3A5-88532-22930

2 vaccinations 7 coded responses 17 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 104 / NY
Registered: 2021-03-05

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

2021-02-24
Dose 1 — Pfizer-BioNTech
2021-03-05
Registered in v-safe
2021-03-05
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Dose 2 — Pfizer-BioNTech
2021-03-17
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness

Free text: Sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fever · Chills

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Oxygen saturation decreased — Feeling: Fair · Fever · Headache, Fatigue or tiredness

Free text: my oxygen level dropped below normal when moving. I increased my supplemental o2 and it rose up again.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Pyrexia — Feeling: Fair · Fever · Chills, Fatigue or tiredness

Free text: I also popped a fever last evening after check-in, Seems like I am getting one per day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-31
Survey response — day 14, dose 2
MedDRA: Oxygen saturation decreased — 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: my o2 levels are dropping below normal upon exertion. i am spitting up dark brown phlegm. my doc thinks it is coincidental to the vaccine and has prescribed me an antibiotic.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-07
Survey response — day 21, dose 2
MedDRA: Dyspnoea, Hospitalisation, Pneumonia, Sputum discoloured — 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, Hospitalization

Free text: extreme shortness of breath, dark sputum, went to er., was admitted for 7 days for pneumonia.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-14
Survey response — day 28, dose 2
MedDRA: Hospitalisation, Oxygen saturation decreased, Pneumonia — 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: I left the hospital last Wed. with pneumonia. Since home, my o2 sats continue to drop while walking (<88) My doctor has kept me on steroids to address and has increased my o2 from 4 lpm to 5 lpm when walking.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-21
Health check-in — day 35, dose 2
Feeling: Poor

Adult check-in
2021-04-28
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-18
Survey response — 3 months, dose 2
MedDRA: Bronchitis, Chronic obstructive pulmonary disease, Hospitalisation, Malaise, Office visit, Pneumonia, Pre-existing disease — 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: Symptoms: I had been in the hospital with pneumonia from 4/1 - 4/7...I was almost recovered when I came down with bronchitis around June 1. My copd was under control during the whole pandemic, then I took the vaccine and have been sick since. · Healthcare visit (other): doctor's office visit,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Report sent to call center — 3 months, dose 2
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 1 — Left Voicemail
2021-06-23
Call 2 — Left Voicemail
2021-06-24
Call successful
Participant prefers to complete VAERS report online
2021-09-15
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-03-17
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-24	Pfizer-BioNTech
2	2021-03-17	Pfizer-BioNTech

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-18

Systemic reaction (other): Sweats

Release 6 — days 1–6 daily, dose 2

2021-03-21

Systemic reaction (other): my oxygen level dropped below normal when moving. I increased my supplemental o2 and it rose up again.

2021-03-23

Systemic reaction (other): I also popped a fever last evening after check-in, Seems like I am getting one per day.

Release 6 — day 14, dose 2

2021-03-31

Symptoms: my o2 levels are dropping below normal upon exertion. i am spitting up dark brown phlegm. my doc thinks it is coincidental to the vaccine and has prescribed me an antibiotic.

Release 7 — day 21, dose 2

2021-04-07

Symptoms: extreme shortness of breath, dark sputum, went to er., was admitted for 7 days for pneumonia.

Release 7 — day 28, dose 2

2021-04-14

Symptoms: I left the hospital last Wed. with pneumonia. Since home, my o2 sats continue to drop while walking (<88) My doctor has kept me on steroids to address and has increased my o2 from 4 lpm to 5 lpm when walking.

Release 9 — 3 months, dose 2

2021-06-18

Symptoms: I had been in the hospital with pneumonia from 4/1 - 4/7...I was almost recovered when I came down with bronchitis around June 1. My copd was under control during the whole pandemic, then I took the vaccine and have been sick since.

Healthcare visit (other): doctor's office visit,

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	Office visit	✓	✓	✓
SD	Bronchitis	✓	✓	✓
SD	Chronic obstructive pulmonary disease	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Hospitalisation	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Oxygen saturation decreased	✓	✓	✓
SD	Pneumonia	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Sputum discoloured	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Oxygen saturation decreased	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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