2VL-14802-61966

5 vaccinations 15 coded responses 66 check-ins 15 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 321 / FL
Registered: 2021-01-29

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

2021-01-28
Dose 1 — Pfizer-BioNTech
2021-01-29
Registered in v-safe
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches

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

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-11
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site swelling — Feeling: Fair

Free text: Skin reddening at injection site w/ slight swelling, but no pain or itch.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Dose 2 — Pfizer-BioNTech
2021-02-18
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Nausea

Adult check-in
2021-02-25
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-04
Survey response — day 14, dose 2
MedDRA: Abdominal discomfort, Abnormal faeces, Faeces discoloured, Fatigue, Flatulence, Frequent bowel movements, Nausea, Pyrexia — Feeling: Good · Be unable to do your normal daily activities

Free text: Extreme fatigue on a few days, and a couple days of feeling feverish. Also occasional GI distress (gas, nausea, uncharacteristic bowel movements- greater frequency, different color and texture than normal, but not diarrhea or constipation)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — day 21, dose 2
MedDRA: Dyspepsia, Hypothyroidism, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Digestive upset- may have nothing to do w/ this though- newly diagnosed hypothyroidism in the last year(prior to Covid) - so could be related. Began Synthroid about 6/2020. Helped some symptoms but digestive upset seems 2 be worsening since shot #2.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-19
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-04
Dose 3 — Pfizer-BioNTech
2021-10-04
Health check-in — day 0, dose 3
Feeling: Good · None

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: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-10-07
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2021-10-10
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Fair · Joint pains

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2021-10-11
Survey response — day 7, dose 3
MedDRA: No adverse event — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-10-25
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-01
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-08
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-11-15
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-03
Survey response — 3 months, dose 3
MedDRA: Anxiety, Cough, Myalgia, Oropharyngeal pain, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Wicked sore throat, mild fever, congestion, cough, muscle pain, anxiety

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-01-04
Call 1 — Left Voicemail
2022-01-05
Call successful
Participant prefers to complete VAERS report online
2022-04-04
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-25
Dose 4 — Pfizer-BioNTech
2022-05-25
Survey response — day 0, dose 4
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-05-26
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches

Adult check-in
2022-05-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches

Adult check-in
2022-05-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches

Adult check-in
2022-05-30
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2022-05-31
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-01
Health check-in — day 7, dose 4
Feeling: Good · Diarrhea

Adult check-in
2022-06-08
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-17
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-22
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-29
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-06
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-24
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-02
Dose 5 — Pfizer-BioNTech
2022-10-02
Health check-in — day 0, dose 5
Feeling: Good · None

Adult check-in
2022-10-03
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2022-10-04
Survey response — days 1–6 daily, dose 5
MedDRA: No adverse event — Feeling: Fair · Site: Pain · Headache, Joint pains, Diarrhea

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-10-05
Survey response — days 1–6 daily, dose 5
MedDRA: No adverse event — Feeling: Good · Muscle or body aches

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-10-06
Survey response — days 1–6 daily, dose 5
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-10-07
Survey response — days 1–6 daily, dose 5
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-10-08
Survey response — days 1–6 daily, dose 5
MedDRA: No adverse event — Feeling: Poor · Joint pains, Muscle or body aches

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-10-09
Survey response — day 7, dose 5
MedDRA: No adverse event — Feeling: Good · Joint pains, Muscle or body aches

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-10-16
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-23
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-30
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-06
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-13
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2023-01-01
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-02
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-28	Pfizer-BioNTech
2	2021-02-18	Pfizer-BioNTech
3	2021-10-04	Pfizer-BioNTech	No
4	2022-05-25	Pfizer-BioNTech	No
5	2022-10-02	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — day 14, dose 1

2021-02-11

Symptoms: Skin reddening at injection site w/ slight swelling, but no pain or itch.

Release 5 — day 14, dose 2

2021-03-04

Symptoms: Extreme fatigue on a few days, and a couple days of feeling feverish. Also occasional GI distress (gas, nausea, uncharacteristic bowel movements- greater frequency, different color and texture than normal, but not diarrhea or constipation)

Release 5 — day 21, dose 2

2021-03-11

Symptoms: Digestive upset- may have nothing to do w/ this though- newly diagnosed hypothyroidism in the last year(prior to Covid) - so could be related. Began Synthroid about 6/2020. Helped some symptoms but digestive upset seems 2 be worsening since shot #2. cut off by CDC

Release 10 — days 1–6 daily, dose 3

2021-10-07

Systemic reaction (other): No

2021-10-08

Systemic reaction (other): No

2021-10-10

Systemic reaction (other): No

Release 10 — day 7, dose 3

2021-10-11

Systemic reaction (other): No

Release 10 — 3 months, dose 3

2022-01-03

Symptoms: Wicked sore throat, mild fever, congestion, cough, muscle pain, anxiety

Release 11 — day 0, dose 4

2022-05-25

Systemic reaction (other): No

Release 12 — days 1–6 daily, dose 5

2022-10-04

Systemic reaction (other): No

2022-10-05

Systemic reaction (other): No

2022-10-06

Systemic reaction (other): No

2022-10-07

Systemic reaction (other): No

2022-10-08

Systemic reaction (other): No

Release 12 — day 7, dose 5

2022-10-09

Systemic reaction (other): No

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 discomfort	✓	✓	✓
SD	Abnormal faeces	✓	✓	✓
SD	Anxiety	·	·	✓
SD	Cough	·	·	✓
SD	Dyspepsia	✓	✓	✓
SD	Faeces discoloured	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Flatulence	✓	✓	✓
SD	Frequent bowel movements	✓	✓	✓
SD	Hypothyroidism	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SRO	No adverse event	·	·	✓

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