V3A-64440-26422

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

Sex: Male
Age at first dose: 05-11
ZIP prefix: 973 / OR
Registered: 2021-11-19

Relationship: Child or adolescent in my care
Guardian: 8P9-14583-75521
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
2319098 (opens in a new window)	high	11 / 11	—	5 of 7 VAERS symptoms	same dose (3)	OR matches	2022-05-22 / 2022-05-23 / 2022-06-14 received the same day as the last call	case 784121

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

2021-11-19
Registered in v-safe
2021-11-19
Dose 1 — Pfizer-BioNTech
2021-11-19
Health check-in — day 0, dose 1, dependent
Feeling: Good · Site: Pain · None · Be unable to work or attend school

Adult check-in
2021-11-20
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · Site: Pain, Redness · Chills, Headache, Joint pains, Muscle or body aches

Adult check-in
2021-11-23
Survey response — days 1–6 daily, dose 1, dependent
MedDRA: Unevaluable event — Feeling: Good · Abdominal pain · Be unable to do your normal daily activities

Free text: Possible new viral symptoms not vaccine related

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2021-11-26
Health check-in — day 7, dose 1, dependent
Feeling: Good · None

Adult check-in
2021-12-03
Health check-in — day 14, dose 1, dependent
Feeling: Good

Adult check-in
2021-12-10
Dose 2 — Pfizer-BioNTech
2021-12-10
Health check-in — day 0, dose 2, dependent
Feeling: Good · None · Be unable to work or attend school

Adult check-in
2021-12-11
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · Site: Redness · None

Adult check-in
2021-12-12
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Fair · None

Adult check-in
2021-12-13
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-12-15
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-12-18
Survey response — day 7, dose 2, dependent
MedDRA: Cough, Nasal congestion, Nasopharyngitis, Rhinorrhoea, Viral infection — Feeling: Good

Free text: Cold or viral symptoms (runny/stuffy nose, slight cough)

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Survey response — day 14, dose 2, dependent
MedDRA: Cough, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, Viral infection — Feeling: Good

Free text: Cold or viral symptoms (sore throat, runny nose, coughing, congestion)

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Health check-in — day 21, dose 2, dependent
Feeling: Good

Adult check-in
2022-01-07
Health check-in — day 28, dose 2, dependent
Feeling: Good

Adult check-in
2022-01-20
Survey response — day 35, dose 2, dependent
MedDRA: Chills, Fatigue, Pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fever, chills, body aches, runny nose, fatigue at home Covid antigen test was positive

MedDRA releases: 2024-11 · check-in free text available
2022-01-21
Health check-in — day 42, dose 2, dependent
Feeling: Good

Adult check-in
2022-03-11
Survey response — 3 months, dose 2, dependent
MedDRA: Adverse reaction — Feeling: Good · Be unable to work or attend school

Free text: He's been sick a couple of times with viral symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-05-22
Dose 3 — Pfizer-BioNTech
2022-05-26
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Fair · Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-05-27
Survey response — days 1–6 daily, dose 3, dependent
MedDRA: Cough, Oropharyngeal pain — Feeling: Good · Diarrhea · Be unable to work or attend school

Free text: Coughing, sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-05-28
Survey response — days 1–6 daily, dose 3, dependent
MedDRA: Cough, Rhinorrhoea — Feeling: Fair · Diarrhea · Be unable to do your normal daily activities

Free text: Cough, runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-05-29
Health check-in — day 7, dose 3, dependent
Feeling: Good · None

Adult check-in
2022-06-05
Survey response — day 14, dose 3, dependent
MedDRA: Cough, Emergency care, Fatigue, Pyrexia, Vomiting — Feeling: Poor · 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: Cough, fever, vomiting, fatigue · Healthcare visit (other): EMT visit at home

MedDRA releases: 2024-11 · check-in free text available
2022-06-05
Report sent to call center — day 14, dose 3, dependent
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)
2022-06-13
Survey response — day 21, dose 3, dependent
MedDRA: Cough, Diarrhoea, Ear infection, Rhinorrhoea, Vomiting — 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 · Outpatient clinic or urgent care clinic visit

Free text: Diarrhea, vomiting, cough, runny nose , followed by bi-lateral ear infections

MedDRA releases: 2024-11 · check-in free text available
2022-06-13
Report sent to call center — day 21, dose 3, dependent
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-14
Call 1 — Requested Callback
2022-06-14
Callback requested for
03:30PM ET
2022-06-14
Call successful
Completed over the phone
2022-06-14
Call successful
Completed over the phone
2022-06-21
Health check-in — day 28, dose 3, dependent
Feeling: Good

Adult check-in
2022-06-27
Survey response — day 35, dose 3, dependent
MedDRA: Viral infection — Feeling: Good · Be unable to do your normal daily activities

Free text: Common viral infection symptoms that have resolved almost completely.

MedDRA releases: 2024-11 · check-in free text available
2022-07-04
Survey response — day 42, dose 3, dependent
MedDRA: Adverse reaction — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: New viral symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-07-04
Report sent to call center — day 42, dose 3, dependent
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-05
Call 1 — Left Voicemail
2022-07-06
Call successful
Reported to VAERS during previous contact from GDIT
2022-08-24
Health check-in — 3 months, dose 3, dependent
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-11-19	Pfizer-BioNTech	No
2	2021-12-10	Pfizer-BioNTech	No
3	2022-05-22	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 1, dependent

2021-11-23

Systemic reaction (other): Possible new viral symptoms not vaccine related

Release 10 — day 7, dose 2, dependent

2021-12-18

Systemic reaction (other): Cold or viral symptoms (runny/stuffy nose, slight cough)

Release 10 — day 14, dose 2, dependent

2021-12-24

Symptoms: Cold or viral symptoms (sore throat, runny nose, coughing, congestion)

Release 10 — day 35, dose 2, dependent

2022-01-20

Symptoms: Fever, chills, body aches, runny nose, fatigue at home Covid antigen test was positive

Release 11 — 3 months, dose 2, dependent

2022-03-11

Symptoms: He's been sick a couple of times with viral symptoms

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

2022-05-27

Systemic reaction (other): Coughing, sore throat

2022-05-28

Systemic reaction (other): Cough, runny nose

Release 11 — day 14, dose 3, dependent

2022-06-05

Symptoms: Cough, fever, vomiting, fatigue

Healthcare visit (other): EMT visit at home

Release 12 — day 21, dose 3, dependent

2022-06-13

Symptoms: Diarrhea, vomiting, cough, runny nose , followed by bi-lateral ear infections

Release 12 — day 35, dose 3, dependent

2022-06-27

Symptoms: Common viral infection symptoms that have resolved almost completely.

Release 12 — day 42, dose 3, dependent

2022-07-04

Symptoms: New viral symptoms

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	Emergency care	·	·	✓
SD	Adverse reaction	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Ear infection	·	·	✓
SD	Fatigue	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Viral infection	·	·	✓
SD	Vomiting	·	·	✓
SRO	Cough	·	·	✓
SRO	Nasal congestion	·	·	✓
SRO	Nasopharyngitis	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Unevaluable event	·	·	✓
SRO	Viral infection	·	·	✓

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