ZBV-23442-07972

5 vaccinations 14 coded responses 41 check-ins 12 free-text entries 3 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 336 / FL
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
2611414 (opens in a new window)	low	10 / 11	10	2 of 6 VAERS symptoms	same dose (5)	FL matches	2022-10-05 / 2022-12-24 / 2023-04-07 received the same day as the last call	case 12653

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
2021-01-18
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: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Good · Joint pains, Fatigue or tiredness

Free text: Normal joint pains for a 90 year old male

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Pain, Pre-existing disease — Feeling: Good

Free text: Usual aches and pains of a 90 year old male

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-21
Survey response — day 14, dose 2
MedDRA: Injection site erythema, Injection site pruritus — Feeling: Good

Free text: Upper right arm where shot was given is still red and itching a little.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-14
Survey response — day 35, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Extreme fatigue today after lunch.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-09
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-03
Dose 3 — Pfizer-BioNTech
2021-09-30
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-10-01
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-10-10
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-16
Survey response — day 42, dose 3
MedDRA: Sinus operation — Feeling: Fair

Free text: Sinuses drip has gotten worse.

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Survey response — 3 months, dose 3
MedDRA: Fatigue, Sinus disorder — Feeling: Fair

Free text: Tired and sinus problem

MedDRA releases: 2024-11 · check-in free text available
2022-03-06
Survey response — 6 months, dose 3
MedDRA: Herpes zoster, Office visit, Peripheral swelling — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Leg swelling and a form of shingles on same leg. Doctor prescribed an anti virol tablet, 3x day for 7 days which kept me from getting 2nd booster shot. Will apply for shot next .onday. · Healthcare visit (other): Group medical office

MedDRA releases: 2024-11 · check-in free text available
2022-03-06
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-11
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-06
Dose 4 — Pfizer-BioNTech
2022-04-14
Health check-in — day 7, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-04-20
Survey response — day 14, dose 4
MedDRA: Fatigue, Lacrimation increased — Feeling: Fair

Free text: Eyes watering, tired,

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Survey response — day 21, dose 4
MedDRA: Pruritus, Rhinorrhoea — Feeling: Fair

Free text: Sniffles, itching, as if 2 days ago.

MedDRA releases: 2024-11 · check-in free text available
2022-05-05
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-13
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-18
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-08
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-05
Dose 5 — Pfizer-BioNTech
2022-10-05
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-10-05
Health check-in — day 0, dose 5
Feeling: Good · Site: Swelling · None

Adult check-in
2022-10-07
Survey response — days 1–6 daily, dose 5
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Itching

Free text: Sore throte

MedDRA releases: 2024-11 · check-in free text available
2022-10-08
Survey response — days 1–6 daily, dose 5
MedDRA: Rhinorrhoea — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Sniffles

MedDRA releases: 2024-11 · check-in free text available
2022-10-10
Survey response — days 1–6 daily, dose 5
MedDRA: Rhinorrhoea — Feeling: Fair · Fatigue or tiredness

Free text: Sniffles

MedDRA releases: 2024-11 · check-in free text available
2022-10-13
Health check-in — day 7, dose 5
Feeling: Good · Muscle or body aches, Diarrhea

Adult check-in
2022-10-19
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-26
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-02
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-09
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-16
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-04
Survey response — 3 months, dose 5
MedDRA: Hospitalisation, Pneumonia — 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, Emergency room or emergency department visit, Hospitalization

MedDRA releases: 2024-11
2023-01-04
Report sent to call center — 3 months, dose 5
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)
2023-01-05
Call 1 — Left Voicemail
2023-04-06
Survey response — 6 months, dose 5
MedDRA: Dysphagia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

MedDRA releases: 2024-11
2023-04-06
Report sent to call center — 6 months, dose 5
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)
2023-04-07
Call successful
Completed over the phone
2023-04-07
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-16	Pfizer-BioNTech
2	2021-02-06	Pfizer-BioNTech
3	2021-09-03	Pfizer-BioNTech	No
4	2022-04-06	Pfizer-BioNTech	No
5	2022-10-05	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-03-06	Successful 2022-03-11	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2023-01-04	Successful 2023-04-07	Completed over the phone
2023-04-06	Successful 2023-04-07	Completed over the phone

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Normal joint pains for a 90 year old male

2021-02-12

Systemic reaction (other): Usual aches and pains of a 90 year old male

Release 4 — day 14, dose 2

2021-02-21

Symptoms: Upper right arm where shot was given is still red and itching a little.

Release 5 — day 35, dose 2

2021-03-14

Symptoms: Extreme fatigue today after lunch.

Release 10 — day 42, dose 3

2021-10-16

Symptoms: Sinuses drip has gotten worse.

Release 10 — 3 months, dose 3

2021-12-03

Symptoms: Tired and sinus problem

Release 11 — 6 months, dose 3

2022-03-06

Symptoms: Leg swelling and a form of shingles on same leg. Doctor prescribed an anti virol tablet, 3x day for 7 days which kept me from getting 2nd booster shot. Will apply for shot next .onday.

Healthcare visit (other): Group medical office

Release 11 — day 14, dose 4

2022-04-20

Symptoms: Eyes watering, tired,

Release 11 — day 21, dose 4

2022-04-27

Symptoms: Sniffles, itching, as if 2 days ago.

Release 12 — days 1–6 daily, dose 5

2022-10-07

Systemic reaction (other): Sore throte

2022-10-08

Systemic reaction (other): Sniffles

2022-10-10

Systemic reaction (other): Sniffles

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	Dysphagia	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Herpes zoster	·	·	✓
SD	Hospitalisation	·	·	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Lacrimation increased	·	·	✓
SD	Peripheral swelling	·	·	✓
SD	Pneumonia	·	·	✓
SD	Pruritus	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinus disorder	·	·	✓
SD	Sinus operation	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rhinorrhoea	·	·	✓

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