3FK-89369-76715

2 vaccinations 8 coded responses 17 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 618 / IL
Registered: 2021-02-24

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-21
Dose 1 — Pfizer-BioNTech
2021-02-24
Registered in v-safe
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

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

Adult check-in
2021-02-27
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Fatigue, Neck pain, Pre-existing disease — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Pain in neck and left back on left side where receive shot. I typically feel fatigue regardless.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — day 7, dose 1
MedDRA: Neck pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Pain in neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-14
Survey response — day 21, dose 1
MedDRA: Fatigue, Muscular weakness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue and weak leg muscles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Dose 2 — Pfizer-BioNTech
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Diarrhoea, Fatigue, Pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: I had diarrhea, pain, fatigue on March 17, 2021

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness today and yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-26
Health check-in — day 7, dose 2
Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-31
Survey response — day 14, dose 2
MedDRA: Fatigue, Hypoaesthesia, Neck pain, Palpitations — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Left leg felt a little numb. Heart was racing a bit. Still fatigue. Felt some pain on left side of neck.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 35, dose 2
Feeling: Good

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

Adult check-in
2021-06-18
Survey response — 3 months, dose 2
MedDRA: Back pain, Pruritus — Feeling: Fair

Free text: Itching and some back pain on left side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-15
Survey response — 6 months, dose 2
MedDRA: Gastrointestinal disorder, Office visit, Rash, Rash pruritic, Rash vesicular — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: Bumps with pulse or some type of liquid. It didnt itch too much but slight painon my back and arms; showed up twice. The doctor thought it might be shingles,but I had shingles vaccine 3 times between 2015 -2020. I had Digestive issues Sep 8, · Healthcare visit (other): Also doctor office visit

MedDRA releases: 2024-11 · check-in free text available
2021-09-15
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-24
Call 1 — Left Voicemail
2022-07-22
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-21	Pfizer-BioNTech
2	2021-03-17	Pfizer-BioNTech

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-27

Systemic reaction (other): Pain in neck and left back on left side where receive shot. I typically feel fatigue regardless.

Release 4 — day 7, dose 1

2021-02-28

Systemic reaction (other): Pain in neck

Release 5 — day 21, dose 1

2021-03-14

Symptoms: Fatigue and weak leg muscles

Release 6 — days 1–6 daily, dose 2

2021-03-21

Systemic reaction (other): I had diarrhea, pain, fatigue on March 17, 2021

2021-03-22

Systemic reaction (other): Dizziness today and yesterday

Release 6 — day 14, dose 2

2021-03-31

Symptoms: Left leg felt a little numb. Heart was racing a bit. Still fatigue. Felt some pain on left side of neck.

Release 9 — 3 months, dose 2

2021-06-18

Symptoms: Itching and some back pain on left side

Release 9 — 6 months, dose 2

2021-09-15

Symptoms: Bumps with pulse or some type of liquid. It didnt itch too much but slight painon my back and arms; showed up twice. The doctor thought it might be shingles,but I had shingles vaccine 3 times between 2015 -2020. I had Digestive issues Sep 8,

Healthcare visit (other): Also doctor 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	Back pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash	·	·	✓
SD	Rash pruritic	·	·	✓
SD	Rash vesicular	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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