33S-21574-89327

3 vaccinations 22 coded responses 38 check-ins 21 free-text entries 6 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 967 / HI
Registered: 2021-02-18

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

2021-02-18
Registered in v-safe
2021-02-18
Dose 1 — Pfizer-BioNTech
2021-02-18
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-02-22
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Poor · Site: Pain · Chills, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — days 1–6 daily, dose 1
MedDRA: Medical counselling, Pruritus — Feeling: Fair · Chills, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Itchiness · Healthcare visit (other): Called nurse line

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-24
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite, Ear pain, Weight decreased — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Ear ache, lack of appetite, unexpected weight loss (8 lb)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — day 7, dose 1
MedDRA: Decreased appetite — Feeling: Fair · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Low appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — day 14, dose 1
MedDRA: Chills, Decreased appetite, Ear infection, Fatigue, Feeling abnormal, Ovulation delayed — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Fatigue remains significant and worsens after days with more activity. Decreased appetite. Chills. Brain fog. Ear infection. Delayed ovulation.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Dose 2 — Pfizer-BioNTech
2021-03-11
Survey response — day 0, dose 2
MedDRA: Immediate post-injection reaction, Oropharyngeal pain — Feeling: Fair · Site: Pain · Joint pains · Be unable to do your normal daily activities

Free text: Throat soreness started 10 min after 2nd dose. Nurse dismissed in spite of allergy history.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Aphonia, Cough, Oropharyngeal pain, Unevaluable event — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Coughing, sore through, loss of voice · Healthcare visit (other): Attempted calling and telehealth. Could not get appointment and cant talk now so no option. Clinic has not responded.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Report sent to call center — days 1–6 daily, 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)
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Oropharyngeal pain, Pyrexia — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Significantly better coughing and sore throat. Voice returned. Fever broke in the early am.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Dysphonia, Oropharyngeal pain — Feeling: Fair · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Mild sore throat- voice still soft. Significant ongoing improvement.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-18
Survey response — day 7, dose 2
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Tingling and numbness in arm where shot was given, from shoulder to hand.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — day 14, dose 2
MedDRA: Brain fog, Fatigue, Feeling abnormal, Pain in extremity — Feeling: Good

Free text: Ongoing soreness in injected arm and minor fatigue and brain fog.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — day 21, dose 2
MedDRA: Abdominal pain, Constipation, Diarrhoea, Fatigue, Haemorrhage — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue ongoingDigestive pain with Alternating consolation and loose stools; bleeding

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-22
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-10
Survey response — 3 months, dose 2
MedDRA: Headache, Hypersensitivity — Feeling: Good · Be unable to work, 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: Increased headaches, new allergies. May be stress and environment related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Report sent to call center — 3 months, 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)
2021-06-21
Call successful
Participant prefers to complete VAERS report online
2021-06-21
Call successful
Participant prefers to complete VAERS report online
2021-06-21
Call successful
Participant prefers to complete VAERS report online
2021-09-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-11
Dose 3 — Pfizer-BioNTech
2022-02-12
Survey response — days 1–6 daily, dose 3
MedDRA: Pyrexia — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fever was 1.5 h after talking prescription aleve for pain.

MedDRA releases: 2024-11 · check-in free text available
2022-02-13
Survey response — days 1–6 daily, dose 3
MedDRA: Infectious mononucleosis, Lymphadenopathy, Medical counselling, Oropharyngeal pain, Sneezing — Feeling: Fair · Site: Pain, Swelling · Joint pains, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Swollen lymph nodes in both armpits; larger on left side (vaccine received in left arm). Moderate sore throat, mild sneezing. Better than yesterday. (Hopefully in final stages of recovering from mono- dr. Approved getting booster)

MedDRA releases: 2024-11 · check-in free text available
2022-02-14
Survey response — days 1–6 daily, dose 3
MedDRA: Balance disorder, Dizziness, Lymphadenopathy, Oropharyngeal pain — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Free text: Swollen lymph nodes in both armpits; bigger in v side. Mild balance/dizziness issues. Mild sore throat.

MedDRA releases: 2024-11 · check-in free text available
2022-02-16
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Headache, Joint pains, Nausea

Free text: Lymph nodes are still swollen, but are improving.

MedDRA releases: 2024-11 · check-in free text available
2022-02-17
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Abdominal pain

Adult check-in
2022-02-18
Health check-in — day 7, dose 3
Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-02-25
Survey response — day 14, dose 3
MedDRA: Cyst, Fatigue, Medical counselling, Nausea, Pain, Vision blurred — 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

Free text: Symptoms: New painful cyst. Serious pain flare. Fatigue, Nausea, intermittent blurry vision. · Healthcare visit (other): Could not be seen in person. Given antibiotics. Grateful to have direct primary care.

