25S-23692-35162

5 vaccinations 15 coded responses 47 check-ins 13 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 604 / IL
Registered: 2021-01-13

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

2021-01-13
Registered in v-safe
2021-01-13
Dose 1 — Pfizer-BioNTech
2021-01-13
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-03
Dose 2 — Pfizer-BioNTech
2021-02-03
Health check-in — day 0, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-12
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-02-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-03
Survey response — day 28, dose 2
MedDRA: Headache — Feeling: Fair

Free text: Headache on one side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-17
Survey response — day 42, dose 2
MedDRA: Arthralgia, Headache — Feeling: Fair

Free text: Headache with still very mild joint pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-05
Survey response — 6 months, dose 2
MedDRA: Cough, Sinus congestion, Sneezing — Feeling: Fair

Free text: Sneezing often, which I never had an issue with in 73 years. Some stuffy sinus issues with slight cough. No congestion or fever. I will test today just to be safe.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-25
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-09-25
Health check-in — day 0, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-09-28
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school

Free text: I had received the flu shot with the booster

MedDRA releases: 2024-11 · check-in free text available
2021-09-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-02
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-10
Survey response — day 14, dose 3
MedDRA: Fatigue, Injection site discolouration, Injection site pain — Feeling: Fair

Free text: Fatigue and injection site still sore and pink in color, larger then a quarter.

MedDRA releases: 2024-11 · check-in free text available
2021-10-16
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-10-23
Survey response — day 28, dose 3
MedDRA: Swelling — Feeling: Fair

Free text: Received shot on left arm, still have minor swelling on left side of neck starting behind ear down neck.

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Survey response — day 35, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair

Free text: Still have the swollen glands behind left ear. 3rd vaccine left arm.

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-12-26
Survey response — 3 months, dose 3
MedDRA: Nasal congestion, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school

Free text: Stuffy nose and running nose. All the staff at work are vaccinated and and 5 tested positive. I have not tested. Stayung home.

MedDRA releases: 2024-11 · check-in free text available
2022-03-26
Survey response — 6 months, dose 3
MedDRA: Cough, Respiratory symptom, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school

Free text: Jan 1 through 15, had very bad respiratory symptons and tested negative x3 for covid. Still having a lingering dry cough. Still neg fo covid.

MedDRA releases: 2024-11 · check-in free text available
2022-04-15
Dose 4 — Pfizer-BioNTech
2022-04-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-22
Health check-in — day 7, dose 4
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-29
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-07
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-15
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-20
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-27
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-16
Survey response — 3 months, dose 4
MedDRA: Cough, Headache — Feeling: Fair

Free text: Cough and headache

MedDRA releases: 2024-11 · check-in free text available
2022-10-08
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-17
Health check-in — day 7, dose 5
Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness

Adult check-in
2022-10-23
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-10-29
Survey response — day 21, dose 5
MedDRA: Fatigue, Hypoaesthesia, Paraesthesia, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Having tingling and numbness all over body with fatigue that was slight now getting progressive. · Healthcare visit (other): Going to see doctor for furthrer evaluation

MedDRA releases: 2024-11 · check-in free text available
2022-10-29
Report sent to call center — day 21, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-31
Call successful
Does not wish to fill out VAERS report
2022-11-06
Survey response — day 28, dose 5
MedDRA: Antinuclear antibody positive, C-reactive protein increased, Laboratory test abnormal, Office visit, Red blood cell sedimentation rate increased — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Positive lab results, C REACTIVE PROTEIN 30.9, ANA PATTERN ABNORMAL, SED RATE 79, ANTINULAR AB 1:80, FOLLOW UP VISIT NOV 14. · Healthcare visit (other): Office visit

MedDRA releases: 2024-11 · check-in free text available
2022-11-06
Report sent to call center — day 28, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-11-07
Call successful
Participant prefers to complete VAERS report online
2022-11-12
Survey response — day 35, dose 5
MedDRA: Asthenia, Hypoaesthesia, Laboratory test abnormal, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Contunued weakness, numbness and tingling. Going to a specialist on Monday to evaluate abnormal labs reported last week that is referencing a autoinmune condition.

MedDRA releases: 2024-11 · check-in free text available
2023-01-07
Survey response — 3 months, dose 5
MedDRA: Hypoaesthesia, Office visit, Paraesthesia — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-01-07
Report sent to call center — 3 months, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2023-01-10
Call 1 — Left Voicemail
2023-04-12
Survey response — 6 months, dose 5
MedDRA: Fatigue, Hypoaesthesia, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Pfizer-BioNTech
2	2021-02-03	Pfizer-BioNTech
3	2021-09-25	Pfizer-BioNTech	Flu
4	2022-04-15	Pfizer-BioNTech	No
5	2022-10-08	Pfizer-BioNTech	Flu

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 5 — day 28, dose 2

2021-03-03

Symptoms: Headache on one side

Release 5 — day 42, dose 2

2021-03-17

Symptoms: Headache with still very mild joint pain.

Release 9 — 6 months, dose 2

2021-08-05

Symptoms: Sneezing often, which I never had an issue with in 73 years. Some stuffy sinus issues with slight cough. No congestion or fever. I will test today just to be safe.

Release 9 — days 1–6 daily, dose 3

2021-09-28

Systemic reaction (other): I had received the flu shot with the booster

Release 10 — day 14, dose 3

2021-10-10

Symptoms: Fatigue and injection site still sore and pink in color, larger then a quarter.

Release 10 — day 28, dose 3

2021-10-23

Symptoms: Received shot on left arm, still have minor swelling on left side of neck starting behind ear down neck.

Release 10 — day 35, dose 3

2021-10-30

Symptoms: Still have the swollen glands behind left ear. 3rd vaccine left arm.

Release 10 — 3 months, dose 3

2021-12-26

Symptoms: Stuffy nose and running nose. All the staff at work are vaccinated and and 5 tested positive. I have not tested. Stayung home.

Release 11 — 6 months, dose 3

2022-03-26

Symptoms: Jan 1 through 15, had very bad respiratory symptons and tested negative x3 for covid. Still having a lingering dry cough. Still neg fo covid.

Release 12 — 3 months, dose 4

2022-07-16

Symptoms: Cough and headache

Release 12 — day 21, dose 5

2022-10-29

Symptoms: Having tingling and numbness all over body with fatigue that was slight now getting progressive.

Healthcare visit (other): Going to see doctor for furthrer evaluation

Release 12 — day 28, dose 5

2022-11-06

Symptoms: Positive lab results, C REACTIVE PROTEIN 30.9, ANA PATTERN ABNORMAL, SED RATE 79, ANTINULAR AB 1:80, FOLLOW UP VISIT NOV 14.

Healthcare visit (other): Office visit

Release 12 — day 35, dose 5

2022-11-12

Symptoms: Contunued weakness, numbness and tingling. Going to a specialist on Monday to evaluate abnormal labs reported last week that is referencing a autoinmune condition.

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	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Antinuclear antibody positive	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Asthenia	·	·	✓
SD	C-reactive protein increased	·	·	✓
SD	Cough	✓	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	·	·	✓
SD	Injection site discolouration	·	·	✓
SD	Injection site pain	·	·	✓
SD	Laboratory test abnormal	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Paraesthesia	·	·	✓
SD	Red blood cell sedimentation rate increased	·	·	✓
SD	Respiratory symptom	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinus congestion	✓	·	✓
SD	Sneezing	✓	·	✓
SD	Swelling	·	·	✓
SRO	Unevaluable event	·	·	✓

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