34P-40653-72260

4 vaccinations 14 coded responses 51 check-ins 13 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 800 / CO
Registered: 2021-03-10

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

2021-03-10
Registered in v-safe
2021-03-10
Dose 1 — Pfizer-BioNTech
2021-03-10
Health check-in — day 0, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Sleep disorder — Feeling: Good

Free text: Sleep problems

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-31
Dose 2 — Pfizer-BioNTech
2021-03-31
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Free text: Ringing in ears

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

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-07
Survey response — day 7, dose 2
MedDRA: Arthralgia, Back pain, Osteoarthritis — Feeling: Good · Joint pains, Muscle or body aches

Free text: I have osteo arthritis, so it is not unusual for me to have lower back and knee problems. They seem a bit worse after the injection, but could be unrelated.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-21
Survey response — day 21, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — day 28, dose 2
MedDRA: Fatigue, Feeling abnormal, Insomnia, Migraine — Feeling: Fair · Be unable to do your normal daily activities

Free text: Worse insomnia, fatigue/foggy brain, migraine today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-29
Survey response — 6 months, dose 2
MedDRA: Fatigue, Hypersomnia, Malaise, SARS-CoV-2 test negative, Sneezing — Feeling: Good

Free text: Fatigue, excessive sleeping (10 hours or more) for a few days, sneezing, feeling under the weather. Happened a couple of times. Tested for Covid one time, negative. Did rapid test 2 days ago, negative

MedDRA releases: 2024-11 · check-in free text available
2021-10-10
Dose 3 — Pfizer-BioNTech
2021-10-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness · Fever · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-10-14
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness · Headache, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-10-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Fever · Fatigue or tiredness

Adult check-in
2021-10-16
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Fatigue or tiredness

Adult check-in
2021-10-17
Survey response — day 7, dose 3
MedDRA: Dizziness — Feeling: Poor · Site: Itching · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizzy

MedDRA releases: 2024-11 · check-in free text available
2021-10-24
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-31
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-07
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-14
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-21
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-09
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-10
Survey response — 6 months, dose 3
MedDRA: Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Sinus infection 5 weeks in duration.

MedDRA releases: 2024-11 · check-in free text available
2022-04-10
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-04-15
Dose 4 — Pfizer-BioNTech
2022-04-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fever · None

Adult check-in
2022-04-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-04-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fever · None

Adult check-in
2022-04-19
Survey response — days 1–6 daily, dose 4
MedDRA: Myalgia, Neuralgia, Sciatica — Feeling: Good

Free text: I have sciatica, so have that nerve and muscle pain, but not related to the vaccine

MedDRA releases: 2024-11 · check-in free text available
2022-04-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-22
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-26
Call successful
Participant prefers to complete VAERS report online
2022-04-29
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-08
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-13
Survey response — day 28, dose 4
MedDRA: Cheilitis, Lip blister, Rash, Rash vesicular — Feeling: Good

Free text: blister rash on hand, maybe insect bite, now healing, and recent rash/blisters above top lip, may be related to nuclear stress test on 5/11/22.

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
Survey response — day 35, dose 4
MedDRA: Blister, Oral herpes, Rash — Feeling: Good · 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: Cold sores diagnosed (rash, blisters I mentioned last time), on Acyclovir. Not related to vaccine, I am assuming.

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
Report sent to call center — day 35, dose 4
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)
2022-05-24
Call 1 — Left Voicemail
2022-05-27
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-15
Survey response — 3 months, dose 4
MedDRA: Blister, Dermatitis atopic, Erythema, Oral herpes, Skin exfoliation, Staphylococcal infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: May 9-June 23, dermatitis, first blister on the back of hand, then blisters and redness and scaling all around mouth. Treated first for cold sores with antivirals, then for staph with topical antibiotic, then for atopic dermatitis with tacrolimus

MedDRA releases: 2024-11 · check-in free text available
2022-07-15
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-19
Call successful
Does not wish to fill out VAERS report
2022-07-19
Call successful
Does not wish to fill out VAERS report
2022-10-14
Survey response — 6 months, dose 4
MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Fatigue

MedDRA releases: 2024-11 · check-in free text available
2023-04-17
Survey response — 12 months, dose 4
MedDRA: Lip pain, Lip swelling, Oral discomfort — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-17
Report sent to call center — 12 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-04-18
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Pfizer-BioNTech
2	2021-03-31	Pfizer-BioNTech
3	2021-10-10	Pfizer-BioNTech	No
4	2022-04-15	Pfizer-BioNTech	No

Call center

4 call center cases

3 successful · 1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-16

Systemic reaction (other): Sleep problems

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): Ringing in ears

Release 7 — day 7, dose 2

2021-04-07

Systemic reaction (other): I have osteo arthritis, so it is not unusual for me to have lower back and knee problems. They seem a bit worse after the injection, but could be unrelated.

Release 7 — day 21, dose 2

2021-04-21

Symptoms: Fatigue

Release 8 — day 28, dose 2

2021-04-28

Symptoms: Worse insomnia, fatigue/foggy brain, migraine today

Release 9 — 6 months, dose 2

2021-09-29

Symptoms: Fatigue, excessive sleeping (10 hours or more) for a few days, sneezing, feeling under the weather. Happened a couple of times. Tested for Covid one time, negative. Did rapid test 2 days ago, negative

Release 10 — day 7, dose 3

2021-10-17

Systemic reaction (other): Dizzy

Release 11 — 6 months, dose 3

2022-04-10

Symptoms: Sinus infection 5 weeks in duration.

Release 11 — days 1–6 daily, dose 4

2022-04-19

Systemic reaction (other): I have sciatica, so have that nerve and muscle pain, but not related to the vaccine

Release 11 — day 28, dose 4

2022-05-13

Symptoms: blister rash on hand, maybe insect bite, now healing, and recent rash/blisters above top lip, may be related to nuclear stress test on 5/11/22.

Release 11 — day 35, dose 4

2022-05-20

Symptoms: Cold sores diagnosed (rash, blisters I mentioned last time), on Acyclovir. Not related to vaccine, I am assuming.

Release 12 — 3 months, dose 4

2022-07-15

Symptoms: May 9-June 23, dermatitis, first blister on the back of hand, then blisters and redness and scaling all around mouth. Treated first for cold sores with antivirals, then for staph with topical antibiotic, then for atopic dermatitis with tacrolimus

Release 12 — 6 months, dose 4

2022-10-14

Symptoms: Fatigue

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	Blister	·	·	✓
SD	Cheilitis	·	·	✓
SD	Dermatitis atopic	·	·	✓
SD	Erythema	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Hypersomnia	·	·	✓
SD	Insomnia	✓	✓	✓
SD	Lip blister	·	·	✓
SD	Lip pain	·	·	✓
SD	Lip swelling	·	·	✓
SD	Malaise	·	·	✓
SD	Migraine	✓	✓	✓
SD	Oral discomfort	·	·	✓
SD	Oral herpes	·	·	✓
SD	Rash	·	·	✓
SD	Rash vesicular	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinusitis	·	·	✓
SD	Skin exfoliation	·	·	✓
SD	Sneezing	·	·	✓
SD	Staphylococcal infection	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Dizziness	·	·	✓
SRO	Myalgia	·	·	✓
SRO	Neuralgia	·	·	✓
SRO	Osteoarthritis	✓	✓	✓
SRO	Sciatica	·	·	✓
SRO	Sleep disorder	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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