25N-26254-84699

2 vaccinations 7 coded responses 22 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 980 / WA
Registered: 2021-03-20

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

Registered dependents

BV2-28340-73936 Child or adolescent in my care · Male · 2021-11-15

Timeline

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

2021-03-20
Registered in v-safe
2021-03-20
Dose 1 — Pfizer-BioNTech
2021-03-20
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Breast pain — Feeling: Good · Joint pains, Muscle or body aches, Diarrhea

Free text: Repeated stabbing pain in breast- same side as injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-13
Dose 2 — Pfizer-BioNTech
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Breast pain — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Breast pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Breast pain — Feeling: Good

Free text: Breast pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-27
Survey response — day 14, dose 2
MedDRA: Crying, Emotional distress, Insomnia, Pre-existing disease — Feeling: Good

Free text: Super awful emotional. Very unusual for me. Insomnia, cant stop crying. Impossible to say whether its hooray, its almost over with a side of I have to socialize again?! or midlife hormonal garbage, but this is new and messing wi

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-11
Survey response — day 28, dose 2
MedDRA: Diarrhoea, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Continual bad headache and diarrhea for several daysNo way to relate it to vaccine though

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Survey response — day 35, dose 2
MedDRA: Axillary pain, Breast pain, Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe diarrheaReturn of armpit and breast pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-13
Survey response — 6 months, dose 2
MedDRA: Condition aggravated, Hormone level abnormal, Migraine, Pre-existing disease — 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

Free text: Lichen sclerosus that was controlled for ten years with no symptoms flared. Results are horrific and permanent. Migraines have increased in intensity and duration. Were "just" hormonal. Now are more frequent. Might be coincidence. Don't know.

MedDRA releases: 2024-11 · check-in free text available
2021-10-13
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-15
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-20	Pfizer-BioNTech
2	2021-04-13	Pfizer-BioNTech

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-22

Systemic reaction (other): Repeated stabbing pain in breast- same side as injection

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Breast pain

2021-04-16

Systemic reaction (other): Breast pain

Release 8 — day 14, dose 2

2021-04-27

Symptoms: Super awful emotional. Very unusual for me. Insomnia, cant stop crying. Impossible to say whether its hooray, its almost over with a side of I have to socialize again?! or midlife hormonal garbage, but this is new and messing wi

Release 8 — day 28, dose 2

2021-05-11

Symptoms: Continual bad headache and diarrhea for several daysNo way to relate it to vaccine though

Release 8 — day 35, dose 2

2021-05-18

Symptoms: Severe diarrheaReturn of armpit and breast pain

Release 10 — 6 months, dose 2

2021-10-13

Symptoms: Lichen sclerosus that was controlled for ten years with no symptoms flared. Results are horrific and permanent. Migraines have increased in intensity and duration. Were "just" hormonal. Now are more frequent. Might be coincidence. Don't know.

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	Axillary pain	✓	✓	✓
SD	Breast pain	✓	✓	✓
SD	Condition aggravated	·	·	✓
SD	Crying	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Emotional distress	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hormone level abnormal	·	·	✓
SD	Insomnia	✓	✓	✓
SD	Migraine	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Breast pain	✓	✓	✓

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