 35, dose 5
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-12-23
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-23
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-29
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-02-16
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-22	Pfizer-BioNTech
2	2021-05-17	Pfizer-BioNTech
3	2021-11-29	Pfizer-BioNTech	No
4	2022-06-01	Pfizer-BioNTech	No
5	2022-11-17	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-25

Systemic reaction (other): Congestion, cough

Release 8 — day 7, dose 1

2021-04-29

Systemic reaction (other): Dizziness, brain fog

Release 8 — day 7, dose 2

2021-05-27

Systemic reaction (other): TMJ

Release 10 — days 1–6 daily, dose 3

2021-12-01

Systemic reaction (other): Sore arm the first day

2021-12-04

Systemic reaction (other): I just want to say that after each Phizer shot...including the Phizer booster...I had a lot of energy...more so than usual. One of my friends shared the same. My husband though had less energy and was more tired..

Release 11 — 3 months, dose 3

2022-02-28

Symptoms: Blood pressure drop to 75/53. Pulse 44 faintng spells

Release 11 — days 1–6 daily, dose 4

2022-06-02

Systemic reaction (other): Just a little soreness at the injection site as to be expected

2022-06-05

Systemic reaction (other): Anxiety, fast heart beat

Release 11 — day 7, dose 4

2022-06-08

Systemic reaction (other): Low blood sugar

Release 12 — 6 months, dose 4

2022-11-30

Symptoms: Cold....head and chest

Release 12 — day 14, dose 5

2022-12-01

Symptoms: Head cold, sore throat, chest congestion

Release 12 — day 21, dose 5

2022-12-08

Symptoms: Parainfluenza

Release 12 — day 35, dose 5

2022-12-22

Symptoms: Chest cold body aches fever

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	Blood pressure decreased	·	·	✓
SD	Heart rate decreased	·	·	✓
SD	Lower respiratory tract infection	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Parainfluenzae virus infection	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Syncope	·	·	✓
SRO	Anxiety	·	·	✓
SRO	Blood glucose decreased	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Energy increased	·	·	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Heart rate increased	·	·	✓
SRO	Injection site pain	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Temporomandibular joint syndrome	✓	✓	✓
SRO	Vaccine positive rechallenge	·	·	✓

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