2AA-30507-94473

4 vaccinations 15 coded responses 40 check-ins 14 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 209 / MD
Registered: 2021-02-19

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

2021-02-19
Registered in v-safe
2021-02-19
Dose 1 — Pfizer-BioNTech
2021-02-19
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-20
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain — Feeling: Good · Site: Pain · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Abdominal pain was yesterday after getting home from receiving vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-22
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal discomfort — Feeling: Good · Fatigue or tiredness

Free text: Abdominal and stomach discomfort since injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-28
Survey response — day 7, dose 1
MedDRA: Headache, Pain — Feeling: Good · Fatigue or tiredness

Free text: I realized since injection I had more aches and headaches than usual, but seems to be subsiding now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — day 14, dose 1
MedDRA: Headache — Feeling: Fair

Free text: Headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Dose 2 — Pfizer-BioNTech
2021-03-12
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Breast pain, Myalgia, Nipple pain — Feeling: Good · Site: Redness, Itching

Free text: Soreness in left(injection left arm)pectoral, breast and nipple no longer sore.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-11
Survey response — 3 months, dose 2
MedDRA: Abdominal pain, Dyspepsia, Gastrooesophageal reflux disease, Weight decreased — Feeling: Fair

Free text: Its actually a continuing digestive upset, i had initial abdominal pain after on 1st day of 1st vaccination and problems digesting regular diet, increase in acid reflux and weight loss, but I cannot be sure it is a side effect of vaccination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-10
Survey response — 6 months, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Chronic fatigue, but that was after my 1st Shingles vaccine about 1 month ago

MedDRA releases: 2024-11 · check-in free text available
2021-10-17
Dose 3 — Pfizer-BioNTech
2021-10-22
Survey response — days 1–6 daily, dose 3
MedDRA: Pruritus — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Very itchy all over began day after vaccination

MedDRA releases: 2024-11 · check-in free text available
2021-10-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-24
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-31
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-07
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-14
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-21
Survey response — day 35, dose 3
MedDRA: Brain fog, Ear pain, Fatigue, Oropharyngeal pain, Pruritus, SARS-CoV-2 test negative — Feeling: Poor · 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: Ear pain, sore throat, fatigue, brain fog. Negative COVID test. Recap: For 10 days after booster shot had really itchy skin.

MedDRA releases: 2024-11 · check-in free text available
2021-11-21
Report sent to call center — day 35, dose 3
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)
2021-11-28
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-12-01
Call successful
Participant prefers to complete VAERS report online
2022-01-16
Survey response — 3 months, dose 3
MedDRA: Abdominal pain, Gastrointestinal disorder, Office visit, Reaction to previous exposure to any vaccine — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: It's actually a continuing problem, digestive problems that have continued after I experienced abdominal pain after 1st vaccination. · Healthcare visit (other): Gastroenerologist

MedDRA releases: 2024-11 · check-in free text available
2022-01-16
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-17
Call 1 — Left Voicemail
2022-04-14
Dose 4 — Pfizer-BioNTech
2022-04-17
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-04-18
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-04-19
Survey response — days 1–6 daily, dose 4
MedDRA: Oropharyngeal pain — Feeling: Fair · Fatigue or tiredness

Free text: Day after booster mild sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-04-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-21
Survey response — day 7, dose 4
MedDRA: Rash — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: 4 days ago noticed light rash top of thigh, dime size

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Survey response — day 14, dose 4
MedDRA: Tinnitus — Feeling: Good

Free text: Tinnitus is so much worse since booster

MedDRA releases: 2024-11 · check-in free text available
2022-05-05
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-12
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-19
Survey response — day 35, dose 4
MedDRA: Abdominal pain, Diverticulum, Gastritis, Gastrointestinal disorder, Pre-existing disease, Self-medication, Weight decreased, Weight increased — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Abdominal pain, digestive issues. Last year when I received 1st vaccine, I had abdominal pain, my digestion was bad all last year, I lost weight and had to supplement my diet with protein drinks, was diagnosed in Jan '22 with Gastritis & Diverticulos · Healthcare visit (other): Colonoscopy and Gastroscopy, taking proton pump inhibitor and Metamucil, was starting to feel better and put on weight, but after 2nd booster symptoms have increased. I already had GERD, so hard to tell if vaccine made things worse or not

