ZFG-76599-00780

1 vaccination 7 coded responses 16 check-ins 7 free-text entries 6 call cases

Sex: Male
Age at first dose: 16-20
ZIP prefix: 809 / CO
Registered: 2021-03-22

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
2228750 (opens in a new window)	high	10 / 11	—	6 of 14 VAERS symptoms	same dose (1)	CO matches	2021-03-22 / 2021-03-25 / 2022-04-12 received 287 days after the last call	case 797991

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

2021-03-22
Registered in v-safe
2021-03-22
Dose 1 — Pfizer-BioNTech
2021-03-22
Health check-in — day 0, dose 1
Feeling: Fair · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-25
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Condition aggravated, Dyspnoea, Emergency care, Malaise, Medical counselling, Pre-existing disease — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea, Vomiting, Abdominal pain · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Systemic reaction (other): Chest pain had to call EMS , very sick have family watching over Me and a doctors apt tomorrow morning . Im severely disabled with several disabilities. Im scared and having trouble breathing as well . EMS said all vitals fine and monitor if worse go to ER or call 911 again · Healthcare visit (other): Called 911 and made a doctors apt for 1st thing in the morning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Feeling hot, Paraesthesia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Chest pain and hot needle feelings all over body

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-03-27
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Fatigue, Unevaluable event — Feeling: Poor · Fever · Headache, Joint pains, Nausea · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Very weak exhausted · Healthcare visit (other): Having to keep close contact with doctor, going back in forth my sons health is not good at all every sents the shot!!!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-30
Survey response — day 7, dose 1
MedDRA: Feeling abnormal — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Brain fog , (b)(6) has severe disability marphans syndrome, autism, unknown dopamine disorder on Parkinsons medication, he had a severe reaction 2 1/2 days after 1st shot kidneys, liver started to shut down couldnt breathe and chest pain! 3-22-2021 2pm was 1st shot & he is still dealing with side effects! He still cant walk well , and also exhausted so he is back in his wheelchair when able to get up Ive reported to VERS to try and help others so they dont go threw what my son did (b)(6) (b)(6) is 18 with many health issues please follow up thank you .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-12
Survey response — day 21, dose 1
MedDRA: Dyspnoea, Panic attack — Feeling: Good · Be unable to do your normal daily activities

Free text: Severe panic attacks hard to breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-04-26
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-05-03
Health check-in — day 42, dose 1
Feeling: Fair

Adult check-in
2021-06-21
Survey response — 3 months, dose 1
MedDRA: Dyspnoea, Fatigue, Office visit, Panic attack — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Severe panic attacks , shortness of breath issues , fatigue · Healthcare visit (other): Doctor appointment with PCP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-21
Report sent to call center — 3 months, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-23
Call 1 — Left Voicemail
2021-06-28
Call 2 — Left Voicemail
2021-06-29
Call 3 — Left Voicemail
2021-06-29
Callback requested for
12:00PM ET
2021-09-20
Health check-in — 6 months, dose 1
Feeling: Fair

Adult check-in
2022-03-22
Survey response — 12 months, dose 1
MedDRA: Anxiety, Heart rate increased, Office visit — Feeling: Fair · 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: Severe anxiety & Recently had a heart scare heart rate went to 242 now my doctor is checking for AFIB & SVT & any heart related issues due to this new development ,I will be fitted with a 14 day monitor next week.

MedDRA releases: 2024-11 · check-in free text available
2022-03-22
Report sent to call center — 12 months, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-12
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-22	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-03-25	Successful	Completed over the phone
2021-03-26	Successful	Completed over the phone
2021-03-27	Successful	Completed over the phone
2021-03-28	Successful	Completed over the phone
2021-06-21	Successful	Completed over the phone
2022-03-22	Successful 2022-04-12	Completed over the phone

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-25

Systemic reaction (other): Chest pain had to call EMS , very sick have family watching over Me and a doctors apt tomorrow morning . Im severely disabled with several disabilities. Im scared and having trouble breathing as well . EMS said all vitals fine and monitor if worse go to ER or call 911 again

Healthcare visit (other): Called 911 and made a doctors apt for 1st thing in the morning

2021-03-26

Systemic reaction (other): Chest pain and hot needle feelings all over body

2021-03-28

Systemic reaction (other): Very weak exhausted

Healthcare visit (other): Having to keep close contact with doctor, going back in forth my sons health is not good at all every sents the shot!!!

Release 6 — day 7, dose 1

2021-03-30

Systemic reaction (other): Brain fog , (b)(6) has severe disability marphans syndrome, autism, unknown dopamine disorder on Parkinsons medication, he had a severe reaction 2 1/2 days after 1st shot kidneys, liver started to shut down couldnt breathe and chest pain! 3-22-2021 2pm was 1st shot & he is still dealing with side effects! He still cant walk well , and also exhausted so he is back in his wheelchair when able to get up Ive reported to VERS to try and help others so they dont go threw what my son did (b)(6) (b)(6) is 18 with many health issues please follow up thank you .

redacted (b)(6)

Release 7 — day 21, dose 1

2021-04-12

Symptoms: Severe panic attacks hard to breath

Release 9 — 3 months, dose 1

2021-06-21

Symptoms: Severe panic attacks , shortness of breath issues , fatigue

Healthcare visit (other): Doctor appointment with PCP

Release 11 — 12 months, dose 1

2022-03-22

Symptoms: Severe anxiety & Recently had a heart scare heart rate went to 242 now my doctor is checking for AFIB & SVT & any heart related issues due to this new development ,I will be fitted with a 14 day monitor next week.

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	Emergency care	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Anxiety	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Heart rate increased	·	·	✓
SD	Office visit	·	·	✓
SD	Panic attack	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Medical counselling	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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