2JF-23900-82388

5 vaccinations 14 coded responses 41 check-ins 13 free-text entries 8 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 721 / AR
Registered: 2021-02-23

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-23
Registered in v-safe
2021-02-23
Dose 1 — Pfizer-BioNTech
2021-02-23
Survey response — day 0, dose 1
MedDRA: Ear pain, Oropharyngeal pain — Feeling: Good

Free text: Slight sore throat/ ear ache

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 · Site: Pain · Muscle or body aches

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

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-27
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: My body hurt

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — day 7, dose 1
Feeling: Poor · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-16
Dose 2 — Pfizer-BioNTech
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Abdominal pain

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Abdominal pain

Adult check-in
2021-03-23
Health check-in — day 7, dose 2
Feeling: Fair · Fever · Chills

Adult check-in
2021-03-30
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-07
Survey response — day 21, dose 2
MedDRA: Dry mouth, Dry skin, Fatigue, Nasal dryness, Rhinorrhoea — Feeling: Fair

Free text: A lot of dryness in nose, mouth, face and mucus build up in throat. Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-21
Survey response — day 35, dose 2
MedDRA: Abdominal pain, Constipation, Flatulence — Feeling: Good

Free text: Abdominal pain , gassing, constipation upper and lower.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — day 42, dose 2
MedDRA: Gastric disorder — Feeling: Fair

Free text: My stomach problems.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Survey response — 3 months, dose 2
MedDRA: Abdominal pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Abdominal pain on right side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-18
Call 1 — Requested Callback
2021-06-21
Call successful
Participant prefers to complete VAERS report online
2021-09-14
Survey response — 6 months, dose 2
MedDRA: Constipation — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sever constipation. I dont know why. Im eating what I normally eat

MedDRA releases: 2024-11 · check-in free text available
2021-09-14
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-15
Call 1 — Left Voicemail
2021-10-01
Dose 3 — Pfizer-BioNTech
2021-10-01
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-15
Survey response — day 14, dose 3
MedDRA: Cough, Lower respiratory tract infection, Malaise, Medical counselling, Pre-existing disease, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Feel like I'm coming down with something, upper respiratory I have asthma Been coughing and chest cold No fever. Just not feeling well · Healthcare visit (other): Call the office

MedDRA releases: 2024-11 · check-in free text available
2021-10-15
Report sent to call center — day 14, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-21
Call successful
Participant prefers to complete VAERS report online
2021-10-22
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-10-29
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-05
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-11-12
Survey response — day 42, dose 3
MedDRA: Cough, Respiratory disorder, Wheezing — 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: Upper respiratory problems, wheezing, coughing,I don't know if it's related to the boosters vaccine

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Report sent to call center — day 42, 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)
2021-11-15
Call 3 — Left Voicemail
2021-12-31
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-01
Survey response — 6 months, dose 3
MedDRA: COVID-19, Fatigue, Gait disturbance, Unevaluable event — 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 · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, Hospitalization

Free text: I still have fatigue and legs, having difficulty walking since I caught COVID in January.

MedDRA releases: 2024-11 · check-in free text available
2022-04-01
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

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-04-05
Call 2 — Left Voicemail
2022-04-30
Dose 4 — Pfizer-BioNTech
2022-10-06
Dose 5 — Pfizer-BioNTech
2022-10-16
Health check-in — day 7, dose 5
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-20
Survey response — day 14, dose 5
MedDRA: Pain — Feeling: Fair

Free text: Body aches

MedDRA releases: 2024-11 · check-in free text available
2022-10-29
Survey response — day 21, dose 5
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lots of fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-11-05
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-11-10
Survey response — day 35, dose 5
MedDRA: Muscular weakness — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Leg weakness

MedDRA releases: 2024-11 · check-in free text available
2022-11-10
Report sent to call center — day 35, dose 5
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-11
Call 2 — Left Voicemail
2022-11-11
Call 3 — Left Voicemail
2022-11-11
Call 2 — Left Voicemail
2022-11-17
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2023-01-07
Survey response — 3 months, dose 5
MedDRA: Sinusitis — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2023-01-09
Call 1 — Left Voicemail
2023-01-09
Call 1 — Left Voicemail
2023-01-09
Call 1 — Left Voicemail
2023-01-09
Call 1 — Left Voicemail
2023-04-06
Health check-in — 6 months, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-23	Pfizer-BioNTech
2	2021-03-16	Pfizer-BioNTech
3	2021-10-01	Pfizer-BioNTech	No
4	2022-04-30	Pfizer-BioNTech	No
5	2022-10-06	Pfizer-BioNTech	No

Call center

8 call center cases

4 successful · 4 unsuccessful

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-23

Systemic reaction (other): Slight sore throat/ ear ache

Release 4 — days 1–6 daily, dose 1

2021-02-27

Systemic reaction (other): My body hurt

Release 7 — day 21, dose 2

2021-04-07

Symptoms: A lot of dryness in nose, mouth, face and mucus build up in throat. Fatigue

Release 7 — day 35, dose 2

2021-04-21

Symptoms: Abdominal pain , gassing, constipation upper and lower.

Release 8 — day 42, dose 2

2021-04-27

Symptoms: My stomach problems.

Release 9 — 3 months, dose 2

2021-06-16

Symptoms: Abdominal pain on right side

Release 9 — 6 months, dose 2

2021-09-14

Symptoms: Sever constipation. I dont know why. Im eating what I normally eat

Release 10 — day 14, dose 3

2021-10-15

Symptoms: Feel like I'm coming down with something, upper respiratory I have asthma Been coughing and chest cold No fever. Just not feeling well

Healthcare visit (other): Call the office

Release 10 — day 42, dose 3

2021-11-12

Symptoms: Upper respiratory problems, wheezing, coughing,I don't know if it's related to the boosters vaccine

Release 11 — 6 months, dose 3

2022-04-01

Symptoms: I still have fatigue and legs, having difficulty walking since I caught COVID in January.

Release 12 — day 14, dose 5

2022-10-20

Symptoms: Body aches

Release 12 — day 21, dose 5

2022-10-29

Symptoms: Lots of fatigue

Release 12 — day 35, dose 5

2022-11-10

Symptoms: Leg weakness

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	Medical counselling	·	·	✓
SD	Abdominal pain	✓	✓	✓
SD	Constipation	✓	✓	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Dry mouth	✓	✓	✓
SD	Dry skin	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Flatulence	✓	✓	✓
SD	Gait disturbance	·	·	✓
SD	Gastric disorder	✓	✓	✓
SD	Lower respiratory tract infection	·	·	✓
SD	Malaise	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Nasal dryness	✓	✓	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory disorder	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sinusitis	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Wheezing	·	·	✓
SRO	Ear pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓

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