YUQ-45745-90713

3 vaccinations 8 coded responses 12 check-ins 8 free-text entries 1 call case

Sex: —
Age at first dose: 51-55
ZIP prefix: 121 / NY
Registered: 2022-02-13

Relationship: Self
Race: N/A
Ethnicity: N/A

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
2275544 (opens in a new window)	high	11 / 11	3	3 of 3 VAERS symptoms	same dose (3)	NY matches	2022-02-10 / 2022-04-25 / 2022-05-13 received the same day as the last call	case 677548

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

2021-02-22
Dose 1 — Pfizer-BioNTech
2021-03-18
Dose 2 — Pfizer-BioNTech
2022-02-10
Dose 3 — Moderna
2022-02-13
Registered in v-safe
2022-02-13
Survey response — days 1–6 daily, dose 3
MedDRA: Hypoaesthesia, Paraesthesia, Vision blurred — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness · Be unable to work or attend school

Free text: Numbness in fingers (day after the booster) tingling in leg, blurred vision

MedDRA releases: 2024-11 · check-in free text available
2022-02-14
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-02-15
Survey response — days 1–6 daily, dose 3
MedDRA: Confusional state, Oedema peripheral, Paraesthesia — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Swelling under armpits. Tingling sensations in legs. Mild confusion

MedDRA releases: 2024-11 · check-in free text available
2022-02-16
Survey response — days 1–6 daily, dose 3
MedDRA: Paraesthesia, Vision blurred — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Tingling in leg, blurred vision

MedDRA releases: 2024-11 · check-in free text available
2022-02-17
Survey response — day 7, dose 3
MedDRA: Dizziness, Vision blurred — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Blurred vision, lightheaded

MedDRA releases: 2024-11 · check-in free text available
2022-02-24
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-03-03
Survey response — day 21, dose 3
MedDRA: Axillary mass, Erythema, Paraesthesia, Pruritus — Feeling: Fair

Free text: Small lump in right armpit. Severe itching and red marks on right side of torso. Still have tingling in left leg

MedDRA releases: 2024-11 · check-in free text available
2022-03-12
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-03-19
Survey response — day 35, dose 3
MedDRA: Vision blurred — Feeling: Fair

Free text: Blurry vision in on eye

MedDRA releases: 2024-11 · check-in free text available
2022-03-30
Survey response — day 42, dose 3
MedDRA: Axillary mass, Vision blurred — Feeling: Fair

Free text: Right eye so blurry. Lump in left armpit reappeared

MedDRA releases: 2024-11 · check-in free text available
2022-05-12
Survey response — 3 months, dose 3
MedDRA: Axillary mass, Herpes zoster — 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: Developed shingles on my left torso from back to front. These started near the lump in my armpit that developed after receiving the booster.

MedDRA releases: 2024-11 · check-in free text available
2022-05-12
Report sent to call center — 3 months, dose 3
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)
2022-05-13
Call successful
Completed over the phone
2023-02-10
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-22	Pfizer-BioNTech	No
2	2021-03-18	Pfizer-BioNTech	No
3	2022-02-10	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-05-12	Successful 2022-05-13	Completed over the phone

Free text

Release 11 — days 1–6 daily, dose 3

2022-02-13

Systemic reaction (other): Numbness in fingers (day after the booster) tingling in leg, blurred vision

2022-02-15

Systemic reaction (other): Swelling under armpits. Tingling sensations in legs. Mild confusion

2022-02-16

Systemic reaction (other): Tingling in leg, blurred vision

Release 11 — day 7, dose 3

2022-02-17

Systemic reaction (other): Blurred vision, lightheaded

Release 11 — day 21, dose 3

2022-03-03

Symptoms: Small lump in right armpit. Severe itching and red marks on right side of torso. Still have tingling in left leg

Release 11 — day 35, dose 3

2022-03-19

Symptoms: Blurry vision in on eye

Release 11 — day 42, dose 3

2022-03-30

Symptoms: Right eye so blurry. Lump in left armpit reappeared

Release 11 — 3 months, dose 3

2022-05-12

Symptoms: Developed shingles on my left torso from back to front. These started near the lump in my armpit that developed after receiving the booster.

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	Axillary mass	·	·	✓
SD	Erythema	·	·	✓
SD	Herpes zoster	·	·	✓
SD	Paraesthesia	·	·	✓
SD	Pruritus	·	·	✓
SD	Vision blurred	·	·	✓
SRO	Confusional state	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Hypoaesthesia	·	·	✓
SRO	Oedema peripheral	·	·	✓
SRO	Paraesthesia	·	·	✓
SRO	Vision blurred	·	·	✓

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