3HK-22623-71398

3 vaccinations 6 coded responses 37 check-ins 5 free-text entries 4 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 672 / KS
Registered: 2021-07-23

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

2021-07-23
Registered in v-safe
2021-07-23
Dose 1 — Pfizer-BioNTech
2021-07-23
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-07-24
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Ear ache

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-07-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-07-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-07-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-07-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-07-30
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-08-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-08-13
Dose 2 — Pfizer-BioNTech
2021-08-13
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-08-14
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Ears hurt

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-08-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-08-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-08-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-08-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Diarrhea

Adult check-in
2021-08-20
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-08-27
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-09-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-09-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-09-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-09-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-11-12
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2022-01-13
Dose 3 — Pfizer-BioNTech
2022-01-13
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2022-01-14
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-01-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-16
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2022-01-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2022-01-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-20
Survey response — day 7, dose 3
MedDRA: Chest pain — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Chest pain

MedDRA releases: 2024-11 · check-in free text available
2022-01-20
Report sent to call center — day 7, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-23
Call successful
Participant prefers to complete VAERS report online
2022-01-27
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-02-03
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-18
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-24
Survey response — day 42, dose 3
MedDRA: Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Having post Covid concerns, not necessarily related to the vaccine. I am a Covid "long hauler" with heart issues, hypoxia, etc. Having issues related to that.

MedDRA releases: 2024-11 · check-in free text available
2022-02-24
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-25
Call 2 — Left Voicemail
2022-07-14
Survey response — 6 months, dose 3
MedDRA: Contrast media toxicity, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Diagnosed with gadolinium toxicity due to MRI with contrast of my brain to check on long covid issues. I retained the contrast that I was told my body would excrete within 48 hours.

MedDRA releases: 2024-11 · check-in free text available
2022-07-14
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-07-15
Call 1 — Left Voicemail
2022-07-15
Call 3 — Left Voicemail
2022-07-15
Call 2 — Left Voicemail
2023-01-13
Survey response — 12 months, dose 3
MedDRA: Autoimmune thyroiditis, Autonomic nervous system imbalance, Electrolyte imbalance, Hospitalisation, Postural orthostatic tachycardia syndrome, Visual impairment — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

MedDRA releases: 2024-11
2023-01-13
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2023-01-16
Call 1 — Left Voicemail
2023-01-16
Call 1 — Left Voicemail
2023-01-16
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-07-23	Pfizer-BioNTech	No
2	2021-08-13	Pfizer-BioNTech	No
3	2022-01-13	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-01-20	Successful 2022-01-23	Participant prefers to complete VAERS report online
2022-02-24	Unsuccessful
2022-07-14	Unsuccessful
2023-01-13	Unsuccessful

Free text

Release 9 — days 1–6 daily, dose 1

2021-07-24

Systemic reaction (other): Ear ache

Release 9 — days 1–6 daily, dose 2

2021-08-14

Systemic reaction (other): Ears hurt

Release 10 — day 7, dose 3

2022-01-20

Systemic reaction (other): Chest pain

Release 11 — day 42, dose 3

2022-02-24

Symptoms: Having post Covid concerns, not necessarily related to the vaccine. I am a Covid "long hauler" with heart issues, hypoxia, etc. Having issues related to that.

Release 12 — 6 months, dose 3

2022-07-14

Symptoms: Diagnosed with gadolinium toxicity due to MRI with contrast of my brain to check on long covid issues. I retained the contrast that I was told my body would excrete within 48 hours.

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	Autoimmune thyroiditis	·	·	✓
SD	Autonomic nervous system imbalance	·	·	✓
SD	Contrast media toxicity	·	·	✓
SD	Electrolyte imbalance	·	·	✓
SD	Hospitalisation	·	·	✓
SD	Postural orthostatic tachycardia syndrome	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Visual impairment	·	·	✓
SRO	Chest pain	·	·	✓
SRO	Ear pain	✓	·	✓

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