2NS-26038-61412

2 vaccinations 7 coded responses 12 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 973 / OR
Registered: 2020-12-30

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

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

2020-12-30
Registered in v-safe
2020-12-30
Dose 1 — Pfizer-BioNTech
2020-12-30
Survey response — day 0, dose 1
MedDRA: Chest pain — Feeling: Good

Free text: A tiny bit of chest pain that lasted about a minute

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: Anxiety, Fatigue — Feeling: Good

Free text: Anxiety 1st day. Tired 2 day. Fine today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
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
2021-01-13
Survey response — day 14, dose 1
MedDRA: Heart rate irregular — Feeling: Fair

Free text: Heart is flip flopping today's

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-20
Survey response — day 21, dose 1
MedDRA: Palpitations — Feeling: Good

Free text: Heart palpatation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Dose 2 — Pfizer-BioNTech
2021-02-04
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-11
Survey response — day 21, dose 2
MedDRA: Abdominal pain upper, Arthralgia, Medical counselling, Muscle spasms, Nausea, Office visit, Pain, Pain in jaw — Feeling: Fair · Be unable to work, 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: Symptoms: Upper jaw pain. Painful to open mouth and chew and R arm joint pain on Thu. Fri pain shifted to left arm joint pain and severe stomach pain. Sat on and off stomach pain. Mon Remicade treatment Nausia severe shoulder chest lower back& groin spasm. · Healthcare visit (other): Contact w/Gastro Dr at Infusion & wound on Mon. Urgent care on Thurs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-19
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-05
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-24
Survey response — 6 months, dose 2
MedDRA: Abdominal pain upper, Anaemia, Peripheral swelling — 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 · Emergency room or emergency department visit, Hospitalization

Free text: Anemia leg swelling and stomach pain

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-24
Report sent to call center — 6 months, dose 2
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)
2021-07-28
Call successful
Participant prefers to complete VAERS report online
2022-01-26
Survey response — 12 months, dose 2
MedDRA: Abscess, Crohn's disease, Fistula, Obstruction, Pre-existing disease — 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, Emergency room or emergency department visit, Hospitalization

Free text: Crohn's worsened. Fistula with abscess and blockage.

MedDRA releases: 2024-11 · check-in free text available
2022-01-26
Report sent to call center — 12 months, dose 2
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 · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-01-27
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Pfizer-BioNTech
2	2021-01-21	Pfizer-BioNTech

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 1 — day 0, dose 1

2020-12-30

Systemic reaction (other): A tiny bit of chest pain that lasted about a minute

Release 1 — days 1–6 daily, dose 1

2021-01-04

Systemic reaction (other): Anxiety 1st day. Tired 2 day. Fine today

Release 1 — day 14, dose 1

2021-01-13

Symptoms: Heart is flip flopping today's

Release 2 — day 21, dose 1

2021-01-20

Symptoms: Heart palpatation

Release 4 — day 21, dose 2

2021-02-11

Symptoms: Upper jaw pain. Painful to open mouth and chew and R arm joint pain on Thu. Fri pain shifted to left arm joint pain and severe stomach pain. Sat on and off stomach pain. Mon Remicade treatment Nausia severe shoulder chest lower back& groin spasm. cut off by CDC

Healthcare visit (other): Contact w/Gastro Dr at Infusion & wound on Mon. Urgent care on Thurs

Release 9 — 6 months, dose 2

2021-07-24

Symptoms: Anemia leg swelling and stomach pain

Release 11 — 12 months, dose 2

2022-01-26

Symptoms: Crohn's worsened. Fistula with abscess and blockage.

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	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Abscess	·	·	✓
SD	Anaemia	✓	·	✓
SD	Arthralgia	✓	✓	✓
SD	Crohn's disease	·	·	✓
SD	Fistula	·	·	✓
SD	Heart rate irregular	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Obstruction	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in jaw	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Peripheral swelling	✓	·	✓
SD	Pre-existing disease	·	·	✓
SRO	Anxiety	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓

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