S57-13811-74092

3 vaccinations 11 coded responses 31 check-ins 11 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 918 / CA
Registered: 2021-03-18

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

Registered dependents

UVX-95883-50829 Child or adolescent in my care · Female · 2021-11-14

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
1765573 (opens in a new window)	high	9 / 11	-2	1 of 8 VAERS symptoms	same dose (2)	CA matches	2021-04-03 / 2021-09-18 / 2021-10-06 received the same day as the last call	case 1055245

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

2021-03-13
Dose 1 — Pfizer-BioNTech
2021-03-18
Registered in v-safe
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-21
Survey response — day 7, dose 1
MedDRA: Ear pain — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Ear pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — day 14, dose 1
MedDRA: Ear pain, Fatigue — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Earache, extreme fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-03
Dose 2 — Pfizer-BioNTech
2021-04-03
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Poor · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Loss of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2021-04-19
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-02
Survey response — 6 months, dose 2
MedDRA: Kidney infection — 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: Kidney infection

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Report sent to call center — 6 months, dose 2
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)
2021-10-06
Call successful
Completed over the phone
2021-12-04
Dose 3 — Moderna
2021-12-04
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-12-06
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Dyspnoea, Secretion discharge — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Mucus, coughing, shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Oropharyngeal pain — Feeling: Fair

Free text: Cough, sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-12-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-10
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Ear pain, Rhinorrhoea, Sneezing — Feeling: Good · Site: Itching · Fatigue or tiredness

Free text: Earache, cough, runny nose, sneezing

MedDRA releases: 2024-11 · check-in free text available
2021-12-13
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-12-18
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-03
Survey response — day 28, dose 3
MedDRA: Abnormal menstrual clots, Cough, Fatigue, Heavy menstrual bleeding, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cough, sore throat, fatigue, heavy period, large blood clot,

MedDRA releases: 2024-11 · check-in free text available
2022-01-08
Survey response — day 35, dose 3
MedDRA: Cough, Fatigue, Oropharyngeal pain, Thrombosis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Blood clots, fatigue, cough, sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-01-08
Report sent to call center — day 35, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-17
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-17
Call 1 — Could Not Reach Participant
2022-01-20
Call successful
Completed over the phone
2022-06-09
Survey response — 6 months, dose 3
MedDRA: Dysgeusia, Parosmia — Feeling: Poor

Free text: Food tastes and smells strange.

MedDRA releases: 2024-11 · check-in free text available
2022-12-06
Survey response — 12 months, dose 3
MedDRA: Back pain, Heavy menstrual bleeding, Productive cough — 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: Back pain, heavy menstrual cycles, chronic phlegm

MedDRA releases: 2024-11 · check-in free text available
2022-12-06
Report sent to call center — 12 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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-07
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-13	Pfizer-BioNTech
2	2021-04-03	Pfizer-BioNTech
3	2021-12-04	Moderna	No

Call center

4 call center cases

4 successful

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 6 — day 7, dose 1

2021-03-21

Systemic reaction (other): Ear pain

Release 6 — day 14, dose 1

2021-03-27

Symptoms: Earache, extreme fatigue

Release 6 — days 1–6 daily, dose 2

2021-04-04

Systemic reaction (other): Loss of appetite

Release 9 — 6 months, dose 2

2021-10-02

Symptoms: Kidney infection

Release 10 — days 1–6 daily, dose 3

2021-12-06

Systemic reaction (other): Mucus, coughing, shortness of breath

2021-12-07

Systemic reaction (other): Cough, sore throat

2021-12-10

Systemic reaction (other): Earache, cough, runny nose, sneezing

Release 10 — day 28, dose 3

2022-01-03

Symptoms: Cough, sore throat, fatigue, heavy period, large blood clot,

Release 10 — day 35, dose 3

2022-01-08

Symptoms: Blood clots, fatigue, cough, sore throat

Release 11 — 6 months, dose 3

2022-06-09

Symptoms: Food tastes and smells strange.

Release 12 — 12 months, dose 3

2022-12-06

Symptoms: Back pain, heavy menstrual cycles, chronic phlegm

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	Abnormal menstrual clots	·	·	✓
SD	Back pain	·	·	✓
SD	Cough	·	·	✓
SD	Dysgeusia	·	·	✓
SD	Ear pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Heavy menstrual bleeding	·	·	✓
SD	Kidney infection	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Parosmia	·	·	✓
SD	Productive cough	·	·	✓
SD	Thrombosis	·	·	✓
SRO	Cough	·	·	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dyspnoea	·	·	✓
SRO	Ear pain	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Secretion discharge	·	·	✓
SRO	Sneezing	·	·	✓

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