2AW-90388-03023

2 vaccinations 10 coded responses 21 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 196 / PA
Registered: 2022-01-14

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

2022-01-14
Registered in v-safe
2022-01-14
Dose 1 — Pfizer-BioNTech
2022-01-14
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2022-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Heart rate increased — Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Fast heart beat

MedDRA releases: 2024-11 · check-in free text available
2022-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Asthma, Pre-existing disease — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities

Free text: Asthma acting up

MedDRA releases: 2024-11 · check-in free text available
2022-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Asthma — Feeling: Good · Fatigue or tiredness

Free text: Asthma

MedDRA releases: 2024-11 · check-in free text available
2022-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Asthma — Feeling: Fair · Fatigue or tiredness

Free text: Asthma

MedDRA releases: 2024-11 · check-in free text available
2022-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-01-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2022-01-21
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-02-04
Dose 2 — Pfizer-BioNTech
2022-02-04
Health check-in — day 0, dose 2
Feeling: Fair · None

Adult check-in
2022-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-02-11
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Nausea

Adult check-in
2022-02-18
Survey response — day 14, dose 2
MedDRA: Pre-existing disease, Systemic lupus erythematosus — Feeling: Fair · Be unable to do your normal daily activities

Free text: Have a lupus flair since vaccine

MedDRA releases: 2024-11 · check-in free text available
2022-02-25
Survey response — day 21, dose 2
MedDRA: Lymphadenopathy, Pre-existing disease, Systemic lupus erythematosus — Feeling: Fair

Free text: Lupus flair swollen lymp nodes under arm

MedDRA releases: 2024-11 · check-in free text available
2022-03-04
Survey response — day 28, dose 2
MedDRA: Arthralgia, Musculoskeletal pain, Vaccination site pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain in shoulder and shoulder blade . And where vaccine was given.

MedDRA releases: 2024-11 · check-in free text available
2022-03-11
Survey response — day 35, dose 2
MedDRA: Mobility decreased, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Vaccine caused big problem in my arm. Not same day as shot. From my shoulder to my ulnar nerve in elbow. And least two weeks. And a week of not being able to lift my arm. I had to kind of pick it up. Thats gone but still have pain

MedDRA releases: 2024-11 · check-in free text available
2022-03-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-08-07
Survey response — 6 months, dose 2
MedDRA: Blood magnesium decreased, Fatigue, Pre-existing disease, Systemic lupus erythematosus, Vision blurred — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Low magnesium, blurred vision, lupus flairs. Fatique

MedDRA releases: 2024-11 · check-in free text available
2022-08-07
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-08-08
Call successful
Does not wish to fill out VAERS report
2023-02-06
Survey response — 12 months, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-02-06
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-02-07
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2022-01-14	Pfizer-BioNTech	No
2	2022-02-04	Pfizer-BioNTech	No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 1

2022-01-15

Systemic reaction (other): Fast heart beat

2022-01-16

Systemic reaction (other): Asthma acting up

2022-01-17

Systemic reaction (other): Asthma

2022-01-18

Systemic reaction (other): Asthma

Release 11 — day 14, dose 2

2022-02-18

Symptoms: Have a lupus flair since vaccine

Release 11 — day 21, dose 2

2022-02-25

Symptoms: Lupus flair swollen lymp nodes under arm

Release 11 — day 28, dose 2

2022-03-04

Symptoms: Pain in shoulder and shoulder blade . And where vaccine was given.

Release 11 — day 35, dose 2

2022-03-11

Symptoms: Vaccine caused big problem in my arm. Not same day as shot. From my shoulder to my ulnar nerve in elbow. And least two weeks. And a week of not being able to lift my arm. I had to kind of pick it up. Thats gone but still have pain

Release 12 — 6 months, dose 2

2022-08-07

Symptoms: Low magnesium, blurred vision, lupus flairs. Fatique

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 magnesium decreased	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Mobility decreased	·	·	✓
SD	Musculoskeletal pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Systemic lupus erythematosus	·	·	✓
SD	Vaccination site pain	·	·	✓
SD	Vision blurred	·	·	✓
SRO	Asthma	·	·	✓
SRO	Heart rate increased	·	·	✓
SRO	Pre-existing disease	·	·	✓

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