36T-26909-47207

2 vaccinations 8 coded responses 22 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 996 / AK
Registered: 2021-04-26

Relationship: Self
Race: Multiracial
Ethnicity: Hispanic or Latino

Registered dependents

6A5-79344-59344 Child or adolescent in my care · Female · 2021-08-03

Timeline

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

2021-04-26
Registered in v-safe
2021-04-26
Dose 1 — Pfizer-BioNTech
2021-04-26
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-27
Survey response — days 1–6 daily, dose 1
MedDRA: Medical counselling, Pruritus, Self-medication — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · 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): Itchiness over whole body. Symptom started 4/26 at 1730. Started 2 benadryl by mouth every six hours. Consulted PCP on 4/27. Continue 2 benadryl x 6 hours. If itchiness continues into 4/28 then he wants to see me. · Healthcare visit (other): I called my PCP. Took direction over phone. If itchiness persists into 4/28 I will go to PCP's office for follow up care.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Report sent to call center — days 1–6 daily, dose 1
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)
2021-04-28
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus, Self-medication — Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Whole body itchiness. Took last dose of benadryl at 0430. Have not experienced whole body itciness since. Did not seek further medical attention.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-05-03
Health check-in — day 7, dose 1
Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-05-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-17
Dose 2 — Pfizer-BioNTech
2021-05-17
Survey response — day 0, dose 2
MedDRA: Photophobia — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Extreme sensitivity to light

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Photophobia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Dizzy spells and extreme sensitivity to light

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Dysmenorrhoea, Heavy menstrual bleeding, Photophobia — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Frequent bouts of dizziness, extreme sensitivity to light, unexpected period with heavy bleeding. Moderate menstrual cramps. I have a Mirena IUD.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — days 1–6 daily, dose 2
MedDRA: Balance disorder, Dizziness, Heavy menstrual bleeding, Photophobia — Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Extreme sensitivity to light, frequent dizziness and balance issues, heavy menstrual cycle with moderate cramping.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-24
Health check-in — day 7, dose 2
Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-31
Survey response — day 14, dose 2
MedDRA: Injection site erythema, Injection site pain, Injection site pruritus, Injection site reaction, Injection site scab, Office visit, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: My injection site was healed until 5/26 when it developed a scab 1/4 by 1/4 inch with redness surrounding the scab, pain in bicep to move the arm and itchiness deep in the muscle. Saw Dr 5/27: not infected but a site reaction. Site unchanged 5/31.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-07
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-14
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-21
Survey response — day 35, dose 2
MedDRA: Urticaria — Feeling: Fair

Free text: Hives that had gone away returned.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-28
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2022-04-07
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-26	Pfizer-BioNTech
2	2021-05-17	Pfizer-BioNTech

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-04-27

Systemic reaction (other): Itchiness over whole body. Symptom started 4/26 at 1730. Started 2 benadryl by mouth every six hours. Consulted PCP on 4/27. Continue 2 benadryl x 6 hours. If itchiness continues into 4/28 then he wants to see me.

Healthcare visit (other): I called my PCP. Took direction over phone. If itchiness persists into 4/28 I will go to PCP's office for follow up care.

2021-04-28

Systemic reaction (other): Whole body itchiness. Took last dose of benadryl at 0430. Have not experienced whole body itciness since. Did not seek further medical attention.

Release 8 — day 0, dose 2

2021-05-17

Systemic reaction (other): Extreme sensitivity to light

Release 8 — days 1–6 daily, dose 2

2021-05-18

Systemic reaction (other): Dizzy spells and extreme sensitivity to light

2021-05-19

Systemic reaction (other): Frequent bouts of dizziness, extreme sensitivity to light, unexpected period with heavy bleeding. Moderate menstrual cramps. I have a Mirena IUD.

2021-05-20

Systemic reaction (other): Extreme sensitivity to light, frequent dizziness and balance issues, heavy menstrual cycle with moderate cramping.

Release 8 — day 14, dose 2

2021-05-31

Symptoms: My injection site was healed until 5/26 when it developed a scab 1/4 by 1/4 inch with redness surrounding the scab, pain in bicep to move the arm and itchiness deep in the muscle. Saw Dr 5/27: not infected but a site reaction. Site unchanged 5/31.

Release 9 — day 35, dose 2

2021-06-21

Symptoms: Hives that had gone away returned.

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	Pruritus	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pain	·	·	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site reaction	·	·	✓
SD	Injection site scab	·	·	✓
SD	Office visit	·	·	✓
SD	Pain in extremity	✓	✓	○
SD	Urticaria	✓	✓	✓
SRO	Balance disorder	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dysmenorrhoea	✓	✓	✓
SRO	Heavy menstrual bleeding	✓	✓	✓
SRO	Medical counselling	✓	✓	✓
SRO	Photophobia	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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