23E-10472-34640

2 vaccinations 7 coded responses 22 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 300 / GA
Registered: 2021-03-08

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

Timeline

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

2021-03-08
Registered in v-safe
2021-03-08
Dose 1 — Pfizer-BioNTech
2021-03-08
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Throat irritation — Feeling: Good

Free text: Scratchy throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-15
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-29
Dose 2 — Pfizer-BioNTech
2021-03-29
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-05
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-12
Survey response — day 14, dose 2
MedDRA: Back pain — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Back pain on side of injection - same as night after the injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — day 21, dose 2
MedDRA: Back pain, Inflammation, Pre-existing disease, Vertigo — Feeling: Fair · Be unable to work, 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: Back pain with inflammation that started night if 2nd shot, especially on left side (side of the vaccination) lingered and remains. New onset of vertigo, also related to left side of inflammation as of 4/15.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-03
Survey response — day 35, dose 2
MedDRA: Back pain, Office visit, Vertigo — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Back pain has lingered since jab - still hurting. Vertigo has continued on and off · Healthcare visit (other): Office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-10
Survey response — day 42, dose 2
MedDRA: Back pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Left side back pain has continued since second jab. Intensity varies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-28
Survey response — 3 months, dose 2
MedDRA: Appendicectomy, Appendicitis, Ear discomfort, Vertigo — 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, Emergency room or emergency department visit

Free text: Appendectomy due to acute appendicitis 6/15Vertigo due to fluid buildup in ear on left side, same side as vaccination

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-28
Report sent to call center — 3 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)
2021-07-01
Call successful
Participant prefers to complete VAERS report online
2021-09-27
Survey response — 6 months, dose 2
MedDRA: Vertigo — Feeling: Good · Be unable to do your normal daily activities

Free text: Vertigo

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-08	Pfizer-BioNTech
2	2021-03-29	Pfizer-BioNTech

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-11

Systemic reaction (other): Scratchy throat

Release 7 — day 14, dose 2

2021-04-12

Symptoms: Back pain on side of injection - same as night after the injection

Release 7 — day 21, dose 2

2021-04-19

Symptoms: Back pain with inflammation that started night if 2nd shot, especially on left side (side of the vaccination) lingered and remains. New onset of vertigo, also related to left side of inflammation as of 4/15.

Release 8 — day 35, dose 2

2021-05-03

Symptoms: Back pain has lingered since jab - still hurting. Vertigo has continued on and off

Healthcare visit (other): Office visit

Release 8 — day 42, dose 2

2021-05-10

Symptoms: Left side back pain has continued since second jab. Intensity varies

Release 9 — 3 months, dose 2

2021-06-28

Symptoms: Appendectomy due to acute appendicitis 6/15Vertigo due to fluid buildup in ear on left side, same side as vaccination

Release 9 — 6 months, dose 2

2021-09-27

Symptoms: Vertigo

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	Office visit	✓	✓	✓
SD	Appendicectomy	✓	✓	✓
SD	Appendicitis	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Ear discomfort	✓	✓	✓
SD	Inflammation	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Vertigo	✓	✓	✓
SRO	Throat irritation	✓	✓	✓

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