9Z4-54182-75121

5 vaccinations 4 coded responses 41 check-ins 3 free-text entries 3 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 281 / NC
Registered: 2021-01-22

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
2595565 (opens in a new window)	medium	9 / 11	6	3 of 5 VAERS symptoms	same dose (5)	FL differs	2022-09-11 / 2023-02-14 / 2023-03-13 received 145 days after the last call	case 1104608

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

2021-01-22
Registered in v-safe
2021-01-22
Dose 1 — Pfizer-BioNTech
2021-01-22
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Good

Free text: No, the symptoms that I had in the first 24-48 hrs were mild and very intermittent. Probably would never have thought twice about them if it had been a flu shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-12
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-15
Dose 2 — Pfizer-BioNTech
2021-02-15
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-29
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-16
Survey response — 6 months, dose 2
MedDRA: Extrasystoles — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Ectopic heart beats

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-16
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-01
Dose 3 — Pfizer-BioNTech
2021-10-01
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-06
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-13
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-06
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-02
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-04
Dose 4 — Pfizer-BioNTech
2022-04-14
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-18
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-27
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-02
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-11
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-16
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-07
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-11
Dose 5 — Pfizer-BioNTech
2022-10-03
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-10-18
Survey response — day 35, dose 5
MedDRA: Cough, Pyrexia, Rhinorrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: COVID symptoms last week- low grade fever, cough, nasal discharge

MedDRA releases: 2024-11 · check-in free text available
2022-10-18
Report sent to call center — day 35, dose 5
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-10-19
Call successful
Completed over the phone
2022-10-23
Health check-in — day 42, dose 5
Feeling: Good

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

Adult check-in
2023-03-12
Survey response — 6 months, dose 5
MedDRA: COVID-19 — Feeling: Good · 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

MedDRA releases: 2024-11
2023-03-12
Report sent to call center — 6 months, dose 5
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 · 1 call case(s)
2023-03-14
Call 1 — Left Voicemail
2023-03-15
Call 2 — Could Not Reach Participant
2023-03-16
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Pfizer-BioNTech
2	2021-02-15	Pfizer-BioNTech
3	2021-09-01	Pfizer-BioNTech	No
4	2022-04-04	Pfizer-BioNTech	No
5	2022-09-11	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-08-16	Successful 2021-12-06	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-10-18	Successful 2022-10-19	Completed over the phone
2023-03-12	Successful 2023-03-16	Completed over the phone

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-26

Systemic reaction (other): No, the symptoms that I had in the first 24-48 hrs were mild and very intermittent. Probably would never have thought twice about them if it had been a flu shot

Release 9 — 6 months, dose 2

2021-08-16

Symptoms: Ectopic heart beats

Release 12 — day 35, dose 5

2022-10-18

Symptoms: COVID symptoms last week- low grade fever, cough, nasal discharge

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	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Extrasystoles	✓	·	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Adverse reaction	✓	✓	✓

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