XZR-30956-46303

6 vaccinations 8 coded responses 42 check-ins 6 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 487 / MI
Registered: 2021-01-22

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
2545579 (opens in a new window)	low	10 / 11	10	3 of 9 VAERS symptoms	same dose (5)	MI matches	2022-09-27 / 2022-12-24 / 2022-12-29 received 90 days before the last call	case 413921

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

2021-01-21
Dose 1 — Pfizer-BioNTech
2021-01-22
Registered in v-safe
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Migraine — Feeling: Good · Headache

Free text: Have history of migraines

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-11
Dose 2 — Pfizer-BioNTech
2021-02-11
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-11
Survey response — day 28, dose 2
MedDRA: Abdominal distension, Diarrhoea, Eating disorder, Nausea — Feeling: Good · Be unable to do your normal daily activities

Free text: Nausea, diarrhea, bloating, avoided eating for approximately 2 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — day 35, dose 2
MedDRA: Abdominal discomfort, Diarrhoea — Feeling: Fair

Free text: Diarrhea and upset stomach yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-12
Survey response — 6 months, dose 2
MedDRA: Cough, Dizziness, Office visit, SARS-CoV-2 test negative, Upper respiratory tract infection, Vertigo — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Vertigo, dizzynessAlso had a URI likely caught from toddler grandson, tested for Covid. Both instant and PCR tests negative. Still have a residual cough · Healthcare visit (other): Regular Dr appt

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-12
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-17
Dose 3 — Moderna
2021-12-01
Call successful
Does not wish to fill out VAERS report
2022-02-11
Survey response — 12 months, dose 2
MedDRA: Abdominal distension, Cough, Diarrhoea, Nausea, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Nausea, bloating, diarrhea, cough · Healthcare visit (other): Dr appt

MedDRA releases: 2024-11 · check-in free text available
2022-02-11
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-14
Call successful
Does not wish to fill out VAERS report
2022-04-28
Dose 4 — Moderna
2022-09-27
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-16
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-18
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-25
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-01
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-08
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-27
Survey response — 3 months, dose 5
MedDRA: Arthralgia, Cough, Diarrhoea, Fatigue, Headache, Oropharyngeal pain, Upper respiratory tract congestion — 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 · Telehealth, virtual health, or email health consultation

Free text: Fatigue, cough, diarrhea, joint aches, headache sore throat, upper respiratory congestion

MedDRA releases: 2024-11 · check-in free text available
2022-12-27
Report sent to call center — 3 months, dose 5
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 · 1 call case(s)
2022-12-29
Call successful
Completed over the phone
2023-03-28
Survey response — 6 months, dose 5
MedDRA: Back injury, Joint injury, Localised infection, Office visit, Repetitive strain injury — Feeling: Fair · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-03-28
Report sent to call center — 6 months, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2023-03-29
Call successful
Reported to VAERS during previous contact from GDIT
2023-04-19
Dose 6 — Moderna
2023-04-19
Health check-in — day 0, dose 6
Feeling: Good · None

Adult check-in
2023-04-20
Health check-in — days 1–6 daily, dose 6
Feeling: Good · None

Adult check-in
2023-04-21
Health check-in — days 1–6 daily, dose 6
Feeling: Good · None

Adult check-in
2023-04-22
Health check-in — days 1–6 daily, dose 6
Feeling: Good · None

Adult check-in
2023-04-23
Health check-in — days 1–6 daily, dose 6
Feeling: Good · None

Adult check-in
2023-04-24
Health check-in — days 1–6 daily, dose 6
Feeling: Good · Fatigue or tiredness

Adult check-in
2023-04-25
Health check-in — days 1–6 daily, dose 6
Feeling: Good · None

Adult check-in
2023-04-26
Health check-in — day 7, dose 6
Feeling: Good · None

Adult check-in
2023-05-03
Health check-in — day 14, dose 6
Feeling: Good

Adult check-in
2023-05-10
Health check-in — day 21, dose 6
Feeling: Good

Adult check-in
2023-05-17
Health check-in — day 28, dose 6
Feeling: Good

Adult check-in
2023-05-24
Health check-in — day 35, dose 6
Feeling: Good

Adult check-in
2023-05-31
Survey response — day 42, dose 6
MedDRA: Adverse food reaction, Chills, Decreased appetite, Diarrhoea, Nausea — Feeling: Fair

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Pfizer-BioNTech
2	2021-02-11	Pfizer-BioNTech
3	2021-11-17	Moderna	No
4	2022-04-28	Moderna	No
5	2022-09-27	Pfizer-BioNTech	Flu
6	2023-04-19	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-08-12	Successful 2021-12-01	Does not wish to fill out VAERS report
2022-02-11	Successful 2022-02-14	Does not wish to fill out VAERS report
2022-12-27	Successful 2022-12-29	Completed over the phone
2023-03-28	Successful 2023-03-29	Reported to VAERS during previous contact from GDIT

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-26

Systemic reaction (other): Have history of migraines

Release 5 — day 28, dose 2

2021-03-11

Symptoms: Nausea, diarrhea, bloating, avoided eating for approximately 2 days

Release 5 — day 35, dose 2

2021-03-18

Symptoms: Diarrhea and upset stomach yesterday

Release 9 — 6 months, dose 2

2021-08-12

Symptoms: Vertigo, dizzynessAlso had a URI likely caught from toddler grandson, tested for Covid. Both instant and PCR tests negative. Still have a residual cough

Healthcare visit (other): Regular Dr appt

Release 11 — 12 months, dose 2

2022-02-11

Symptoms: Nausea, bloating, diarrhea, cough

Healthcare visit (other): Dr appt

Release 12 — 3 months, dose 5

2022-12-27

Symptoms: Fatigue, cough, diarrhea, joint aches, headache sore throat, upper respiratory congestion

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	Abdominal discomfort	✓	✓	✓
SD	Abdominal distension	✓	✓	✓
SD	Adverse food reaction	·	·	✓
SD	Arthralgia	·	·	✓
SD	Back injury	·	·	✓
SD	Chills	·	·	✓
SD	Cough	✓	·	✓
SD	Decreased appetite	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	✓	·	✓
SD	Eating disorder	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Joint injury	·	·	✓
SD	Localised infection	·	·	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Repetitive strain injury	·	·	✓
SD	SARS-CoV-2 test negative	✓	·	✓
SD	Upper respiratory tract congestion	·	·	✓
SD	Upper respiratory tract infection	✓	·	✓
SD	Vertigo	✓	·	✓
SRO	Migraine	✓	✓	✓

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