3MW-17609-68648

2 vaccinations 10 coded responses 24 check-ins 10 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 300 / GA
Registered: 2021-04-20

Relationship: Self
Race: Other
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-04-20
Registered in v-safe
2021-04-20
Dose 1 — Pfizer-BioNTech
2021-04-20
Survey response — day 0, dose 1
MedDRA: Fatigue — Feeling: Fair · Fever

Free text: Tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Fair · Headache, Fatigue or tiredness

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Rash, not including the immediate area around the injection site

Free text: Between my legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-04-27
Health check-in — day 7, dose 1
Feeling: Fair · None

Adult check-in
2021-05-04
Survey response — day 14, dose 1
MedDRA: Chest discomfort, Chest pain, Emergency care, Flatulence, Haemorrhage — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Blooding, chest pressure, gas, pain under my left chest. I went to the ER on Friday and got meds for UTI, gas and stool softeners

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-11
Dose 2 — Pfizer-BioNTech
2021-05-11
Survey response — day 0, dose 2
MedDRA: Pain in extremity — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Arm soreness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Arm soreness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-05-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-25
Survey response — day 14, dose 2
MedDRA: Erythema, Induration, Insomnia, Office visit, Pruritus, Rash — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I have rash with sore itchy spots in my leg, ankle, and arms thats turning very red, hard and itchy. Its worse at night and I cant sleep. Im on my way to see my PCP now · Healthcare visit (other): Office visit in person

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
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)
2021-06-01
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-08
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-15
Survey response — day 35, dose 2
MedDRA: Ear pain, Fatigue, Headache, Nasal congestion — Feeling: Poor · Be unable to do your normal daily activities

Free text: Stuffy nose, ear pain, headache and tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Survey response — day 42, dose 2
MedDRA: Ear discomfort, Nasal congestion — 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

Free text: Ear clogged up with stuffy nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
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)
2021-11-09
Survey response — 6 months, dose 2
MedDRA: Insomnia, Office visit, Pruritus, Rash, Scar, Skin discolouration — 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

Free text: I've had an unexplained rash with sever itching that made me unable to sleep since May till couple of weeks ago in 3 different countries?? The doctor gave me steroids pills and cream to stop itching but my skin is scared with unhealed dark spots.

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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-10
Call successful
Participant prefers to complete VAERS report online
2022-05-11
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-20	Pfizer-BioNTech
2	2021-05-11	Pfizer-BioNTech

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 7 — day 0, dose 1

2021-04-20

Systemic reaction (other): Tired

Release 7 — days 1–6 daily, dose 1

2021-04-21

Systemic reaction (other): None

2021-04-24

Systemic reaction (other): Between my legs

Release 8 — day 14, dose 1

2021-05-04

Symptoms: Blooding, chest pressure, gas, pain under my left chest. I went to the ER on Friday and got meds for UTI, gas and stool softeners

Release 8 — day 0, dose 2

2021-05-11

Systemic reaction (other): Arm soreness

Release 8 — days 1–6 daily, dose 2

2021-05-12

Systemic reaction (other): Arm soreness

Release 8 — day 14, dose 2

2021-05-25

Symptoms: I have rash with sore itchy spots in my leg, ankle, and arms thats turning very red, hard and itchy. Its worse at night and I cant sleep. Im on my way to see my PCP now

Healthcare visit (other): Office visit in person

Release 9 — day 35, dose 2

2021-06-15

Symptoms: Stuffy nose, ear pain, headache and tiredness

Release 9 — day 42, dose 2

2021-06-22

Symptoms: Ear clogged up with stuffy nose

Release 10 — 6 months, dose 2

2021-11-09

Symptoms: I've had an unexplained rash with sever itching that made me unable to sleep since May till couple of weeks ago in 3 different countries?? The doctor gave me steroids pills and cream to stop itching but my skin is scared with unhealed dark spots.

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	Chest discomfort	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Ear discomfort	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Erythema	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Flatulence	✓	✓	✓
SD	Haemorrhage	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Induration	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Office visit	·	·	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Scar	·	·	✓
SD	Skin discolouration	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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