KCE-20966-92517

3 vaccinations 19 coded responses 30 check-ins 18 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 786 / TX
Registered: 2021-08-16

Relationship: Adult relative or friend
Guardian: 5R9-17330-89630
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
1666515 (opens in a new window)	high	11 / 11	—	4 of 7 VAERS symptoms	same dose (1)	TX matches	2021-08-16 / 2021-08-20 / 2021-09-02 received the same day as the last call	case 959697

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

2021-08-16
Registered in v-safe
2021-08-16
Dose 1 — Pfizer-BioNTech
2021-08-16
Health check-in — day 0, dose 1, dependent
Feeling: Good · None

Adult check-in
2021-08-17
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-08-18
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Poor · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do their normal daily activities

Adult check-in
2021-08-19
Survey response — days 1–6 daily, dose 1, dependent
MedDRA: Constipation — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Free text: Constipation

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-20
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Fair · Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-08-21
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-08-22
Survey response — days 1–6 daily, dose 1, dependent
MedDRA: Hypoaesthesia — Feeling: Fair · Site: Itching · Fever · Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do their normal daily activities

Free text: Numbness in arms

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-23
Survey response — day 7, dose 1, dependent
MedDRA: Epistaxis — Feeling: Poor · Site: Pain, Redness, Itching · Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Bloody nose

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-23
Report sent to call center — day 7, dose 1, dependent
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-30
Call 1 — Left Voicemail
2021-09-01
Survey response — day 14, dose 1, dependent
MedDRA: Hemihypoaesthesia — Feeling: Poor · Be unable to work or attend school

Free text: Numbness on left side of body. Cant feel if skin is touched

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-02
Call successful
Completed over the phone
2021-09-06
Survey response — day 21, dose 1, dependent
MedDRA: Anxiety, Brain fog, Dyspnoea, Epistaxis, Fatigue, Hypoaesthesia, Rash, Sensory disturbance, Vision blurred — Feeling: Poor · Be unable to work or attend school

Free text: Rash all over body, trouble breathing, numbness on left side of body, zapping feeling all over body, nose bleed, extreme fatigue, anxiety due to onset of severe symptoms, blurred vision, brain fog

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-08
Dose 2 — Pfizer-BioNTech
2021-09-11
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do their normal daily activities

Adult check-in
2021-09-12
Survey response — days 1–6 daily, dose 2, dependent
MedDRA: Epistaxis, Sensory disturbance, Vision blurred — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do their normal daily activities

Free text: Zapping feeling over body, blurred vision, nose bleed

MedDRA releases: 2024-11 · check-in free text available
2021-09-14
Survey response — days 1–6 daily, dose 2, dependent
MedDRA: Epistaxis, Hypoaesthesia — Feeling: Poor · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do their normal daily activities

Free text: Numbness of body on side of injection, nose bleed,

MedDRA releases: 2024-11 · check-in free text available
2021-09-16
Survey response — day 7, dose 2, dependent
MedDRA: Hypoaesthesia, Pain in extremity — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do their normal daily activities

Free text: Pain and numbness in both arms

MedDRA releases: 2024-11 · check-in free text available
2021-09-22
Survey response — day 14, dose 2, dependent
MedDRA: Pain, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities

Free text: Arm pain extended through right side of body

MedDRA releases: 2024-11 · check-in free text available
2021-09-29
Survey response — day 21, dose 2, dependent
MedDRA: Epistaxis, Fatigue, Hypoaesthesia, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Numbness on side of body, tingling zapping sensation right side of bodyExtreme exhaustion still, nose bleeding continues

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Health check-in — day 28, dose 2, dependent
Feeling: Fair

Adult check-in
2021-10-13
Health check-in — day 35, dose 2, dependent
Feeling: Fair

Adult check-in
2021-10-20
Survey response — day 42, dose 2, dependent
MedDRA: Anxiety, Decreased appetite, Depression, Fatigue, Menstrual disorder, Nasopharyngitis — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Menstrual cycle on and off. Haven't had a cycle in two years Extreme tiredness, depression, anxiety, loss of appetite. Cold like symptoms continue since first dose of vaccine

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Survey response — 3 months, dose 2, dependent
MedDRA: Abdominal pain upper, Arthralgia, Dumping syndrome, Hypoaesthesia, Insomnia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Stomach pain, dumping syndrome, numbness on left side of body Shoulder pain, insomnia

MedDRA releases: 2024-11 · check-in free text available
2022-02-16
Dose 3 — Pfizer-BioNTech
2022-02-21
Survey response — days 1–6 daily, dose 3, dependent
MedDRA: Epistaxis, Hypoaesthesia, Limb discomfort — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school

Free text: Arm feels out of socket, numbness in arms and legs, nose bleed

MedDRA releases: 2024-11 · check-in free text available
2022-02-22
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-02-23
Survey response — day 7, dose 3, dependent
MedDRA: Epistaxis, Hypoaesthesia — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school

Free text: Nose bleed, numbness in legs and arms

MedDRA releases: 2024-11 · check-in free text available
2022-03-02
Health check-in — day 14, dose 3, dependent
Feeling: Fair