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Report sent to call center — day 35, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-20
Call successful
Participant prefers to complete VAERS report online
2022-10-15
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2023-04-14
Survey response — 12 months, dose 4
MedDRA: Bradykinesia, Brain fog, Cognitive disorder, Fatigue — Feeling: Good

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-19	Pfizer-BioNTech
2	2021-03-12	Pfizer-BioNTech
3	2021-10-17	Pfizer-BioNTech	No
4	2022-04-14	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-20

Systemic reaction (other): Abdominal pain was yesterday after getting home from receiving vaccine

2021-02-22

Systemic reaction (other): Abdominal and stomach discomfort since injection

Release 4 — day 7, dose 1

2021-02-28

Systemic reaction (other): I realized since injection I had more aches and headaches than usual, but seems to be subsiding now.

Release 5 — day 14, dose 1

2021-03-05

Symptoms: Headaches

Release 5 — days 1–6 daily, dose 2

2021-03-16

Systemic reaction (other): Soreness in left(injection left arm)pectoral, breast and nipple no longer sore.

Release 9 — 3 months, dose 2

2021-06-11

Symptoms: Its actually a continuing digestive upset, i had initial abdominal pain after on 1st day of 1st vaccination and problems digesting regular diet, increase in acid reflux and weight loss, but I cannot be sure it is a side effect of vaccination.

Release 9 — 6 months, dose 2

2021-09-10

Symptoms: Chronic fatigue, but that was after my 1st Shingles vaccine about 1 month ago

Release 10 — days 1–6 daily, dose 3

2021-10-22

Systemic reaction (other): Very itchy all over began day after vaccination

Release 10 — day 35, dose 3

2021-11-21

Symptoms: Ear pain, sore throat, fatigue, brain fog. Negative COVID test. Recap: For 10 days after booster shot had really itchy skin.

Release 10 — 3 months, dose 3

2022-01-16

Symptoms: It's actually a continuing problem, digestive problems that have continued after I experienced abdominal pain after 1st vaccination.

Healthcare visit (other): Gastroenerologist

Release 11 — days 1–6 daily, dose 4

2022-04-19

Systemic reaction (other): Day after booster mild sore throat

Release 11 — day 7, dose 4

2022-04-21

Systemic reaction (other): 4 days ago noticed light rash top of thigh, dime size

Release 11 — day 14, dose 4

2022-04-28

Symptoms: Tinnitus is so much worse since booster

Release 11 — day 35, dose 4

2022-05-19

Symptoms: Abdominal pain, digestive issues. Last year when I received 1st vaccine, I had abdominal pain, my digestion was bad all last year, I lost weight and had to supplement my diet with protein drinks, was diagnosed in Jan '22 with Gastritis & Diverticulos cut off by CDC

Healthcare visit (other): Colonoscopy and Gastroscopy, taking proton pump inhibitor and Metamucil, was starting to feel better and put on weight, but after 2nd booster symptoms have increased. I already had GERD, so hard to tell if vaccine made things worse or not

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	Pre-existing disease	·	·	✓
HCVO	Self-medication	·	·	✓
HCVO	Weight increased	·	·	✓
SD	Abdominal pain	✓	✓	✓
SD	Bradykinesia	·	·	✓
SD	Brain fog	·	·	✓
SD	Cognitive disorder	·	·	✓
SD	Diverticulum	·	·	✓
SD	Dyspepsia	✓	✓	✓
SD	Ear pain	·	·	✓
SD	Fatigue	·	·	✓
SD	Gastritis	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Gastrooesophageal reflux disease	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pruritus	·	·	✓
SD	Reaction to previous exposure to any vaccine	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Tinnitus	·	·	✓
SD	Weight decreased	✓	✓	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Breast pain	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Nipple pain	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Pruritus	·	·	✓
SRO	Rash	·	·	✓

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