YD7-17399-61656

2 vaccinations 8 coded responses 14 check-ins 8 free-text entries 5 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 056 / VT
Registered: 2021-03-28

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
1762091 (opens in a new window)	high	11 / 11	2	3 of 5 VAERS symptoms	same dose (2)	VT matches	2021-04-02 / 2021-10-01 / 2021-10-05 received the same day as the last call	case 1051594

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

2021-03-07
Dose 1 — Pfizer-BioNTech
2021-03-28
Registered in v-safe
2021-03-28
Survey response — day 21, dose 1
MedDRA: Chills, Cold sweat, SARS-CoV-2 test negative — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: 2 weeks after my first vaccine I experienced severe chills and then cold sweats. I was actually concerned and was given a covid test at (b)(6). (-)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-02
Dose 2 — Pfizer-BioNTech
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Good

Free text: Yesterday was bad though

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Fever · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I tried doing yard work today but had shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-23
Survey response — day 21, dose 2
MedDRA: Dyspnoea, Pyrexia — Feeling: Poor · 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: Slight fever one day, shortness of breath on small amounts of work.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-30
Survey response — day 28, dose 2
MedDRA: Chest discomfort, Dyspnoea, Office visit — Feeling: Fair · 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: Symptoms: Some more issues with shortness of breath still. Tightness in chest still. Doctors are concerned. · Healthcare visit (other): Doctors office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-08
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-14
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-05
Survey response — 3 months, dose 2
MedDRA: Cerebrovascular accident — 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 · Emergency room or emergency department visit, Hospitalization

Free text: I had a stroke.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-05
Report sent to call center — 3 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)
2021-07-08
Call successful
Completed over the phone
2021-10-01
Survey response — 6 months, dose 2
MedDRA: Cardiac flutter, Fatigue — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Feeling tired more than I used to. Fluttering feeling in my chest at times.

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2021-10-04
Call 1 — Left Voicemail
2021-10-05
Call successful
Completed over the phone
2022-04-02
Survey response — 12 months, dose 2
MedDRA: Chest discomfort, Eye irritation, Fatigue, Inflammation, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Constantly tired, constant runny nose, burning eyes, heart area tightness issues, inflammation issues.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-07	Pfizer-BioNTech
2	2021-04-02	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-03-28	Successful
2021-04-23	Successful
2021-04-30	Successful
2021-07-05	Successful 2021-07-08	Completed over the phone
2021-10-01	Successful 2021-10-05	Completed over the phone

Free text

Release 6 — day 21, dose 1

2021-03-28

Symptoms: 2 weeks after my first vaccine I experienced severe chills and then cold sweats. I was actually concerned and was given a covid test at (b)(6). (-)

redacted (b)(6)

Release 6 — days 1–6 daily, dose 2

2021-04-04

Systemic reaction (other): Yesterday was bad though

Release 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): I tried doing yard work today but had shortness of breath

Release 7 — day 21, dose 2

2021-04-23

Symptoms: Slight fever one day, shortness of breath on small amounts of work.

Release 8 — day 28, dose 2

2021-04-30

Symptoms: Some more issues with shortness of breath still. Tightness in chest still. Doctors are concerned.

Healthcare visit (other): Doctors office

Release 9 — 3 months, dose 2

2021-07-05

Symptoms: I had a stroke.

Release 9 — 6 months, dose 2

2021-10-01

Symptoms: Feeling tired more than I used to. Fluttering feeling in my chest at times.

Release 11 — 12 months, dose 2

2022-04-02

Symptoms: Constantly tired, constant runny nose, burning eyes, heart area tightness issues, inflammation issues.

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	Cardiac flutter	·	·	✓
SD	Cerebrovascular accident	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Cold sweat	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Eye irritation	·	·	✓
SD	Fatigue	·	·	✓
SD	Inflammation	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓

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