GS5-28466-96574

4 vaccinations 5 coded responses 34 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 379 / TN
Registered: 2021-01-04

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
1041285 (opens in a new window)	high	9 / 11	2	1 of 9 VAERS symptoms	same dose (1)	TN matches	2021-01-04 / 2021-01-11 / 2021-02-19 received the same day as the last call	case 41149

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

2021-01-04
Registered in v-safe
2021-01-04
Dose 1 — Pfizer-BioNTech
2021-01-04
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-01-11
Survey response — day 7, dose 1
MedDRA: Dizziness, Hyperhidrosis, Nausea — Feeling: Fair · Headache, Nausea · Be unable to work, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Got sweaty, felt nauseous and then fainted. Started feeling similar in the afternoon; laid down and felt better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Report sent to call center — day 7, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-25
Dose 2 — Pfizer-BioNTech
2021-02-01
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-19
Call successful
Completed over the phone
2021-02-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-24
Dose 3 — Pfizer-BioNTech
Co-administered: yes
2021-09-30
Survey response — days 1–6 daily, dose 3
MedDRA: Pain in extremity — Feeling: Good

Free text: Very sore arm

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-03-25
Survey response — 6 months, dose 3
MedDRA: Arthralgia, COVID-19, Cough — Feeling: Good · Be unable to work or attend school

Free text: COVID-19, most likely omicron, which is when I began having joint pain in my knees that hasn't gone away as well as a dry, unproductive cough that comes and goes.

MedDRA releases: 2024-11 · check-in free text available
2022-09-24
Survey response — 12 months, dose 3
MedDRA: Arthralgia, COVID-19, Office visit, Polycystic ovarian syndrome — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Joint pain in knees related to COVID-19 PCOS · Healthcare visit (other): Appointment with PCP

MedDRA releases: 2024-11 · check-in free text available
2022-09-24
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-09-27
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-16
Dose 4 — Moderna
2022-11-16
Health check-in — day 0, dose 4
Feeling: Fair · None

Adult check-in
2022-11-17
Survey response — days 1–6 daily, dose 4
MedDRA: Dizziness, Hyperhidrosis, Reaction to previous exposure to any vaccine — Feeling: Fair · Site: Pain · Chills · Be unable to do your normal daily activities

Free text: Sweats, felt like if did not sit down could faint. Symptoms identical to reaction to very first vaccine when I experienced vasovagal sincope

MedDRA releases: 2024-11 · check-in free text available
2022-11-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache

Adult check-in
2022-11-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache

Adult check-in
2022-11-24
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-11-30
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-12-07
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-12-14
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-12-22
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-28
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-02-15
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-05-17
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-04	Pfizer-BioNTech
2	2021-01-25	Pfizer-BioNTech
3	2021-09-24	Pfizer-BioNTech	Yes
4	2022-11-16	Moderna	No

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 1 — day 7, dose 1

2021-01-11

Systemic reaction (other): Got sweaty, felt nauseous and then fainted. Started feeling similar in the afternoon; laid down and felt better.

Release 9 — days 1–6 daily, dose 3

2021-09-30

Systemic reaction (other): Very sore arm

Release 11 — 6 months, dose 3

2022-03-25

Symptoms: COVID-19, most likely omicron, which is when I began having joint pain in my knees that hasn't gone away as well as a dry, unproductive cough that comes and goes.

Release 12 — 12 months, dose 3

2022-09-24

Symptoms: Joint pain in knees related to COVID-19 PCOS

Healthcare visit (other): Appointment with PCP

Release 12 — days 1–6 daily, dose 4

2022-11-17

Systemic reaction (other): Sweats, felt like if did not sit down could faint. Symptoms identical to reaction to very first vaccine when I experienced vasovagal sincope

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	Arthralgia	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Polycystic ovarian syndrome	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pain in extremity	·	·	✓
SRO	Reaction to previous exposure to any vaccine	·	·	✓

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