3AY-19551-56178

4 vaccinations 10 coded responses 42 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 554 / MN
Registered: 2021-02-03

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

2021-02-01
Dose 1 — Pfizer-BioNTech
2021-02-03
Registered in v-safe
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Diarrhea

Adult check-in
2021-02-06
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Dizziness, Dyspnoea — Feeling: Poor · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Chest pain, shortness of breath, lightheadedness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Survey response — days 1–6 daily, dose 1
MedDRA: Malaise, Pre-existing disease — Feeling: Poor · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I dont feel well, but its related to not taking medication for copd

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — day 7, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, 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
2021-02-15
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-22
Dose 2 — Pfizer-BioNTech
2021-02-22
Health check-in — day 0, dose 2
Feeling: Poor · Fatigue or tiredness, Nausea

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · 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
2021-03-01
Health check-in — day 7, dose 2
Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-08
Survey response — day 14, dose 2
MedDRA: Asthenia, Fatigue, Headache, Musculoskeletal pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Extreme fatigue weakness headache musculoskeletal pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-22
Survey response — day 28, dose 2
MedDRA: Asthenia, Coordination abnormal, Fall, Fatigue, Headache, Visual field defect — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Headache severe, lose of complete visual field episodically, falls, x 2 last week, weak, tired, u ncoordinated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Report sent to call center — day 28, 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)
2021-03-29
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-23
Survey response — 6 months, dose 2
MedDRA: Pain in extremity — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Night time leg pains,

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-23
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-26
Call 2 — Left Voicemail
2021-10-28
Dose 3 — Pfizer-BioNTech
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · 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

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, 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

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, 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

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-11-04
Health check-in — day 7, dose 3
Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-11-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-18
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-03
Survey response — day 35, dose 3
MedDRA: Arthralgia, Headache, Night sweats, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Joint pains at night; sweating at night; constant severe headaches; increased dypsnia, spo2 below baseline.

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Health check-in — day 42, dose 3
Feeling: Fair

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

Adult check-in
2022-06-15
Dose 4 — Pfizer-BioNTech
2022-06-29
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-07-06
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-07-14
Survey response — day 28, dose 4
MedDRA: Tinnitus — Feeling: Good

Free text: Tinnitus. OU>OD. Intermittent. It has recently subsided, but now is more intense and frequent. Actually I've had this since late October of last year, about the time of my first vaccine. I've thought it a trivial complaint, but have changed my mi

MedDRA releases: 2024-11 · check-in free text available
2022-07-20
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-27
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-09-16
Survey response — 3 months, dose 4
MedDRA: Headache, Malaise, Pre-existing disease, Tinnitus — Feeling: Poor · Be unable to do your normal daily activities

Free text: Tinnitus had greatly diminished in intensity and nearly disappeared in frequency since 10/21 vaccination. Sudden resurgence after latest. Also headache, malaise.

MedDRA releases: 2024-11 · check-in free text available
2022-12-14
Survey response — 6 months, dose 4
MedDRA: Chillblains, Eye disorder, Headache, Pyelonephritis acute, Tendonitis, Tinnitus — 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 · Outpatient clinic or urgent care clinic visit

Free text: Pyelonephritis (acute,first episode). Tinnitus continues. Frequent headaches (new), with ocular manifestations. Chilblains. Achilles tendinitis

MedDRA releases: 2024-11 · check-in free text available
2022-12-14
Report sent to call center — 6 months, dose 4
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)
2022-12-15
Call 1 — Requested Callback
2022-12-15
Callback requested for
02:00PM ET
2022-12-15
Call successful
Does not wish to fill out VAERS report
2023-06-15
Survey response — 12 months, dose 4
MedDRA: Arthralgia, Fatigue, Tinnitus, Urinary tract infection — Feeling: Poor · 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
2023-06-15
Call case (no matching report) — Unsuccessful
2023-06-16
Call 1 — Left Voicemail
2023-06-16
Call 1 — Left Voicemail
2023-06-16
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-01	Pfizer-BioNTech
2	2021-02-22	Pfizer-BioNTech
3	2021-10-28	Pfizer-BioNTech	No
4	2022-06-15	Pfizer-BioNTech	No

Call center

4 call center cases

1 successful · 3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-06

Systemic reaction (other): Chest pain, shortness of breath, lightheadedness

2021-02-07

Systemic reaction (other): I dont feel well, but its related to not taking medication for copd

Release 5 — day 14, dose 2

2021-03-08

Symptoms: Extreme fatigue weakness headache musculoskeletal pain

Release 6 — day 28, dose 2

2021-03-22

Symptoms: Headache severe, lose of complete visual field episodically, falls, x 2 last week, weak, tired, u ncoordinated

Release 9 — 6 months, dose 2

2021-08-23

Symptoms: Night time leg pains,

Release 10 — day 35, dose 3

2021-12-03

Symptoms: Joint pains at night; sweating at night; constant severe headaches; increased dypsnia, spo2 below baseline.

Release 12 — day 28, dose 4

2022-07-14

Symptoms: Tinnitus. OU>OD. Intermittent. It has recently subsided, but now is more intense and frequent. Actually I've had this since late October of last year, about the time of my first vaccine. I've thought it a trivial complaint, but have changed my mi cut off by CDC

Release 12 — 3 months, dose 4

2022-09-16

Symptoms: Tinnitus had greatly diminished in intensity and nearly disappeared in frequency since 10/21 vaccination. Sudden resurgence after latest. Also headache, malaise.

Release 12 — 6 months, dose 4

2022-12-14

Symptoms: Pyelonephritis (acute,first episode). Tinnitus continues. Frequent headaches (new), with ocular manifestations. Chilblains. Achilles tendinitis

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	Arthralgia	·	·	✓
SD	Asthenia	✓	✓	✓
SD	Chillblains	·	·	✓
SD	Coordination abnormal	✓	✓	✓
SD	Eye disorder	·	·	✓
SD	Fall	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Malaise	·	·	✓
SD	Musculoskeletal pain	✓	✓	✓
SD	Night sweats	·	·	✓
SD	Pain in extremity	✓	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyelonephritis acute	·	·	✓
SD	Tendonitis	·	·	✓
SD	Tinnitus	·	·	✓
SD	Urinary tract infection	·	·	✓
SD	Visual field defect	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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