Y9Y-28513-43454

4 vaccinations 10 coded responses 20 check-ins 9 free-text entries 5 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 220 / VA
Registered: 2021-02-02

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
2597610 (opens in a new window)	high	11 / 11	5	3 of 6 VAERS symptoms	same dose (4)	VA matches	2022-09-14 / 2023-02-03 / 2023-03-16 received the same day as the last call	case 1220358

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

2021-01-06
Dose 1 — Pfizer-BioNTech
2021-01-27
Dose 2 — Pfizer-BioNTech
2021-02-02
Registered in v-safe
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Blood glucose increased — Feeling: Poor · Site: Itching · Fever · Headache, Fatigue or tiredness · Be unable to work

Free text: Increased blood glucose level

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — day 7, dose 2
MedDRA: Blood glucose increased — Feeling: Fair · Headache, Muscle or body aches

Free text: Increased blood glucose (finger stick)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — day 14, dose 2
MedDRA: Blood glucose increased, Headache — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Severe headacheElevated blood sugar

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-02-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-03
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-28
Survey response — 6 months, dose 2
MedDRA: Diverticulitis — 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: Diverticulitis

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-28
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

1 call case(s)
2021-08-05
Call successful
Completed over the phone
2021-11-08
Dose 3 — Pfizer-BioNTech
2022-01-27
Survey response — 12 months, dose 2
MedDRA: Cough, Headache, Respiratory tract congestion, SARS-CoV-2 test — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional

Free text: Symptoms: Congestion, headache, cough · Healthcare visit (other): Covid testing through work protocol

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-31
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-14
Dose 4 — Pfizer-BioNTech
2022-09-18
Survey response — days 1–6 daily, dose 4
MedDRA: Cough — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Cough

MedDRA releases: 2024-11 · check-in free text available
2022-09-20
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-09-23
Health check-in — day 7, dose 4
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-09-28
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-05
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-12
Survey response — day 28, dose 4
MedDRA: Upper respiratory tract congestion — Feeling: Fair

Free text: Upper airway congestion

MedDRA releases: 2024-11 · check-in free text available
2022-10-19
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-10-26
Survey response — day 42, dose 4
MedDRA: Cough, Dyspnoea, Influenza A virus test negative, Influenza B virus test negative, Pain, Productive cough, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative — 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 · Outpatient clinic or urgent care clinic visit

Free text: Cough, fever, congestion, productive cough, SOB, body aches. Covid neg (at home and PCR), neg Influenza A/B, neg Strep

MedDRA releases: 2024-11 · check-in free text available
2022-10-26
Report sent to call center — day 42, dose 4
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)
2022-12-14
Survey response — 3 months, dose 4
MedDRA: Breast cyst, Breast mass, Mammogram abnormal — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Positive mammogram with mass identified as a cyst in left breast. (same side vaccine was given).

MedDRA releases: 2024-11 · check-in free text available
2022-12-14
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-03-15
Survey response — 6 months, dose 4
MedDRA: Chest pain, Dyspnoea, Fatigue, Pyrexia, Respiratory tract congestion — 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

MedDRA releases: 2024-11
2023-03-15
Report sent to call center — 6 months, dose 4
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)
2023-03-16
Call successful
Completed over the phone
2023-03-16
Call successful
Completed over the phone
2023-03-16
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Pfizer-BioNTech
2	2021-01-27	Pfizer-BioNTech
3	2021-11-08	Pfizer-BioNTech	No
4	2022-09-14	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-07-28	Successful 2021-08-05	Completed over the phone
2022-01-27	Successful 2022-01-31	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-26	Successful 2023-03-16	Completed over the phone
2022-12-14	Successful 2023-03-16	Completed over the phone
2023-03-15	Successful 2023-03-16	Completed over the phone

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-02

Systemic reaction (other): Increased blood glucose level

Release 3 — day 7, dose 2

2021-02-03

Systemic reaction (other): Increased blood glucose (finger stick)

Release 4 — day 14, dose 2

2021-02-10

Symptoms: Severe headacheElevated blood sugar

Release 9 — 6 months, dose 2

2021-07-28

Symptoms: Diverticulitis

Release 11 — 12 months, dose 2

2022-01-27

Symptoms: Congestion, headache, cough

Healthcare visit (other): Covid testing through work protocol

Release 12 — days 1–6 daily, dose 4

2022-09-18

Systemic reaction (other): Cough

Release 12 — day 28, dose 4

2022-10-12

Symptoms: Upper airway congestion

Release 12 — day 42, dose 4

2022-10-26

Symptoms: Cough, fever, congestion, productive cough, SOB, body aches. Covid neg (at home and PCR), neg Influenza A/B, neg Strep

Release 12 — 3 months, dose 4

2022-12-14

Symptoms: Positive mammogram with mass identified as a cyst in left breast. (same side vaccine was given).

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	SARS-CoV-2 test	·	·	✓
SD	Blood glucose increased	✓	✓	✓
SD	Breast cyst	·	·	✓
SD	Breast mass	·	·	✓
SD	Chest pain	·	·	✓
SD	Cough	·	·	✓
SD	Diverticulitis	✓	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Influenza A virus test negative	·	·	✓
SD	Influenza B virus test negative	·	·	✓
SD	Mammogram abnormal	·	·	✓
SD	Pain	·	·	✓
SD	Productive cough	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Upper respiratory tract congestion	·	·	✓
SRO	Blood glucose increased	✓	✓	✓
SRO	Cough	·	·	✓

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