2S8-22670-86925

4 vaccinations 5 coded responses 26 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 535 / WI
Registered: 2021-01-12

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

2021-01-12
Registered in v-safe
2021-01-12
Dose 1 — Pfizer-BioNTech
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-20
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-02
Dose 2 — Pfizer-BioNTech
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort — Feeling: Good · Headache

Free text: Slight chest tightening/sharp

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-24
Survey response — day 21, dose 2
MedDRA: Abdominal pain upper, Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue. On and off headaches. Some chills. Stomach aching probably unrelated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-16
Survey response — day 42, dose 2
MedDRA: Abdominal pain upper — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Stomach pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-04
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-08-30
Dose 3 — Pfizer-BioNTech
2021-09-29
Survey response — day 28, dose 3
MedDRA: Arthralgia, Breast enlargement, Breast pain, Connective tissue disorder, Fatigue, Neck pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Probably not vaccine related. Breasts are larger and somewhat painful connective tissue stuff. My hips hurt and my neck hurts. My legs hurt. More fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-12-28
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-03
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-03-18
Dose 4 — Pfizer-BioNTech
2022-06-17
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-18
Survey response — 6 months, dose 4
MedDRA: Arthralgia, Fatigue, Neck pain, Pre-existing disease, Spinal pain — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Fatigue which is most likely connected to decrease in synthroid . My joints hurt about 12 hours after the injection and they still really hurt. My hips hurt and my neck and the base of my spine.

MedDRA releases: 2024-11 · check-in free text available
2022-09-18
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-09-19
Call successful
Does not wish to fill out VAERS report
2023-03-18
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-12	Pfizer-BioNTech
2	2021-02-02	Pfizer-BioNTech
3	2021-08-30	Pfizer-BioNTech	No
4	2022-03-18	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-03

Systemic reaction (other): Slight chest tightening/sharp

Release 4 — day 21, dose 2

2021-02-24

Symptoms: Fatigue. On and off headaches. Some chills. Stomach aching probably unrelated

Release 5 — day 42, dose 2

2021-03-16

Symptoms: Stomach pain

Release 9 — day 28, dose 3

2021-09-29

Symptoms: Probably not vaccine related. Breasts are larger and somewhat painful connective tissue stuff. My hips hurt and my neck hurts. My legs hurt. More fatigue

Release 12 — 6 months, dose 4

2022-09-18

Symptoms: Fatigue which is most likely connected to decrease in synthroid . My joints hurt about 12 hours after the injection and they still really hurt. My hips hurt and my neck and the base of my spine.

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	Abdominal pain upper	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Breast enlargement	·	·	✓
SD	Breast pain	·	·	✓
SD	Connective tissue disorder	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Neck pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Spinal pain	·	·	✓
SRO	Chest discomfort	✓	✓	✓

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