24U-84498-28485

4 vaccinations 10 coded responses 47 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 554 / MN
Registered: 2021-03-14

Relationship: Self
Race: N/A
Ethnicity: N/A

Registered dependents

NUA-26645-45528 Child or adolescent in my care · Female · 2021-11-13

Timeline

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

2021-03-12
Dose 1 — Pfizer-BioNTech
2021-03-14
Registered in v-safe
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity, Periarthritis — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: frozen shoulder/pain on the injection arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Back pain — Feeling: Poor · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: pain in shoulder, back, & elbow on injection arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-19
Health check-in — day 7, dose 1
Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-28
Survey response — day 14, dose 1
MedDRA: Migraine, Sinus disorder — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: sinus migraine due to weather conditions (large temperature & pressure fluctuations)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Dose 2 — Pfizer-BioNTech
2021-04-02
Health check-in — day 0, dose 2
Feeling: Good · Site: Itching · Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-09
Health check-in — day 7, dose 2
Feeling: Poor · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-16
Survey response — day 14, dose 2
MedDRA: Ear infection, Ear pain, Headache, Migraine, Oropharyngeal pain, SARS-CoV-2 test negative, Sinus pain, Streptococcus test negative, Tonsillar hypertrophy — Feeling: Poor · Be unable to work, 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: Symptoms: earache/outer ear infection, sinus pain, headache/migraine, sore throat, enlarged tonsil · Healthcare visit (other): negative covid & strep test

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Report sent to call center — day 14, 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)
2021-04-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-02
Survey response — 3 months, dose 2
MedDRA: Unevaluable event — 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

Free text: Not related to the vaccine or expousure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
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)
2021-07-20
Call 1 — Could Not Reach Participant
2021-07-23
Call successful
Participant prefers to complete VAERS report online
2021-07-23
Call successful
Participant prefers to complete VAERS report online
2021-11-23
Dose 3 — Pfizer-BioNTech
2021-11-23
Health check-in — day 0, dose 3
Feeling: Fair · Site: Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-24
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-25
Survey response — days 1–6 daily, dose 3
MedDRA: Angina pectoris, Dyspnoea, Heart rate increased — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · 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: Heart rate spike, heart pain, shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Report sent to call center — days 1–6 daily, 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 · Emergency room or emergency department visit · 1 call case(s)
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-27
Survey response — days 1–6 daily, dose 3
MedDRA: Vertigo — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Vertigo

MedDRA releases: 2024-11 · check-in free text available
2021-11-30
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-12-07
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-14
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-28
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-04
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-13
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-02-24
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-05-26
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-11-25
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in
2022-12-13
Dose 4 — Pfizer-BioNTech
2022-12-14
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-12-15
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-12-16
Survey response — days 1–6 daily, dose 4
MedDRA: Lymph node pain — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Lymph node sore near infection site

MedDRA releases: 2024-11 · check-in free text available
2022-12-17
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-12-18
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-12-20
Health check-in — day 7, dose 4
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-12-27
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2023-01-03
Survey response — day 21, dose 4
MedDRA: Headache, SARS-CoV-2 test negative, Sinusitis — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-01-10
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2023-01-17
Survey response — day 35, dose 4
MedDRA: Back pain, Cough, Musculoskeletal chest pain — Feeling: Poor · 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

MedDRA releases: 2024-11
2023-01-17
Report sent to call center — day 35, dose 4
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)
2023-01-18
Call 1 — Could Not Reach Participant
2023-01-23
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-01-24
Health check-in — day 42, dose 4
Feeling: Poor

Adult check-in
2023-03-14
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-06-13
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-12	Pfizer-BioNTech
2	2021-04-02	Pfizer-BioNTech
3	2021-11-23	Pfizer-BioNTech	No
4	2022-12-13	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 5 — days 1–6 daily, dose 1

2021-03-15

Systemic reaction (other): frozen shoulder/pain on the injection arm

2021-03-16

Systemic reaction (other): pain in shoulder, back, & elbow on injection arm

Release 6 — day 14, dose 1

2021-03-28

Symptoms: sinus migraine due to weather conditions (large temperature & pressure fluctuations)

Release 7 — day 14, dose 2

2021-04-16

Symptoms: earache/outer ear infection, sinus pain, headache/migraine, sore throat, enlarged tonsil

Healthcare visit (other): negative covid & strep test

Release 9 — 3 months, dose 2

2021-07-02

Symptoms: Not related to the vaccine or expousure

Release 10 — days 1–6 daily, dose 3

2021-11-25

Systemic reaction (other): Heart rate spike, heart pain, shortness of breath

2021-11-27

Systemic reaction (other): Vertigo

Release 12 — days 1–6 daily, dose 4

2022-12-16

Systemic reaction (other): Lymph node sore near infection site

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	SARS-CoV-2 test negative	✓	✓	✓
HCVO	Streptococcus test negative	✓	✓	✓
SD	Back pain	·	·	✓
SD	Cough	·	·	✓
SD	Ear infection	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Musculoskeletal chest pain	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinus disorder	✓	✓	✓
SD	Sinus pain	✓	✓	✓
SD	Sinusitis	·	·	✓
SD	Tonsillar hypertrophy	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SRO	Angina pectoris	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Dyspnoea	·	·	✓
SRO	Heart rate increased	·	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Periarthritis	✓	✓	✓
SRO	Vertigo	·	·	✓

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