ZGP-23762-88746

4 vaccinations 22 coded responses 39 check-ins 22 free-text entries 8 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 221 / VA
Registered: 2021-04-14

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

Registered dependents

WFW-22171-57342 Child or adolescent in my care · Female · 2021-11-29

U4L-47149-45506 Child or adolescent in my care · Female · 2022-08-20

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
1364784 (opens in a new window)	high	11 / 11	3	7 of 11 VAERS symptoms	same dose (2)	VA matches	2021-04-12 / 2021-04-13 / 2021-06-01 received the same day as the last call	case 666507

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
Dose 1 — Pfizer-BioNTech
2021-04-12
Dose 2 — Pfizer-BioNTech
2021-04-14
Registered in v-safe
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Pain in right armpit (same side as injection)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Pain in my armpits (both today)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Pain in right armpit (same side as vaccine)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Neck pain — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Armpit pain (both sides), neck pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — day 7, dose 2
MedDRA: Axillary pain, Eye pain, Headache, Neck pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Armpits still hurt. Eye pain, headache, neck pain STILL

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-03
Survey response — day 21, dose 2
MedDRA: Injection site erythema, Injection site inflammation — Feeling: Fair

Free text: My injection site has become red and inflamed. Its small, about the size of a pencil eraser, but it seems new.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — day 28, dose 2
MedDRA: Acupuncture, Headache, Hypersensitivity, Injection site erythema, Injection site pruritus, Injection site swelling, Periorbital swelling, Pre-existing disease, Swelling, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: My injection site is red and swollen, especially after showers. Sometimes it itches.I tried acupuncture last Monday and some scalp needling left me with a headache and swollen.My seasonal allergies are worse than last year and I have puffy eyes. · Healthcare visit (other): Antibiotics and a steroid cream

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-17
Survey response — day 35, dose 2
MedDRA: Back pain — Feeling: Fair

Free text: Low back pain, likely from gardening Continued red bump at vaccination site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Survey response — day 42, dose 2
MedDRA: Eye pain, Headache, Neck pain — Feeling: Fair

Free text: Neck pain in the back of the neck. Also headaches for 2 days with pain around my eyes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Call 1 — Left Voicemail
2021-06-01
Call successful
Completed over the phone
2021-07-15
Survey response — 3 months, dose 2
MedDRA: Axillary pain — Feeling: Good

Free text: My underarms (armpits) were sore over the weekend for no obvious reason.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-11
Survey response — 6 months, dose 2
MedDRA: Exposure to communicable disease, Eye pain, Nasopharyngitis — Feeling: Fair

Free text: Sometimes I get eye pain that reminds me of the eye pain I got after my second vaccine. My kids brought me my first cold in 18 months.

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Dose 3 — Moderna
2021-12-11
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-12-12
Survey response — days 1–6 daily, dose 3
MedDRA: Dermatitis contact — Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: I have poison ivy (for 4 days) and got my period yesterday

MedDRA releases: 2024-11 · check-in free text available
2021-12-13
Survey response — days 1–6 daily, dose 3
MedDRA: Dermatitis contact — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: I have poison ivy, the likely cause of the rash

MedDRA releases: 2024-11 · check-in free text available
2021-12-14
Survey response — days 1–6 daily, dose 3
MedDRA: Dermatitis contact — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: The rash is probably poison ivy turning systemic

MedDRA releases: 2024-11 · check-in free text available
2021-12-14
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-15
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site

Free text: Both armpits are sore

MedDRA releases: 2024-11 · check-in free text available
2021-12-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · Headache, Muscle or body aches, Diarrhea, Rash, not including the immediate area around the injection site

Adult check-in
2021-12-17
Survey response — day 7, dose 3
MedDRA: Oropharyngeal pain, Rhinorrhoea, Unevaluable event — Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Sore throat, runny nose · Healthcare visit (other): Daughter tested positive for Covid-19 and I may have symptoms

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Report sent to call center — day 7, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-24
Survey response — day 14, dose 3
MedDRA: Fatigue, Rhinorrhoea, Sneezing — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Fatigue, sneezing, runny nose

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Report sent to call center — day 14, 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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-31
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-01-08
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-14
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-21
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-03-11
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-13
Survey response — 6 months, dose 3
MedDRA: Hypersensitivity, Pre-existing disease, Respiratory tract congestion — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Severe spring allergies. I was congested all of May and needed 2 courses of prednisone and an inhaler.

