6YF-83308-56440

5 vaccinations 6 coded responses 31 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 549 / WI
Registered: 2020-12-23

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
2368778 (opens in a new window)	medium	9 / 11	8	1 of 8 VAERS symptoms	same dose (4)	WI matches	2022-04-13 / 2022-06-29 / 2022-07-14 received the same day as the last call	case 852431

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

2020-12-23
Registered in v-safe
2020-12-23
Dose 1 — Pfizer-BioNTech
2020-12-23
Health check-in — day 0, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2020-12-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-26
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site joint pain — Feeling: Good

Free text: Mile Left shoulder joint pain. My injection was in the right arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-27
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia — Feeling: Fair

Free text: Left shoulder pain, mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-01
Survey response — day 7, dose 1
MedDRA: Arthralgia — Feeling: Good · Joint pains

Free text: Left shoulder still sore. May be unrelated.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-14
Dose 2 — Pfizer-BioNTech
2021-01-27
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-04
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2022-01-14
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-13
Dose 4 — Pfizer-BioNTech
2022-04-22
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-27
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-04
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-11
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-18
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-25
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-13
Survey response — 3 months, dose 4
MedDRA: Allergy test positive, Office visit, SARS-CoV-2 test positive — 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, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Covid 19 with prolonged positive Rapid Ag test (15 days) and failed allergy testing (unable to mount positive controls on day 16) following 5 days of Paclivid. · Healthcare visit (other): Allergy clinic

MedDRA releases: 2024-11 · check-in free text available
2022-07-13
Report sent to call center — 3 months, 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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-14
Call successful
Completed over the phone
2022-09-16
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-12
Survey response — 6 months, dose 4
MedDRA: Asthma, SARS-CoV-2 test negative — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Asthmatic bronchitis X 10 days, COVID negative

MedDRA releases: 2024-11 · check-in free text available
2022-10-12
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-13
Survey response — day 21, dose 5
MedDRA: Asthma, Bronchitis, Pre-existing disease, SARS-CoV-2 test negative, Upper respiratory tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Asthma exacerbation. URI and acute bronchitis. COVID negative by home test x 4. Dr placed me on prednisone 40 mg on 10/5 and rapid taper competed today 10/13.

MedDRA releases: 2024-11 · check-in free text available
2022-10-13
Report sent to call center — day 21, dose 5
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-13
Call successful
Reported to VAERS during previous contact from GDIT
2022-10-13
Call successful
Reported to VAERS during previous contact from GDIT
2022-10-23
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-10-28
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-16
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-17
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-23	Pfizer-BioNTech
2	2021-01-14	Pfizer-BioNTech
3	2021-10-04	Pfizer-BioNTech	Flu
4	2022-04-13	Pfizer-BioNTech	No
5	2022-09-16	Pfizer-BioNTech	Flu

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 1 — days 1–6 daily, dose 1

2020-12-26

Systemic reaction (other): Mile Left shoulder joint pain. My injection was in the right arm.

2020-12-27

Systemic reaction (other): Left shoulder pain, mild

Release 1 — day 7, dose 1

2021-01-01

Systemic reaction (other): Left shoulder still sore. May be unrelated.

Release 12 — 3 months, dose 4

2022-07-13

Symptoms: Covid 19 with prolonged positive Rapid Ag test (15 days) and failed allergy testing (unable to mount positive controls on day 16) following 5 days of Paclivid.

Healthcare visit (other): Allergy clinic

Release 12 — 6 months, dose 4

2022-10-12

Symptoms: Asthmatic bronchitis X 10 days, COVID negative

Release 12 — day 21, dose 5

2022-10-13

Symptoms: Asthma exacerbation. URI and acute bronchitis. COVID negative by home test x 4. Dr placed me on prednisone 40 mg on 10/5 and rapid taper competed today 10/13.

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	Office visit	·	·	✓
SD	Allergy test positive	·	·	✓
SD	Asthma	·	·	✓
SD	Bronchitis	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Upper respiratory tract infection	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Injection site joint pain	✓	✓	✓

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