AX4-29109-78649

3 vaccinations 11 coded responses 28 check-ins 11 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 381 / TN
Registered: 2021-05-22

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
1967414 (opens in a new window)	high	11 / 11	4	1 of 2 VAERS symptoms	same dose (3)	TN matches	2021-12-03 / 2021-12-03 / 2021-12-21 received 76 days before the last call	case 290738

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

2021-05-21
Dose 1 — Pfizer-BioNTech
2021-05-22
Registered in v-safe
2021-05-22
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Intermittent numbness and tingling on left side: shoulder to hand and hip to foot. This is the side where I received the injectionleft arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-05-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Joint pains, Fatigue or tiredness

Adult check-in
2021-05-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-05-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-05-28
Health check-in — day 7, dose 1
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-06-04
Survey response — day 14, dose 1
MedDRA: Cough, Ear pain, Fatigue, Oropharyngeal pain, Rhinorrhoea, Sinus congestion, Sneezing, Upper respiratory tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Upper respiratory infection: earache, sinus congestion, runny nose, cough, sore throat, fatigue, sneezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-06-16
Dose 2 — Pfizer-BioNTech
2021-06-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-06-18
Survey response — days 1–6 daily, dose 2
MedDRA: Ocular hyperaemia — Feeling: Fair · Headache, Fatigue or tiredness, Abdominal pain

Free text: Eye redness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-23
Survey response — day 7, dose 2
MedDRA: Abdominal distension, Abdominal pain, Back pain, Flatulence, Pre-existing disease, Reaction to previous exposure to any vaccine — Feeling: Fair · Fatigue or tiredness, Abdominal pain

Free text: Ever since I received both does of the vaccine, I have experienced a significant increase in flatulence and bloating and soreness in my abdominal area and lower back. I didnt mention it at first, because I have bee diagnosed with IBS, in the past.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-07-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-03
Dose 3 — Pfizer-BioNTech
2021-12-06
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal distension, Gastrooesophageal reflux disease — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Reflux-like feeling, bloating

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Swollen lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: The lymph nodes on the left side of my neck and my left shoulder are still sore and tender

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-17
Survey response — day 14, dose 3
MedDRA: Diarrhoea — Feeling: Good

Free text: Diarrhea

MedDRA releases: 2024-11 · check-in free text available
2021-12-21
Call successful
Completed over the phone
2021-12-24
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-31
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-08
Survey response — day 35, dose 3
MedDRA: Diverticulitis, Pyrexia — Feeling: Good · Be unable to do your normal daily activities

Free text: Diverticulitis, fever

MedDRA releases: 2024-11 · check-in free text available
2022-01-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-04
Survey response — 3 months, dose 3
MedDRA: Chills, Cough, Diarrhoea, Ear pain, Fatigue, Office visit, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, Rhinorrhoea, Sneezing — 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

Free text: Symptoms: Contracted COVID-19. I had chills, fever, fatigue, cough, congestion, sneezing, runny nose, earache, sore throat and diarrhea. · Healthcare visit (other): Visit with my PCP

MedDRA releases: 2024-11 · check-in free text available
2022-03-04
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

1 call case(s)
2022-03-07
Call 1 — Left Voicemail
2022-06-03
Survey response — 6 months, dose 3
MedDRA: Chest pain, Heart rate increased, Office visit, Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Sinus infection, chest pain, rapid heartbeat · Healthcare visit (other): For chest pain and rapid heartbeat: visit with cardiologist

MedDRA releases: 2024-11 · check-in free text available
2022-06-03
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-06-06
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-21	Pfizer-BioNTech
2	2021-06-16	Pfizer-BioNTech
3	2021-12-03	Pfizer-BioNTech	No

Call center

3 call center cases

1 successful · 2 unsuccessful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-22

Systemic reaction (other): Intermittent numbness and tingling on left side: shoulder to hand and hip to foot. This is the side where I received the injectionleft arm.

Release 8 — day 14, dose 1

2021-06-04

Symptoms: Upper respiratory infection: earache, sinus congestion, runny nose, cough, sore throat, fatigue, sneezing

Release 9 — days 1–6 daily, dose 2

2021-06-18

Systemic reaction (other): Eye redness

Release 9 — day 7, dose 2

2021-06-23

Systemic reaction (other): Ever since I received both does of the vaccine, I have experienced a significant increase in flatulence and bloating and soreness in my abdominal area and lower back. I didnt mention it at first, because I have bee diagnosed with IBS, in the past.

Release 10 — days 1–6 daily, dose 3

2021-12-06

Systemic reaction (other): Reflux-like feeling, bloating

2021-12-07

Systemic reaction (other): Swollen lymph nodes

2021-12-08

Systemic reaction (other): The lymph nodes on the left side of my neck and my left shoulder are still sore and tender

Release 10 — day 14, dose 3

2021-12-17

Symptoms: Diarrhea

Release 10 — day 35, dose 3

2022-01-08

Symptoms: Diverticulitis, fever

Release 11 — 3 months, dose 3

2022-03-04

Symptoms: Contracted COVID-19. I had chills, fever, fatigue, cough, congestion, sneezing, runny nose, earache, sore throat and diarrhea.

Healthcare visit (other): Visit with my PCP

Release 11 — 6 months, dose 3

2022-06-03

Symptoms: Sinus infection, chest pain, rapid heartbeat

Healthcare visit (other): For chest pain and rapid heartbeat: visit with cardiologist

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	Chest pain	·	·	✓
HCVO	Heart rate increased	·	·	✓
HCVO	Office visit	·	·	✓
SD	Chest pain	·	·	✓
SD	Chills	·	·	✓
SD	Cough	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Diverticulitis	·	·	✓
SD	Ear pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Heart rate increased	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sinus congestion	✓	✓	✓
SD	Sinusitis	·	·	✓
SD	Sneezing	✓	✓	✓
SD	Upper respiratory tract infection	✓	✓	✓
SRO	Abdominal distension	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Flatulence	✓	✓	✓
SRO	Gastrooesophageal reflux disease	·	·	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Ocular hyperaemia	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Reaction to previous exposure to any vaccine	✓	✓	✓

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