22P-18293-09123

3 vaccinations 10 coded responses 38 check-ins 10 free-text entries 4 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 211 / MD
Registered: 2021-04-02

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-02
Registered in v-safe
2021-04-02
Dose 1 — Pfizer-BioNTech
2021-04-02
Survey response — day 0, dose 1
MedDRA: Dry mouth, Dry throat — Feeling: Good · Site: Pain, Swelling

Free text: Dry throat and mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain, Rhinorrhoea — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Slight for both: Runny noise & ear ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-09
Survey response — day 7, dose 1
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Mild sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — day 14, dose 1
MedDRA: Medical counselling, Productive cough — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Wet cough (mild) · Healthcare visit (other): Health providers Pharmacist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-23
Dose 2 — Pfizer-BioNTech
2021-04-23
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Rhinorrhoea — Feeling: Good · Site: Pain

Free text: Slight runny nose (allergies?)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Productive cough, Rhinorrhoea — Feeling: Fair · Site: Pain

Free text: Wet cough & runny nose (allergies?)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Ear pain — Feeling: Good · Headache

Free text: Nagging wet cough (ear drums are starting to hurt because of it)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Productive cough — Feeling: Fair

Free text: Slight ear ache & persistent wet cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-23
Survey response — 3 months, dose 2
MedDRA: Dry skin, Peripheral swelling, Pre-existing disease, Rash, Rash pustular, Skin discolouration, Skin fissures, Skin wrinkling, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Rash covering 95% of my body (dark, dry & patchy spots with small bumps on my torso and raised yellow fluid-filled areas. Hands & palms extremely dry, withered, cracked & digits swollen). Dry patchy rash on back of hands & forearms before vaccinated · Healthcare visit (other): No recent COVID test; 1 last year was negative

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-23
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-29
Call 1 — Left Voicemail
2021-07-30
Call successful
Participant prefers to complete VAERS report online
2021-10-23
Survey response — 6 months, dose 2
MedDRA: Rash — 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: Still struggling with a full-body rash but it's slowly getting better with topical treatments I've been prescribed (bleach bath and clobetasol).

MedDRA releases: 2024-11 · check-in free text available
2021-10-23
Report sent to call center — 6 months, dose 2
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)
2021-10-27
Call 1 — Left Voicemail
2021-11-05
Dose 3 — Moderna
2021-11-05
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-11-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-11-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-11-12
Health check-in — day 7, dose 3
Feeling: Good · 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

Adult check-in
2021-11-12
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)
2021-11-15
Call 1 — Left Voicemail
2021-11-19
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-17
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-06
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-06
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-05
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-02	Pfizer-BioNTech
2	2021-04-23	Pfizer-BioNTech
3	2021-11-05	Moderna	No

Call center

4 call center cases

2 successful · 2 unsuccessful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-04-02

Systemic reaction (other): Dry throat and mouth

Release 6 — days 1–6 daily, dose 1

2021-04-04

Systemic reaction (other): Slight for both: Runny noise & ear ache

Release 7 — day 7, dose 1

2021-04-09

Systemic reaction (other): Mild sore throat

Release 7 — day 14, dose 1

2021-04-16

Symptoms: Wet cough (mild)

Healthcare visit (other): Health providers Pharmacist

Release 7 — days 1–6 daily, dose 2

2021-04-25

Systemic reaction (other): Slight runny nose (allergies?)

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Wet cough & runny nose (allergies?)

2021-04-28

Systemic reaction (other): Nagging wet cough (ear drums are starting to hurt because of it)

2021-04-29

Systemic reaction (other): Slight ear ache & persistent wet cough

Release 9 — 3 months, dose 2

2021-07-23

Symptoms: Rash covering 95% of my body (dark, dry & patchy spots with small bumps on my torso and raised yellow fluid-filled areas. Hands & palms extremely dry, withered, cracked & digits swollen). Dry patchy rash on back of hands & forearms before vaccinated cut off by CDC

Healthcare visit (other): No recent COVID test; 1 last year was negative

Release 10 — 6 months, dose 2

2021-10-23

Symptoms: Still struggling with a full-body rash but it's slowly getting better with topical treatments I've been prescribed (bleach bath and clobetasol).

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	✓	✓	✓
HCVO	Unevaluable event	✓	·	✓
SD	Dry skin	✓	·	✓
SD	Peripheral swelling	✓	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Productive cough	✓	✓	✓
SD	Rash	✓	·	✓
SD	Rash pustular	✓	·	✓
SD	Skin discolouration	✓	·	✓
SD	Skin fissures	✓	·	✓
SD	Skin wrinkling	✓	·	✓
SRO	Cough	✓	✓	✓
SRO	Dry mouth	✓	✓	✓
SRO	Dry throat	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Productive cough	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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