ZBP-96367-33126

4 vaccinations 9 coded responses 32 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 980 / WA
Registered: 2021-10-12

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
2250014 (opens in a new window)	high	11 / 11	—	4 of 7 VAERS symptoms	same dose (3)	WA matches	2022-03-30 / 2022-04-01 / 2022-04-25 received the same day as the last call	case 555297

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

2021-10-09
Dose 1 — Pfizer-BioNTech
Co-administered: Flu
2021-10-12
Registered in v-safe
2021-10-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-10-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-10-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-10-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-10-16
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-10-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-10-30
Dose 2 — Pfizer-BioNTech
2021-10-30
Health check-in — day 0, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-01
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease, Therapeutic response unexpected — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: I Haven't had an asthma attack since the first shot : )

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-04
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Fair · Chills, Fatigue or tiredness

Free text: Have had a dry cough the last two nights

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-11-06
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-11-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-11-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-11-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-12-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-12-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-01-31
Survey response — 3 months, dose 2
MedDRA: Ageusia, Malaise, Medical counselling, Pre-existing disease, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · 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

Free text: 12/14/21 became very ill, lost taste, feverish all the symptoms of Covid. Contracted my Dr. Who recommended that i keep my asthma under control. Had a Covid 12/22/21 test through scanpublichealth.org that was negative.

MedDRA releases: 2024-11 · check-in free text available
2022-01-31
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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-30
Dose 3 — Pfizer-BioNTech
2022-03-30
Survey response — day 0, dose 3
MedDRA: Ear disorder — Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Free text: I received my shingles, tetanus, diphtheria shots a few weeks ago, it's causing my ears some trouble

MedDRA releases: 2024-11 · check-in free text available
2022-03-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-04-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-04-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2022-04-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-05
Survey response — days 1–6 daily, dose 3
MedDRA: Ear discomfort, Eye irritation — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: My ears have pressure and my eyes are burning

MedDRA releases: 2024-11 · check-in free text available
2022-04-06
Survey response — day 7, dose 3
MedDRA: Ear discomfort, Glossodynia, Head discomfort, Oropharyngeal pain — Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: My whole tongue is stupid sensitive pressure in my head and ears, sore throat on and off

MedDRA releases: 2024-11 · check-in free text available
2022-04-20
Survey response — day 21, dose 3
MedDRA: Ear disorder, Head discomfort, Office visit, Otorrhoea, Pyrexia, Tympanic membrane perforation — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Had a fever a few days, a lot of pressure in my head my ears started draining, my left ear was worse it feels like my eustation tube is clogged because my ear perforated and I'm getting a lot of draining... this issue repeats itself · Healthcare visit (other): I had a doctor appointment on 4/19 at which time I was ankle to address these concerns

MedDRA releases: 2024-11 · check-in free text available
2022-04-20
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-21
Call 1 — Left Voicemail
2022-04-25
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-04-25
Call successful
Completed over the phone
2022-04-30
Survey response — day 28, dose 3
MedDRA: Dehydration, Ear disorder, Office visit, Tympanic membrane perforation, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Went to the otolaryngologist this week, due to my Ear issues, was prescribed ciprofloxacin-Dexamethasone Otic susp for perforated left ear for 10 days. Will be following up on the 10th. Still Having issues staying hydrated. · Healthcare visit (other): See above

MedDRA releases: 2024-11 · check-in free text available
2022-04-30
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-02
Call 1 — Left Voicemail
2022-05-04
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-05-12
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-06-29
Survey response — 3 months, dose 3
MedDRA: Adverse reaction, Laboratory test abnormal, SARS-CoV-2 test positive — 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

Free text: Symptoms: Tested positive 06/21/2022 w/ all of the symptoms · Healthcare visit (other): Informed them that i tested positive for Covid

MedDRA releases: 2024-11 · check-in free text available
2022-06-29
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

1 call case(s)
2022-06-30
Call successful
Does not wish to fill out VAERS report
2022-08-17
Dose 4 — Pfizer-BioNTech

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-10-09	Pfizer-BioNTech	Flu
2	2021-10-30	Pfizer-BioNTech	No
3	2022-03-30	Pfizer-BioNTech	No
4	2022-08-17	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-01-31	Successful 2022-04-25	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-04-20	Successful 2022-04-25	Completed over the phone
2022-04-30	Successful	Does not wish to fill out VAERS report
2022-06-29	Successful 2022-06-30	Does not wish to fill out VAERS report

Free text

Release 10 — days 1–6 daily, dose 2

2021-11-01

Systemic reaction (other): I Haven't had an asthma attack since the first shot : )

2021-11-04

Systemic reaction (other): Have had a dry cough the last two nights

Release 11 — 3 months, dose 2

2022-01-31

Symptoms: 12/14/21 became very ill, lost taste, feverish all the symptoms of Covid. Contracted my Dr. Who recommended that i keep my asthma under control. Had a Covid 12/22/21 test through scanpublichealth.org that was negative.

Release 11 — day 0, dose 3

2022-03-30

Systemic reaction (other): I received my shingles, tetanus, diphtheria shots a few weeks ago, it's causing my ears some trouble

Release 11 — days 1–6 daily, dose 3

2022-04-05

Systemic reaction (other): My ears have pressure and my eyes are burning

Release 11 — day 7, dose 3

2022-04-06

Systemic reaction (other): My whole tongue is stupid sensitive pressure in my head and ears, sore throat on and off

Release 11 — day 21, dose 3

2022-04-20

Symptoms: Had a fever a few days, a lot of pressure in my head my ears started draining, my left ear was worse it feels like my eustation tube is clogged because my ear perforated and I'm getting a lot of draining... this issue repeats itself

Healthcare visit (other): I had a doctor appointment on 4/19 at which time I was ankle to address these concerns

Release 11 — day 28, dose 3

2022-04-30

Symptoms: Went to the otolaryngologist this week, due to my Ear issues, was prescribed ciprofloxacin-Dexamethasone Otic susp for perforated left ear for 10 days. Will be following up on the 10th. Still Having issues staying hydrated.

Healthcare visit (other): See above

Release 12 — 3 months, dose 3

2022-06-29

Symptoms: Tested positive 06/21/2022 w/ all of the symptoms

Healthcare visit (other): Informed them that i tested positive for Covid

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	·	·	✓
HCVO	SARS-CoV-2 test positive	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Adverse reaction	·	·	✓
SD	Ageusia	·	·	✓
SD	Dehydration	·	·	✓
SD	Ear disorder	·	·	✓
SD	Head discomfort	·	·	✓
SD	Laboratory test abnormal	·	·	✓
SD	Malaise	·	·	✓
SD	Medical counselling	·	·	✓
SD	Office visit	·	·	✓
SD	Otorrhoea	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Tympanic membrane perforation	·	·	✓
SRO	Cough	·	·	✓
SRO	Ear discomfort	·	·	✓
SRO	Ear disorder	·	·	✓
SRO	Eye irritation	·	·	✓
SRO	Glossodynia	·	·	✓
SRO	Head discomfort	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Therapeutic response unexpected	·	·	✓

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