2AP-27101-92010

3 vaccinations 11 coded responses 31 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 151 / PA
Registered: 2021-04-13

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

2021-04-08
Dose 1 — Pfizer-BioNTech
2021-04-13
Registered in v-safe
2021-04-13
Survey response — days 1–6 daily, dose 1
MedDRA: Asthma — Feeling: Fair · Headache, Muscle or body aches

Free text: Asthma symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains

Adult check-in
2021-04-15
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-22
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-29
Dose 2 — Pfizer-BioNTech
2021-04-29
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Fair · Headache · Be unable to do your normal daily activities

Free text: Light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches · Be unable to work

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Nausea

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-06
Health check-in — day 7, dose 2
Feeling: Fair · Headache

Adult check-in
2021-05-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-20
Survey response — day 21, dose 2
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Constant headache. Literally nonstop.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-29
Survey response — 3 months, dose 2
MedDRA: Headache, Influenza like illness, Vision blurred — Feeling: Fair

Free text: Headaches, blurred vision, flu-like symptoms

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-28
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-09
Dose 3 — Pfizer-BioNTech
2021-11-11
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-12
Survey response — days 1–6 daily, dose 3
MedDRA: Chest pain — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Chest pains

MedDRA releases: 2024-11 · check-in free text available
2021-11-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-14
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
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Swelling, Itching · None

Adult check-in
2021-11-16
Survey response — day 7, dose 3
MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Site: Redness, Swelling

Free text: Sore throat, cough

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Survey response — day 14, dose 3
MedDRA: Abdominal discomfort, Chest discomfort, Cough, Diarrhoea, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaxhe, heaviness in my chesr with a cough, upset stomaxh, diarrhea

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-16
Survey response — day 35, dose 3
MedDRA: Cough, Dyspnoea, Headache — Feeling: Poor · Be unable to do your normal daily activities

Free text: Headache, cough, shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2021-12-21
Survey response — day 42, dose 3
MedDRA: Cough, Dyspnoea, Headache, Oropharyngeal pain, Photophobia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache, sore throat, cough, shortness of breath, extreme sensitivity to light

MedDRA releases: 2024-11 · check-in free text available
2022-02-08
Survey response — 3 months, dose 3
MedDRA: Headache, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school

Free text: Sore throat, headache, but tested negative for COVID

MedDRA releases: 2024-11 · check-in free text available
2022-05-10
Survey response — 6 months, dose 3
MedDRA: Arthralgia, Cerebrospinal fluid leakage, Dizziness, Headache, Hyperacusis, Neck pain, Office visit, Photophobia — 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

Free text: Symptoms: Headaches, dizziness, sensitivity to light and sound, pain in neck and shoulders, leakage of cerebrospinal fluid · Healthcare visit (other): PCP, Neurologist

MedDRA releases: 2024-11 · check-in free text available
2022-05-10
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

1 call case(s)
2022-05-11
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-08	Pfizer-BioNTech
2	2021-04-29	Pfizer-BioNTech
3	2021-11-09	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-13

Systemic reaction (other): Asthma symptoms

Release 8 — day 0, dose 2

2021-04-29

Systemic reaction (other): Light headed

Release 8 — day 21, dose 2

2021-05-20

Symptoms: Constant headache. Literally nonstop.

Release 9 — 3 months, dose 2

2021-07-29

Symptoms: Headaches, blurred vision, flu-like symptoms

Release 10 — days 1–6 daily, dose 3

2021-11-12

Systemic reaction (other): Chest pains

Release 10 — day 7, dose 3

2021-11-16

Systemic reaction (other): Sore throat, cough

Release 10 — day 14, dose 3

2021-11-23

Symptoms: Headaxhe, heaviness in my chesr with a cough, upset stomaxh, diarrhea

Release 10 — day 35, dose 3

2021-12-16

Symptoms: Headache, cough, shortness of breath

Release 10 — day 42, dose 3

2021-12-21

Symptoms: Headache, sore throat, cough, shortness of breath, extreme sensitivity to light

Release 11 — 3 months, dose 3

2022-02-08

Symptoms: Sore throat, headache, but tested negative for COVID

Release 11 — 6 months, dose 3

2022-05-10

Symptoms: Headaches, dizziness, sensitivity to light and sound, pain in neck and shoulders, leakage of cerebrospinal fluid

Healthcare visit (other): PCP, Neurologist

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	·	·	✓
SD	Abdominal discomfort	·	·	✓
SD	Arthralgia	·	·	✓
SD	Cerebrospinal fluid leakage	·	·	✓
SD	Chest discomfort	·	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dizziness	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Headache	✓	✓	✓
SD	Hyperacusis	·	·	✓
SD	Influenza like illness	✓	·	✓
SD	Neck pain	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Photophobia	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Vision blurred	✓	·	✓
SRO	Asthma	✓	✓	✓
SRO	Chest pain	·	·	✓
SRO	Cough	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓

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