ZSB-23861-01702

5 vaccinations 6 coded responses 36 check-ins 5 free-text entries 4 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 972 / OR
Registered: 2020-12-21

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

Registered dependents

V9X-16422-88835 Child or adolescent in my care · Male · 2021-11-11

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
2524193 (opens in a new window)	high	10 / 11	-2	4 of 15 VAERS symptoms	same dose (5)	OR matches	2022-10-21 / 2022-11-27 / 2022-12-06 received the same day as the last call	case 1204005

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

2020-12-21
Registered in v-safe
2020-12-21
Dose 1 — Pfizer-BioNTech
2020-12-21
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-26
Survey response — days 1–6 daily, dose 1
MedDRA: Eye irritation, Nasopharyngitis, Rhinorrhoea — Feeling: Fair · Fatigue or tiredness

Free text: I have not received my daily check for 3 days. Yesterday I had runny nose and sniffles and irritated eyes, like a cold, but symptoms were gone today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2020-12-28
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-04
Survey response — day 14, dose 1
MedDRA: Fatigue, Headache, Pain, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Day 4 post vaccine I had runny nose, aches, thought I was getting a cold but symptoms vanished overnight. Day 7 they returned and I was sick for 4 days with body aches, extreme fatigue, headache ...and runny nose was only for 1-2 days. Negative test.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-08
Dose 2 — Pfizer-BioNTech
2021-01-14
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Fatigue, Influenza, Nasopharyngitis, Pain, Pain in extremity — Feeling: Fair · Site: Pain · Be unable to work, Be unable to do your normal daily activities

Free text: I was not given an opportunity to report before now. Night after #2 I had horrid chills. Major flu symptoms 1-2 days after injection..better day 3 after but cold-like symptoms day 4 and ache, fatigue day 5. Arm pain for 5 days after injection. Feeling almost myself on 6th day after (today)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-01-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-09
Survey response — 6 months, dose 2
MedDRA: Dermatitis allergic — 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: Allergic rash/skin reactions

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-09
Report sent to call center — 6 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

1 call case(s)
2021-07-27
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-11
Dose 3 — Pfizer-BioNTech
2021-11-11
Health check-in — day 0, dose 3
Feeling: Fair · Nausea

Adult check-in
2021-11-12
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-11-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-18
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-25
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-02
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-09
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-16
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-23
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-10
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-05-14
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-07-08
Dose 4 — Pfizer-BioNTech
2022-10-21
Dose 5 — Pfizer-BioNTech
2022-11-11
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2022-11-11
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-18
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-12-04
Survey response — day 42, dose 5
MedDRA: Nephrolithiasis, Renal disorder — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Kidney stones and kidney problems

MedDRA releases: 2024-11 · check-in free text available
2022-12-04
Report sent to call center — day 42, dose 5
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-12-06
Call successful
Completed over the phone
2023-01-20
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-21
Survey response — 6 months, dose 5
MedDRA: Glossodynia, Oral herpes — Feeling: Good

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-21	Pfizer-BioNTech
2	2021-01-08	Pfizer-BioNTech
3	2021-11-11	Pfizer-BioNTech	No
4	2022-07-08	Pfizer-BioNTech	No
5	2022-10-21	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-04	priority 2/3
2021-01-14	priority 2/3
2021-07-09	Successful 2021-07-27	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-12-04	Successful 2022-12-06	Completed over the phone

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-26

Systemic reaction (other): I have not received my daily check for 3 days. Yesterday I had runny nose and sniffles and irritated eyes, like a cold, but symptoms were gone today.

Release 1 — day 14, dose 1

2021-01-04

Symptoms: Day 4 post vaccine I had runny nose, aches, thought I was getting a cold but symptoms vanished overnight. Day 7 they returned and I was sick for 4 days with body aches, extreme fatigue, headache ...and runny nose was only for 1-2 days. Negative test. cut off by CDC

Release 2 — days 1–6 daily, dose 2

2021-01-14

Systemic reaction (other): I was not given an opportunity to report before now. Night after #2 I had horrid chills. Major flu symptoms 1-2 days after injection..better day 3 after but cold-like symptoms day 4 and ache, fatigue day 5. Arm pain for 5 days after injection. Feeling almost myself on 6th day after (today)

Release 9 — 6 months, dose 2

2021-07-09

Symptoms: Allergic rash/skin reactions

Release 12 — day 42, dose 5

2022-12-04

Symptoms: Kidney stones and kidney problems

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
SD	Dermatitis allergic	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Glossodynia	·	·	✓
SD	Headache	✓	✓	✓
SD	Hypersensitivity	○	○	○
SD	Nephrolithiasis	·	·	✓
SD	Oral herpes	·	·	✓
SD	Pain	✓	✓	✓
SD	Renal disorder	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Eye irritation	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Influenza	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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