ZAK-87831-21570

5 vaccinations 6 coded responses 46 check-ins 6 free-text entries 3 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 977 / OR
Registered: 2021-01-16

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
2470157 (opens in a new window)	medium	11 / 11	10	5 of 10 VAERS symptoms	same dose (4)	OR matches	2022-04-04 / 2022-06-22 / 2022-10-05 received the same day as the last call	case 1061675

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

2021-01-16
Registered in v-safe
2021-01-16
Dose 1 — Pfizer-BioNTech
2021-01-16
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-06
Dose 2 — Pfizer-BioNTech
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-06
Survey response — day 28, dose 2
MedDRA: Ear disorder — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Blocked ear canal after flying and swimming. Possibly due to ear wax buildup.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-13
Survey response — day 35, dose 2
MedDRA: Chills, Diarrhoea, Pyrexia — Feeling: Poor · 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: Fever, chills, diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
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)
2021-03-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-10
Survey response — 3 months, dose 2
MedDRA: Pruritus — Feeling: Good

Free text: Intense itching on my forearm extending to the elbow crease started about 10 days ago. No rash or evidence of insect bite. It has gradually subsided. Same arm as my shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-05
Dose 3 — Pfizer-BioNTech
2021-10-05
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-10-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-10-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-10-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-12
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-21
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-26
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-02
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-09
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-16
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-20
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-04
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-04
Dose 4 — Pfizer-BioNTech
2022-04-05
Survey response — 6 months, dose 3
MedDRA: Body temperature increased, Chills, Fatigue, Headache, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities

Free text: Fever (100F), chills, headache, sore arm, fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-04-14
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-18
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-04-25
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-02
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-09
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-16
Survey response — day 42, dose 4
MedDRA: Cough, Ear congestion, Fatigue, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, Sinus congestion — Feeling: Poor · Be unable to do your normal daily activities

Free text: Sore throat, runny nose, sinus and ear congestion, fatigue, started 5/11/22. Cough started 2 days later. No fever. Feeling better since yesterday but still congested and fatiuged.

MedDRA releases: 2024-11 · check-in free text available
2022-10-04
Survey response — 6 months, dose 4
MedDRA: COVID-19 — Feeling: Good · 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: Covid June 2022

MedDRA releases: 2024-11 · check-in free text available
2022-10-04
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-10-05
Call 1 — Requested Callback
2022-10-05
Callback requested for
06:00PM ET
2022-10-05
Call successful
Completed over the phone
2022-12-07
Dose 5 — Pfizer-BioNTech
2022-12-20
Call successful
Not applicable - Accidental Reporting
2023-04-06
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in
2023-06-07
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-16	Pfizer-BioNTech
2	2021-02-06	Pfizer-BioNTech
3	2021-10-05	Pfizer-BioNTech	No
4	2022-04-04	Pfizer-BioNTech	No
5	2022-12-07	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-06	Successful 2022-12-20	Not applicable - Accidental Reporting
2021-03-13	Successful 2021-12-20	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-10-04	Successful 2022-10-05	Completed over the phone

Free text

Release 5 — day 28, dose 2

2021-03-06

Symptoms: Blocked ear canal after flying and swimming. Possibly due to ear wax buildup.

Release 5 — day 35, dose 2

2021-03-13

Symptoms: Fever, chills, diarrhea

Release 8 — 3 months, dose 2

2021-05-10

Symptoms: Intense itching on my forearm extending to the elbow crease started about 10 days ago. No rash or evidence of insect bite. It has gradually subsided. Same arm as my shot.

Release 11 — 6 months, dose 3

2022-04-05

Symptoms: Fever (100F), chills, headache, sore arm, fatigue.

Release 11 — day 42, dose 4

2022-05-16

Symptoms: Sore throat, runny nose, sinus and ear congestion, fatigue, started 5/11/22. Cough started 2 days later. No fever. Feeling better since yesterday but still congested and fatiuged.

Release 12 — 6 months, dose 4

2022-10-04

Symptoms: Covid June 2022

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	Body temperature increased	·	·	✓
SD	Chills	✓	✓	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Ear congestion	·	·	✓
SD	Ear disorder	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pruritus	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinus congestion	·	·	✓

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