ZDJ-33289-89358

4 vaccinations 10 coded responses 49 check-ins 10 free-text entries 3 call cases

Sex: Male
Age at first dose: 56-60
ZIP prefix: 949 / CA
Registered: 2021-03-11

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
2069235 (opens in a new window)	high	9 / 11	-2	1 of 7 VAERS symptoms	same dose (4)	CA matches	2022-01-24 / 2022-01-24 / 2022-01-27 received the same day as the last call	case 108197

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

2021-03-10
Dose 1 — Pfizer-BioNTech
2021-03-11
Registered in v-safe
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Good · Site: Pain · Chills, Fatigue or tiredness, Diarrhea

Free text: Itchiness on lower shins and belly 15 minutes after getting vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Body temperature decreased, Chills — Feeling: Good · Fatigue or tiredness · Be unable to work

Free text: The night after I had the vaccine, I took my temperature because I was having chills and the thermometer read 95.3. It rose to 96.3 thirty minutes later. I reported this to my doctor.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Body temperature decreased, Body temperature normal — Feeling: Good

Free text: My temperature was 96.3 at 7:16am, 96.9 at 7:27am, and 97.9 at 4:01pm today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-03-17
Survey response — day 7, dose 1
MedDRA: Medical counselling — Feeling: Good · Diarrhea · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Blood and stool Lab tests ordered by doctors

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-31
Dose 2 — Pfizer-BioNTech
2021-03-31
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

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

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

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

Adult check-in
2021-04-07
Health check-in — day 7, dose 2
Feeling: Good · None

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

Adult check-in
2021-04-21
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-21
Dose 3 — Pfizer-BioNTech
2021-08-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-08-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-08-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Diarrhea

Adult check-in
2021-08-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-08-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Diarrhea

Adult check-in
2021-08-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-08-28
Health check-in — day 7, dose 3
Feeling: Good · Diarrhea

Adult check-in
2021-09-04
Survey response — day 14, dose 3
MedDRA: Diarrhoea — Feeling: Good

Free text: diarrhea

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-11
Survey response — day 21, dose 3
MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Tired every day.

MedDRA releases: 2024-11 · check-in free text available
2021-09-18
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-09-25
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-02
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-10-18
Call 1 — Could Not Reach Participant
2021-10-21
Call 2 — Left Voicemail
2021-10-22
Call successful
Participant prefers to complete VAERS report online
2021-11-20
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-01-24
Dose 4 — Pfizer-BioNTech
2022-01-25
Survey response — days 1–6 daily, dose 4
MedDRA: Body temperature decreased — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · 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

Free text: Third consecutive vaccine that caused my temperature to drop to 95.5 degrees for 1 hour the evening of receiving the vaccine

MedDRA releases: 2024-11 · check-in free text available
2022-01-25
Report sent to call center — days 1–6 daily, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2022-01-26
Call 1 — Left Voicemail
2022-01-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-01-27
Call successful
Completed over the phone
2022-01-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-01-29
Survey response — days 1–6 daily, dose 4
MedDRA: Body temperature decreased — Feeling: Good · Chills

Free text: Temperature low again in the 96 degree range

MedDRA releases: 2024-11 · check-in free text available
2022-01-30
Survey response — days 1–6 daily, dose 4
MedDRA: Body temperature decreased — Feeling: Good · Chills · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Low temp 95.1

MedDRA releases: 2024-11 · check-in free text available
2022-01-30
Report sent to call center — days 1–6 daily, dose 4
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-01-31
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-02-07
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-02-08
Call 1 — Could Not Reach Participant
2022-02-09
Call successful
Reported to VAERS during previous contact from GDIT
2022-02-14
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-02-21
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-02-28
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-03-07
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-04-25
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-07-27
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-01-26
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Pfizer-BioNTech
2	2021-03-31	Pfizer-BioNTech
3	2021-08-21	Pfizer-BioNTech	No
4	2022-01-24	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-17	Successful 2021-10-22	Participant prefers to complete VAERS report online
2022-01-25	Successful 2022-01-27	Completed over the phone
2022-01-30	Successful 2022-02-09	Reported to VAERS during previous contact from GDIT

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-11

Systemic reaction (other): Itchiness on lower shins and belly 15 minutes after getting vaccine

2021-03-12

Systemic reaction (other): The night after I had the vaccine, I took my temperature because I was having chills and the thermometer read 95.3. It rose to 96.3 thirty minutes later. I reported this to my doctor.

2021-03-13

Systemic reaction (other): My temperature was 96.3 at 7:16am, 96.9 at 7:27am, and 97.9 at 4:01pm today

Release 5 — day 7, dose 1

2021-03-17

Healthcare visit (other): Blood and stool Lab tests ordered by doctors

Release 6 — day 0, dose 2

2021-03-31

Systemic reaction (other): No

Release 9 — day 14, dose 3

2021-09-04

Symptoms: diarrhea

Release 9 — day 21, dose 3

2021-09-11

Symptoms: Tired every day.

Release 11 — days 1–6 daily, dose 4

2022-01-25

Systemic reaction (other): Third consecutive vaccine that caused my temperature to drop to 95.5 degrees for 1 hour the evening of receiving the vaccine

2022-01-29

Systemic reaction (other): Temperature low again in the 96 degree range

2022-01-30

Systemic reaction (other): Low temp 95.1

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	Medical counselling	✓	✓	✓
SD	Diarrhoea	✓	·	✓
SD	Fatigue	·	·	✓
SRO	Body temperature decreased	✓	✓	✓
SRO	Body temperature normal	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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