Adult check-in
2022-03-09
Survey response — day 21, dose 3, dependent
MedDRA: Chills, Dyspnoea, Epistaxis, Pain, Pyrexia — Feeling: Poor · Be unable to work or attend school

Free text: Left body pain from head to foot, bloody nose, fever, chills, shortness of breath,

MedDRA releases: 2024-11 · check-in free text available
2022-03-16
Health check-in — day 28, dose 3, dependent
Feeling: Fair

Adult check-in
2022-03-23
Survey response — day 35, dose 3, dependent
MedDRA: Pain — Feeling: Poor · Be unable to work or attend school

Free text: Pain on side of body where injection was given

MedDRA releases: 2024-11 · check-in free text available
2022-03-30
Survey response — day 42, dose 3, dependent
MedDRA: Abdominal pain upper, Fatigue, Pain — Feeling: Poor · Be unable to work or attend school

Free text: Stomachache pain, body pain, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-05-18
Survey response — 3 months, dose 3, dependent
MedDRA: Agitation, Decreased appetite, Fatigue, Rash — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Skin rash over 90% of body Agitation No appetite Fatigue

MedDRA releases: 2024-11 · check-in free text available
2023-02-17
Survey response — 12 months, dose 3, dependent
MedDRA: Osteoporosis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-16	Pfizer-BioNTech	No
2	2021-09-08	Pfizer-BioNTech	No
3	2022-02-16	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1, dependent

2021-08-19

Systemic reaction (other): Constipation

2021-08-22

Systemic reaction (other): Numbness in arms

Release 9 — day 7, dose 1, dependent

2021-08-23

Systemic reaction (other): Bloody nose

Release 9 — day 14, dose 1, dependent

2021-09-01

Symptoms: Numbness on left side of body. Cant feel if skin is touched

Release 9 — day 21, dose 1, dependent

2021-09-06

Symptoms: Rash all over body, trouble breathing, numbness on left side of body, zapping feeling all over body, nose bleed, extreme fatigue, anxiety due to onset of severe symptoms, blurred vision, brain fog

Release 9 — days 1–6 daily, dose 2, dependent

2021-09-12

Systemic reaction (other): Zapping feeling over body, blurred vision, nose bleed

2021-09-14

Systemic reaction (other): Numbness of body on side of injection, nose bleed,

Release 9 — day 7, dose 2, dependent

2021-09-16

Systemic reaction (other): Pain and numbness in both arms

Release 9 — day 14, dose 2, dependent

2021-09-22

Symptoms: Arm pain extended through right side of body

Release 9 — day 21, dose 2, dependent

2021-09-29

Symptoms: Numbness on side of body, tingling zapping sensation right side of bodyExtreme exhaustion still, nose bleeding continues

Release 10 — day 42, dose 2, dependent

2021-10-20

Symptoms: Menstrual cycle on and off. Haven't had a cycle in two years Extreme tiredness, depression, anxiety, loss of appetite. Cold like symptoms continue since first dose of vaccine

Release 10 — 3 months, dose 2, dependent

2021-12-08

Symptoms: Stomach pain, dumping syndrome, numbness on left side of body Shoulder pain, insomnia

Release 11 — days 1–6 daily, dose 3, dependent

2022-02-21

Systemic reaction (other): Arm feels out of socket, numbness in arms and legs, nose bleed

Release 11 — day 7, dose 3, dependent

2022-02-23

Systemic reaction (other): Nose bleed, numbness in legs and arms

Release 11 — day 21, dose 3, dependent

2022-03-09

Symptoms: Left body pain from head to foot, bloody nose, fever, chills, shortness of breath,

Release 11 — day 35, dose 3, dependent

2022-03-23

Symptoms: Pain on side of body where injection was given

Release 11 — day 42, dose 3, dependent

2022-03-30

Symptoms: Stomachache pain, body pain, fatigue

Release 11 — 3 months, dose 3, dependent

2022-05-18

Symptoms: Skin rash over 90% of body Agitation No appetite Fatigue

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	Abdominal pain upper	·	·	✓
SD	Agitation	·	·	✓
SD	Anxiety	✓	·	✓
SD	Arthralgia	·	·	✓
SD	Brain fog	✓	·	✓
SD	Chills	·	·	✓
SD	Decreased appetite	·	·	✓
SD	Depression	·	·	✓
SD	Dumping syndrome	·	·	✓
SD	Dyspnoea	✓	·	✓
SD	Epistaxis	✓	·	✓
SD	Fatigue	✓	·	✓
SD	Hemihypoaesthesia	✓	·	✓
SD	Hypoaesthesia	✓	·	✓
SD	Insomnia	·	·	✓
SD	Menstrual disorder	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Osteoporosis	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Paraesthesia	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rash	✓	·	✓
SD	Sensory disturbance	✓	·	✓
SD	Vision blurred	✓	·	✓
SRO	Constipation	✓	·	✓
SRO	Epistaxis	✓	·	✓
SRO	Hypoaesthesia	✓	·	✓
SRO	Limb discomfort	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Sensory disturbance	·	·	✓
SRO	Vision blurred	·	·	✓

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