MedDRA releases: 2024-11 · check-in free text available
2022-02-25
Report sent to call center — day 14, 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 · 1 call case(s)
2022-02-28
Call 2 — Left Voicemail
2022-03-04
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-03-11
Survey response — day 28, dose 3
MedDRA: Cyst, Lymphadenopathy — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Cyst returned before finishing antibiotics; started new antibiotic today. Large swollen lymph node on base of skull; small

MedDRA releases: 2024-11 · check-in free text available
2022-03-11
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-15
Call 2 — Left Voicemail
2022-03-18
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-03-27
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-05-15
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-08-12
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-02-11
Survey response — 12 months, dose 3
MedDRA: COVID-19 — 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

MedDRA releases: 2024-11
2023-02-11
Report sent to call center — 12 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-02-13
Call 1 — Left Voicemail
2023-02-13
Call 1 — Left Voicemail
2023-02-13
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-18	Pfizer-BioNTech
2	2021-03-11	Pfizer-BioNTech
3	2022-02-11	Pfizer-BioNTech	No

Call center

6 call center cases

3 successful · 3 unsuccessful

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-18

Systemic reaction (other): Dizziness

Release 4 — days 1–6 daily, dose 1

2021-02-19

Systemic reaction (other): Dizziness

2021-02-22

Systemic reaction (other): Dizziness

2021-02-23

Systemic reaction (other): Itchiness

Healthcare visit (other): Called nurse line

2021-02-24

Systemic reaction (other): Ear ache, lack of appetite, unexpected weight loss (8 lb)

Release 4 — day 7, dose 1

2021-02-25

Systemic reaction (other): Low appetite

Release 5 — day 14, dose 1

2021-03-04

Symptoms: Fatigue remains significant and worsens after days with more activity. Decreased appetite. Chills. Brain fog. Ear infection. Delayed ovulation.

Release 5 — day 0, dose 2

2021-03-11

Systemic reaction (other): Throat soreness started 10 min after 2nd dose. Nurse dismissed in spite of allergy history.

Release 5 — days 1–6 daily, dose 2

2021-03-12

Systemic reaction (other): Coughing, sore through, loss of voice

Healthcare visit (other): Attempted calling and telehealth. Could not get appointment and cant talk now so no option. Clinic has not responded.

2021-03-13

Systemic reaction (other): Significantly better coughing and sore throat. Voice returned. Fever broke in the early am.

2021-03-14

Systemic reaction (other): Mild sore throat- voice still soft. Significant ongoing improvement.

Release 5 — day 7, dose 2

2021-03-18

Systemic reaction (other): Tingling and numbness in arm where shot was given, from shoulder to hand.

Release 6 — day 14, dose 2

2021-03-27

Symptoms: Ongoing soreness in injected arm and minor fatigue and brain fog.

Release 6 — day 21, dose 2

2021-04-01

Symptoms: Fatigue ongoingDigestive pain with Alternating consolation and loose stools; bleeding

Release 9 — 3 months, dose 2

2021-06-10

Symptoms: Increased headaches, new allergies. May be stress and environment related.

Release 11 — days 1–6 daily, dose 3

2022-02-12

Systemic reaction (other): Fever was 1.5 h after talking prescription aleve for pain.

2022-02-13

Systemic reaction (other): Swollen lymph nodes in both armpits; larger on left side (vaccine received in left arm). Moderate sore throat, mild sneezing. Better than yesterday. (Hopefully in final stages of recovering from mono- dr. Approved getting booster)

2022-02-14

Systemic reaction (other): Swollen lymph nodes in both armpits; bigger in v side. Mild balance/dizziness issues. Mild sore throat.

2022-02-16

Systemic reaction (other): Lymph nodes are still swollen, but are improving.

Release 11 — day 14, dose 3

2022-02-25

Symptoms: New painful cyst. Serious pain flare. Fatigue, Nausea, intermittent blurry vision.

Healthcare visit (other): Could not be seen in person. Given antibiotics. Grateful to have direct primary care.

Release 11 — day 28, dose 3

2022-03-11

Symptoms: Cyst returned before finishing antibiotics; started new antibiotic today. Large swollen lymph node on base of skull; small

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	Unevaluable event	✓	✓	✓
SD	Abdominal pain	✓	✓	✓
SD	Brain fog	·	·	✓
SD	Chills	✓	✓	✓
SD	Constipation	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Cyst	·	·	✓
SD	Decreased appetite	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Ear infection	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Haemorrhage	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Lymphadenopathy	·	·	✓
SD	Nausea	·	·	✓
SD	Ovulation delayed	✓	✓	✓
SD	Pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Vision blurred	·	·	✓
SRO	Aphonia	✓	✓	✓
SRO	Balance disorder	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dysphonia	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Infectious mononucleosis	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Medical counselling	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Sneezing	·	·	✓
SRO	Weight decreased	✓	✓	✓

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