XCS-11003-80248

3 vaccinations 5 coded responses 31 check-ins 5 free-text entries 2 call cases

Sex: Male
Age at first dose: 05-11
ZIP prefix: 212 / MD
Registered: 2021-11-08

Relationship: Child or adolescent in my care
Guardian: C2U-13475-73169
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
2155014 (opens in a new window)	high	10 / 11	—	2 of 8 VAERS symptoms	same dose (2)	MD matches	2021-11-29 / 2021-11-30 / 2022-03-03 received the same day as the last call	case 280901

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

2021-11-08
Registered in v-safe
2021-11-08
Dose 1 — Pfizer-BioNTech
2021-11-08
Health check-in — day 0, dose 1, dependent
Feeling: Good · None

Adult check-in
2021-11-09
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-11
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · Diarrhea

Adult check-in
2021-11-13
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2021-11-15
Health check-in — day 7, dose 1, dependent
Feeling: Good · Site: Itching · None

Adult check-in
2021-11-23
Health check-in — day 14, dose 1, dependent
Feeling: Good

Adult check-in
2021-11-29
Dose 2 — Pfizer-BioNTech
2021-11-29
Health check-in — day 21, dose 1, dependent
Feeling: Good

Adult check-in
2021-11-29
Health check-in — day 0, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-11-30
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-01
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · Site: Itching · None

Adult check-in
2021-12-03
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · Abdominal pain

Adult check-in
2021-12-04
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-12-05
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-12-09
Health check-in — day 7, dose 2, dependent
Feeling: Good · Abdominal pain

Adult check-in
2021-12-13
Survey response — day 14, dose 2, dependent
MedDRA: Abdominal discomfort, Diarrhoea, Fatigue, Oropharyngeal pain — Feeling: Fair

Free text: Fatigue, upset stomach, diarrhea, sore throat

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

Adult check-in
2022-01-03
Health check-in — day 35, dose 2, dependent
Feeling: Good

Adult check-in
2022-01-10
Health check-in — day 42, dose 2, dependent
Feeling: Good

Adult check-in
2022-03-02
Survey response — 3 months, dose 2, dependent
MedDRA: Asthenia, Fatigue, Nasopharyngitis — Feeling: Good · Be unable to do their normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Tired, weak, cold

MedDRA releases: 2024-11 · check-in free text available
2022-03-02
Report sent to call center — 3 months, dose 2, dependent
Be unable to do their normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-03
Call successful
Completed over the phone
2022-05-30
Survey response — 6 months, dose 2, dependent
MedDRA: COVID-19 — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: COVID

MedDRA releases: 2024-11 · check-in free text available
2022-05-30
Report sent to call center — 6 months, dose 2, 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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-01
Call successful
Does not wish to fill out VAERS report
2022-09-19
Dose 3 — Pfizer-BioNTech
2022-09-23
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-09-24
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-09-25
Health check-in — days 1–6 daily, dose 3, dependent
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-03
Health check-in — day 14, dose 3, dependent
Feeling: Good

Adult check-in
2022-10-10
Survey response — day 21, dose 3, dependent
MedDRA: Cough, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school

Free text: Runny nose, cough

MedDRA releases: 2024-11 · check-in free text available
2022-10-17
Health check-in — day 28, dose 3, dependent
Feeling: Good

Adult check-in
2022-10-24
Health check-in — day 35, dose 3, dependent
Feeling: Good

Adult check-in
2022-11-02
Health check-in — day 42, dose 3, dependent
Feeling: Good

Adult check-in
2022-12-20
Survey response — 3 months, dose 3, dependent
MedDRA: Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2023-03-20
Health check-in — 6 months, dose 3, dependent
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-11-08	Pfizer-BioNTech	No
2	2021-11-29	Pfizer-BioNTech	No
3	2022-09-19	Pfizer-BioNTech	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 10 — day 14, dose 2, dependent

2021-12-13

Symptoms: Fatigue, upset stomach, diarrhea, sore throat

Release 11 — 3 months, dose 2, dependent

2022-03-02

Symptoms: Tired, weak, cold

Release 11 — 6 months, dose 2, dependent

2022-05-30

Symptoms: COVID

Release 12 — day 21, dose 3, dependent

2022-10-10

Symptoms: Runny nose, cough

Release 12 — 3 months, dose 3, dependent

2022-12-20

Symptoms: Sore throat

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 discomfort	·	·	✓
SD	Asthenia	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Rhinorrhoea	·	·	✓

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