29L-27280-40087

3 vaccinations 14 coded responses 36 check-ins 13 free-text entries 5 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 483 / MI
Registered: 2020-12-29

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

Timeline

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

2020-12-29
Registered in v-safe
2020-12-29
Dose 1 — Pfizer-BioNTech
2020-12-29
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-01-02
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Stuffy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Nausea

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

Adult check-in
2021-01-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-20
Dose 2 — Pfizer-BioNTech
2021-01-21
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain, Sinus operation — Feeling: Poor · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Sore throat ,sinus drainage

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Survey response — days 1–6 daily, dose 2
MedDRA: Sinus operation, Urticaria — Feeling: Fair · Headache

Free text: Welt on face since yesterday sinus drainage

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — days 1–6 daily, dose 2
MedDRA: Urticaria — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Sinus pressure, welt on face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-24
Survey response — day 35, dose 2
MedDRA: Epistaxis, Headache, Muscle spasms — Feeling: Fair

Free text: Headache muscle spasms nose bleeds

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-25
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-21
Survey response — 6 months, dose 2
MedDRA: Dyspepsia, Gastrooesophageal reflux disease, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I am having increased heartburn, acid reflux. However, I have had this problem in the past.

MedDRA releases: 2024-11 · check-in free text available
2021-07-21
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-27
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-01-20
Dose 3 — Moderna
2022-01-20
Survey response — 12 months, dose 2
MedDRA: Hypoaesthesia, Migraine, Paraesthesia, Vision blurred — Feeling: Fair · 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: Numbness, tingling in fingers, toes and chin. Frequent migranes and blurred vision.

MedDRA releases: 2024-11 · check-in free text available
2022-01-20
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-21
Survey response — days 1–6 daily, dose 3
MedDRA: Eye discharge, Eye swelling — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Eye s swollen and drain

MedDRA releases: 2024-11 · check-in free text available
2022-01-21
Call 1 — Left Voicemail
2022-01-22
Survey response — days 1–6 daily, dose 3
MedDRA: Menstruation irregular — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: I started my menstrual period 2 and a half weeks early.

MedDRA releases: 2024-11 · check-in free text available
2022-01-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches

Adult check-in
2022-01-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2022-01-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2022-01-27
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache

Adult check-in
2022-02-03
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-02-10
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-17
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-02-26
Survey response — day 35, dose 3
MedDRA: Arthralgia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Joint pain has worsened.

MedDRA releases: 2024-11 · check-in free text available
2022-02-26
Report sent to call center — day 35, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-02
Call 1 — Left Voicemail
2022-03-05
Survey response — day 42, dose 3
MedDRA: Arthralgia, Blood pressure increased — Feeling: Fair

Free text: Worsening joint pain increased bp

MedDRA releases: 2024-11 · check-in free text available
2022-04-21
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-07-21
Survey response — 6 months, dose 3
MedDRA: Neck surgery, 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 · Hospitalization

Free text: Neck surgery, heart arth

MedDRA releases: 2024-11 · check-in free text available
2022-07-21
Report sent to call center — 6 months, 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

Hospitalization · 1 call case(s)
2022-07-22
Call successful
Participant prefers to complete VAERS report online
2022-07-22
Call successful
Participant prefers to complete VAERS report online
2022-07-22
Call successful
Participant prefers to complete VAERS report online
2023-01-20
Survey response — 12 months, dose 3
MedDRA: Arthralgia, Muscular weakness, Musculoskeletal chest pain — 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

MedDRA releases: 2024-11
2023-01-20
Report sent to call center — 12 months, 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-23
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Pfizer-BioNTech
2	2021-01-20	Pfizer-BioNTech
3	2022-01-20	Moderna	No

Call center

5 call center cases

4 successful · 1 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-02

Systemic reaction (other): Stuffy

Release 2 — days 1–6 daily, dose 2

2021-01-21

Systemic reaction (other): Sore throat

2021-01-22

Systemic reaction (other): Sore throat ,sinus drainage

2021-01-23

Systemic reaction (other): Welt on face since yesterday sinus drainage

2021-01-24

Systemic reaction (other): Sinus pressure, welt on face

Release 4 — day 35, dose 2

2021-02-24

Symptoms: Headache muscle spasms nose bleeds

Release 9 — 6 months, dose 2

2021-07-21

Symptoms: I am having increased heartburn, acid reflux. However, I have had this problem in the past.

Release 10 — 12 months, dose 2

2022-01-20

Symptoms: Numbness, tingling in fingers, toes and chin. Frequent migranes and blurred vision.

Release 11 — days 1–6 daily, dose 3

2022-01-21

Systemic reaction (other): Eye s swollen and drain

2022-01-22

Systemic reaction (other): I started my menstrual period 2 and a half weeks early.

Release 11 — day 35, dose 3

2022-02-26

Symptoms: Joint pain has worsened.

Release 11 — day 42, dose 3

2022-03-05

Symptoms: Worsening joint pain increased bp

Release 12 — 6 months, dose 3

2022-07-21

Symptoms: Neck surgery, heart arth

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	Arthralgia	·	·	✓
SD	Blood pressure increased	·	·	✓
SD	Dyspepsia	·	·	✓
SD	Epistaxis	✓	✓	✓
SD	Gastrooesophageal reflux disease	·	·	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	·	·	✓
SD	Migraine	·	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Muscular weakness	·	·	✓
SD	Musculoskeletal chest pain	·	·	✓
SD	Neck surgery	·	·	✓
SD	Paraesthesia	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Vision blurred	·	·	✓
SRO	Eye discharge	·	·	✓
SRO	Eye swelling	·	·	✓
SRO	Menstruation irregular	·	·	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Sinus operation	✓	✓	✓
SRO	Upper respiratory tract congestion	○	○	○
SRO	Urticaria	✓	✓	✓

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