Y4B-23394-63973

3 vaccinations 17 coded responses 24 check-ins 17 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 100 / NY
Registered: 2021-03-23

Relationship: Self
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
1433873 (opens in a new window)	high	11 / 11	3	5 of 9 VAERS symptoms	same dose (2)	NY matches	2021-03-25 / 2021-03-25 / 2021-06-29 received the same day as the last call	case 806017

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

2021-03-05
Dose 1 — Pfizer-BioNTech
2021-03-23
Registered in v-safe
2021-03-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-25
Dose 2 — Pfizer-BioNTech
2021-03-25
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Good · Joint pains, Fatigue or tiredness, Abdominal pain

Free text: None at this time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness, Abdominal pain

Free text: Leg cramps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Rhinorrhoea — Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — day 7, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-08
Survey response — day 14, dose 2
MedDRA: Fatigue, Muscle spasms, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Leg cramps, body aches and fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — day 21, dose 2
MedDRA: Fatigue, Muscle spasms, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Still having fatigue, body aches and leg cramps day and night.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — day 28, dose 2
MedDRA: Abdominal pain upper, Diarrhoea, Fatigue, Flank pain, Lacrimation increased, Myalgia, Nasal congestion, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscle pain and achy fatigue stuffy nose watery eyes some diarrhea and pain lower left sid a little towards my stomach.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — day 35, dose 2
MedDRA: Arthralgia, Back pain, Muscle spasms — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Pain in back and shoulder leg cramps.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-06
Survey response — day 42, dose 2
MedDRA: Arthralgia, Bone pain, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Excruciating pain left arm upper mid-back shoulder bone.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-25
Survey response — 3 months, dose 2
MedDRA: Headache, Hospitalisation, Pyrexia — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: Severe headaches and fevers · Healthcare visit (other): Severe headaches and fever unable to determine the cause hospitalization for more than 2 weeks.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-29
Call 1 — Left Voicemail
2021-06-29
Call successful
Completed over the phone
2021-09-21
Dose 3 — Pfizer-BioNTech
2021-09-23
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-02
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-05
Survey response — day 14, dose 3
MedDRA: Fatigue, Lymphadenopathy, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue swelling of glands right and left arm/hands soar thought.

MedDRA releases: 2024-11 · check-in free text available
2021-10-12
Survey response — day 21, dose 3
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Survey response — day 28, dose 3
MedDRA: Cough, Fatigue, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Coughing sore throat and extreme fatigue runny nose.

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Survey response — day 35, dose 3
MedDRA: Cough, Headache, Influenza like illness, Pyrexia — Feeling: Fair

Free text: Fly like symptoms coughing fever headache

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Survey response — day 42, dose 3
MedDRA: Cough, Diarrhoea, Fatigue, Headache, Insomnia, Nausea, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Sore throat, coughing, nausea, headache, insomnia, fatigue and diarrhea.

MedDRA releases: 2024-11 · check-in free text available
2021-12-21
Survey response — 3 months, dose 3
MedDRA: Fatigue, Headache, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activities

Free text: Runny nose, fatigue and headache

MedDRA releases: 2024-11 · check-in free text available
2022-03-22
Survey response — 6 months, dose 3
MedDRA: Back pain, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activities

Free text: Back pain runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-09-26
Survey response — 12 months, dose 3
MedDRA: Gastrointestinal amyloidosis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Amyloids of the intestine

MedDRA releases: 2024-11 · check-in free text available
2022-09-26
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-27
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Pfizer-BioNTech
2	2021-03-25	Pfizer-BioNTech
3	2021-09-21	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-01	Successful	Completed over the phone
2021-05-06	Successful	Completed over the phone
2021-06-25	Successful 2021-06-29	Completed over the phone
2022-09-26	Successful 2022-09-27	Completed over the phone

Free text

Release 6 — day 0, dose 2

2021-03-25

Systemic reaction (other): None at this time.

Release 6 — days 1–6 daily, dose 2

2021-03-26

Systemic reaction (other): Leg cramps

2021-03-31

Systemic reaction (other): Runny nose

Release 7 — day 14, dose 2

2021-04-08

Symptoms: Leg cramps, body aches and fatigue

Release 7 — day 21, dose 2

2021-04-15

Symptoms: Still having fatigue, body aches and leg cramps day and night.

Release 7 — day 28, dose 2

2021-04-23

Symptoms: Muscle pain and achy fatigue stuffy nose watery eyes some diarrhea and pain lower left sid a little towards my stomach.

Release 8 — day 35, dose 2

2021-05-01

Symptoms: Pain in back and shoulder leg cramps.

Release 8 — day 42, dose 2

2021-05-06

Symptoms: Excruciating pain left arm upper mid-back shoulder bone.

Release 9 — 3 months, dose 2

2021-06-25

Symptoms: Severe headaches and fevers

Healthcare visit (other): Severe headaches and fever unable to determine the cause hospitalization for more than 2 weeks.

Release 10 — day 14, dose 3

2021-10-05

Symptoms: Fatigue swelling of glands right and left arm/hands soar thought.

Release 10 — day 21, dose 3

2021-10-12

Symptoms: Sore throat

Release 10 — day 28, dose 3

2021-10-21

Symptoms: Coughing sore throat and extreme fatigue runny nose.

Release 10 — day 35, dose 3

2021-10-26

Symptoms: Fly like symptoms coughing fever headache

Release 10 — day 42, dose 3

2021-11-04

Symptoms: Sore throat, coughing, nausea, headache, insomnia, fatigue and diarrhea.

Release 10 — 3 months, dose 3

2021-12-21

Symptoms: Runny nose, fatigue and headache

Release 11 — 6 months, dose 3

2022-03-22

Symptoms: Back pain runny nose

Release 12 — 12 months, dose 3

2022-09-26

Symptoms: Amyloids of the intestine

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	Headache	✓	✓	✓
HCVO	Hospitalisation	✓	✓	✓
HCVO	Pyrexia	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Bone pain	✓	✓	✓
SD	Cough	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Flank pain	✓	✓	✓
SD	Gastrointestinal amyloidosis	·	·	✓
SD	Headache	✓	✓	✓
SD	Influenza like illness	·	·	✓
SD	Insomnia	·	·	✓
SD	Lacrimation increased	✓	✓	✓
SD	Lymphadenopathy	·	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SRO	Muscle spasms	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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