MedDRA releases: 2024-11 · check-in free text available
2022-06-13
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-14
Call successful
Completed over the phone
2022-06-14
Call successful
Completed over the phone
2022-06-14
Call successful
Completed over the phone
2022-06-14
Call successful
Completed over the phone
2022-06-14
Call successful
Completed over the phone
2022-09-30
Dose 4 — Moderna
2022-10-01
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities

Adult check-in
2022-10-02
Survey response — days 1–6 daily, dose 4
MedDRA: Menstruation irregular — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache

Free text: My period came today, early

MedDRA releases: 2024-11 · check-in free text available
2022-10-03
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-04
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-05
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-06
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-07
Survey response — day 7, dose 4
MedDRA: Arthralgia, Muscle tightness, Neck pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Neck and shoulder on injection side (right) are tight and sore

MedDRA releases: 2024-11 · check-in free text available
2022-10-14
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-21
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-15
Survey response — day 42, dose 4
MedDRA: Diarrhoea infectious — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Travelers diarrhea after a trip to Panama

MedDRA releases: 2024-11 · check-in free text available
2022-11-15
Report sent to call center — day 42, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-11-16
Call 1 — Left Voicemail
2022-12-30
Survey response — 3 months, dose 4
MedDRA: Cough, Ear congestion, Influenza, Respiratory tract congestion — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Cough and congestion, likely from Flu A Ear congestion

MedDRA releases: 2024-11 · check-in free text available
2022-12-30
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-03
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-01-03
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-31
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-22	Pfizer-BioNTech
2	2021-04-12	Pfizer-BioNTech
3	2021-12-10	Moderna	No
4	2022-09-30	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-16	Successful 2022-06-14	Completed over the phone
2021-05-10	Successful 2021-06-01	Completed over the phone
2021-12-14	Successful 2022-06-14	Completed over the phone
2021-12-17	Successful 2022-06-14	Completed over the phone
2021-12-24	Successful 2022-06-14	Completed over the phone
2022-06-13	Successful 2022-06-14	Completed over the phone
2022-11-15	Successful 2023-01-03	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-30	Successful 2023-01-03	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-14

Systemic reaction (other): Pain in right armpit (same side as injection)

2021-04-15

Systemic reaction (other): Pain in my armpits (both today)

2021-04-16

Systemic reaction (other): Pain in right armpit (same side as vaccine)

2021-04-18

Systemic reaction (other): Armpit pain (both sides), neck pain

Release 7 — day 7, dose 2

2021-04-19

Systemic reaction (other): Armpits still hurt. Eye pain, headache, neck pain STILL

Release 8 — day 21, dose 2

2021-05-03

Symptoms: My injection site has become red and inflamed. Its small, about the size of a pencil eraser, but it seems new.

Release 8 — day 28, dose 2

2021-05-10

Symptoms: My injection site is red and swollen, especially after showers. Sometimes it itches.I tried acupuncture last Monday and some scalp needling left me with a headache and swollen.My seasonal allergies are worse than last year and I have puffy eyes.

Healthcare visit (other): Antibiotics and a steroid cream

Release 8 — day 35, dose 2

2021-05-17

Symptoms: Low back pain, likely from gardening Continued red bump at vaccination site

Release 8 — day 42, dose 2

2021-05-25

Symptoms: Neck pain in the back of the neck. Also headaches for 2 days with pain around my eyes.

Release 9 — 3 months, dose 2

2021-07-15

Symptoms: My underarms (armpits) were sore over the weekend for no obvious reason.

Release 10 — 6 months, dose 2

2021-10-11

Symptoms: Sometimes I get eye pain that reminds me of the eye pain I got after my second vaccine. My kids brought me my first cold in 18 months.

Release 10 — days 1–6 daily, dose 3

2021-12-12

Systemic reaction (other): I have poison ivy (for 4 days) and got my period yesterday

2021-12-13

Systemic reaction (other): I have poison ivy, the likely cause of the rash

2021-12-14

Systemic reaction (other): The rash is probably poison ivy turning systemic

2021-12-15

Systemic reaction (other): Both armpits are sore

Release 10 — day 7, dose 3

2021-12-17

Systemic reaction (other): Sore throat, runny nose

Healthcare visit (other): Daughter tested positive for Covid-19 and I may have symptoms

Release 10 — day 14, dose 3

2021-12-24

Symptoms: Fatigue, sneezing, runny nose

Release 12 — 6 months, dose 3

2022-06-13

Symptoms: Severe spring allergies. I was congested all of May and needed 2 courses of prednisone and an inhaler.

Release 12 — days 1–6 daily, dose 4

2022-10-02

Systemic reaction (other): My period came today, early

Release 12 — day 7, dose 4

2022-10-07

Systemic reaction (other): Neck and shoulder on injection side (right) are tight and sore

Release 12 — day 42, dose 4

2022-11-15

Symptoms: Travelers diarrhea after a trip to Panama

Release 12 — 3 months, dose 4

2022-12-30

Symptoms: Cough and congestion, likely from Flu A Ear congestion

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	Unevaluable event	✓	✓	✓
SD	Acupuncture	✓	✓	✓
SD	Axillary pain	✓	·	✓
SD	Back pain	✓	✓	✓
SD	Cough	·	·	✓
SD	Diarrhoea infectious	·	·	✓
SD	Ear congestion	·	·	✓
SD	Exposure to communicable disease	·	·	✓
SD	Eye pain	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Influenza	·	·	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site inflammation	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Neck pain	✓	✓	✓
SD	Periorbital swelling	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sneezing	·	·	✓
SD	Swelling	✓	✓	✓
SRO	Arthralgia	·	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Dermatitis contact	·	·	✓
SRO	Eye pain	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Menstruation irregular	·	·	✓
SRO	Muscle tightness	·	·	✓
SRO	Neck pain	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Rhinorrhoea	·	·	✓

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