ZV5-29399-83694

2 vaccinations 8 coded responses 25 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 923 / CA
Registered: 2021-06-04

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
2368794 (opens in a new window)	high	10 / 11	-2	4 of 11 VAERS symptoms	same dose (2)	CA matches	2021-06-25 / 2021-07-20 / 2022-07-14 received the same day as the last call	case 806852

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

2021-06-04
Registered in v-safe
2021-06-04
Dose 1 — Pfizer-BioNTech
2021-06-04
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-06-05
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Site: Pain

Free text: Thought I may have felt a headache coming on. Took a Tylenol and did NOT get a headache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-06-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-06-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-06-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-06-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-06-11
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-06-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-06-25
Dose 2 — Pfizer-BioNTech
2021-06-25
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-06-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-06-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-06-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-06-29
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Hot flush, Pre-existing disease — Feeling: Good · Site: Pain

Free text: Not sure if there is a connection but since the 1st shot, I have started having hot flashes again. It had been over a year since I had had hot flashes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-07-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-07-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-07-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-07-16
Survey response — day 21, dose 2
MedDRA: Adverse reaction, Pre-existing disease — Feeling: Good

Free text: Sinus issues but I believe it's allergies.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-23
Survey response — day 28, dose 2
MedDRA: Abdominal abscess, Abdominal pain, Appendicitis — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Severe abdominal pain, 2 abscesses one in my upper abdomen, one in my lower abdomen and a severely infected appendix.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-23
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-30
Survey response — day 35, dose 2
MedDRA: Abdominal abscess, Appendicitis, Surgery — Feeling: Good · 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

Free text: Surgery for an infected appendix and 2 abscesses, one in my upper abdomen and one in my lower abdomen.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-30
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-02
Call 1 — Left Voicemail
2021-08-05
Call 2 — Left Voicemail
2021-08-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-24
Survey response — 3 months, dose 2
MedDRA: Cough, Oropharyngeal pain — Feeling: Good

Free text: Sore throat and cough

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Survey response — 6 months, dose 2
MedDRA: Abdominal abscess, Abdominal infection, Hospitalisation — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Was hospitalized with 2 abscesses and major infection in my abdomen.

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2021-12-27
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-25
Survey response — 12 months, dose 2
MedDRA: Gastrointestinal disorder, Hepatic cyst, Renal cyst, Sinus disorder, Tinnitus, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Sinus issues, crackling in right ear, twist in colon, cyst on right kidney and cyst on liver · Healthcare visit (other): Endoscopy and colonoscopy and CT scans and ultrasounds

MedDRA releases: 2024-11 · check-in free text available
2022-06-25
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-06-27
Call 1 — Left Voicemail
2022-07-14
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-04	Pfizer-BioNTech
2	2021-06-25	Pfizer-BioNTech	No

Call center

4 call center cases

4 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-06-05

Systemic reaction (other): Thought I may have felt a headache coming on. Took a Tylenol and did NOT get a headache.

Release 9 — days 1–6 daily, dose 2

2021-06-29

Systemic reaction (other): Not sure if there is a connection but since the 1st shot, I have started having hot flashes again. It had been over a year since I had had hot flashes.

Release 9 — day 21, dose 2

2021-07-16

Symptoms: Sinus issues but I believe it's allergies.

Release 9 — day 28, dose 2

2021-07-23

Symptoms: Severe abdominal pain, 2 abscesses one in my upper abdomen, one in my lower abdomen and a severely infected appendix.

Release 9 — day 35, dose 2

2021-07-30

Symptoms: Surgery for an infected appendix and 2 abscesses, one in my upper abdomen and one in my lower abdomen.

Release 9 — 3 months, dose 2

2021-09-24

Symptoms: Sore throat and cough

Release 10 — 6 months, dose 2

2021-12-24

Symptoms: Was hospitalized with 2 abscesses and major infection in my abdomen.

Release 12 — 12 months, dose 2

2022-06-25

Symptoms: Sinus issues, crackling in right ear, twist in colon, cyst on right kidney and cyst on liver

Healthcare visit (other): Endoscopy and colonoscopy and CT scans and ultrasounds

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	Abdominal abscess	✓	·	✓
SD	Abdominal infection	·	·	✓
SD	Abdominal pain	✓	·	✓
SD	Adverse reaction	✓	·	✓
SD	Appendicitis	✓	·	✓
SD	Cough	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Hepatic cyst	·	·	✓
SD	Hospitalisation	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Renal cyst	·	·	✓
SD	Sinus disorder	·	·	✓
SD	Surgery	✓	·	✓
SD	Tinnitus	·	·	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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