3AR-16583-80754

3 vaccinations 6 coded responses 22 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 26-30
ZIP prefix: 060 / CT
Registered: 2021-04-27

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

2021-04-26
Dose 1 — Pfizer-BioNTech
2021-04-27
Registered in v-safe
2021-04-27
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: I have Ehlers Danlos Syndrome and many of its comorbidities, many of these symptoms are regularly occuring... checked what I noticed was worse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — days 1–6 daily, dose 1
MedDRA: Pyrexia — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Again, some of this is pretty normal for me, EDSh and such, and considering that I was surprised to have a mild fever when going to the physical therapist but it went down to 99.8 after a few minutes of sitting.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: Normal EDS day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-03
Health check-in — day 7, dose 1
Feeling: Good · None

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

Adult check-in
2021-05-18
Dose 2 — Pfizer-BioNTech
2021-05-19
Survey response — days 1–6 daily, dose 2
MedDRA: Autonomic nervous system imbalance, Feeling hot, Pre-existing disease — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: I have autonomic dysfunction and was feeling feverish but my body temp was actually low. most symptoms passed by midday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-30
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-06-01
Survey response — day 14, dose 2
MedDRA: Pre-existing disease, Pruritus, Rash — Feeling: Fair

Free text: The rash is all over both arms, upper and lower, sides of face as well. Extremely itchy! Have mast cell activation syndrome but this is a new symptom and seems to have been brought on from sun exposure, about 10 days after second pfizer dose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Survey response — day 42, dose 2
MedDRA: Rash — Feeling: Fair · 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: Rash, from sun only on arms? Using steriod cream that is helping from PCP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-07
Call successful
Participant prefers to complete VAERS report online
2021-11-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-11
Dose 3 — Pfizer-BioNTech
2022-01-12
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, 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

Adult check-in
2022-01-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-01-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Diarrhea

Adult check-in
2022-01-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-18
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-27
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-04-14
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-26	Pfizer-BioNTech
2	2021-05-18	Pfizer-BioNTech
3	2022-01-11	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-04-27

Systemic reaction (other): I have Ehlers Danlos Syndrome and many of its comorbidities, many of these symptoms are regularly occuring... checked what I noticed was worse

2021-04-28

Systemic reaction (other): Again, some of this is pretty normal for me, EDSh and such, and considering that I was surprised to have a mild fever when going to the physical therapist but it went down to 99.8 after a few minutes of sitting.

2021-04-30

Systemic reaction (other): Normal EDS day

Release 8 — days 1–6 daily, dose 2

2021-05-19

Systemic reaction (other): I have autonomic dysfunction and was feeling feverish but my body temp was actually low. most symptoms passed by midday

Release 8 — day 14, dose 2

2021-06-01

Symptoms: The rash is all over both arms, upper and lower, sides of face as well. Extremely itchy! Have mast cell activation syndrome but this is a new symptom and seems to have been brought on from sun exposure, about 10 days after second pfizer dose.

Release 9 — day 42, dose 2

2021-07-02

Symptoms: Rash, from sun only on arms? Using steriod cream that is helping from PCP

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	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SRO	Autonomic nervous system imbalance	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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