3PP-33481-50688

5 vaccinations 15 coded responses 46 check-ins 15 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 857 / AZ
Registered: 2021-02-27

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

2021-02-24
Dose 1 — Pfizer-BioNTech
2021-02-27
Registered in v-safe
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Chills, 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
2021-02-28
Survey response — days 1–6 daily, dose 1
MedDRA: Burning sensation, Immediate post-injection reaction, Pruritus, Rash, Rash erythematous, Urticaria — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: On day of vaccination I had a rash within 1.5 hrs. It was on my chest. Red macular papule burning and itching. Lasted just over a day. Later I developed a hive on the same shoulder as the vaccination

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal, Headache — Feeling: Fair · Headache, Joint pains

Free text: Brain fog is and has been present off and on with mild head ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — day 7, dose 1
MedDRA: Feeling abnormal — Feeling: Good · Headache

Free text: Brain fog intermittently. Milf

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — day 14, dose 1
MedDRA: Vestibular migraine — Feeling: Good · Be unable to do your normal daily activities

Free text: Vestibular migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — day 21, dose 1
MedDRA: Mast cell activation syndrome, Pain, Pruritus, Vestibular migraine — Feeling: Good · Be unable to do your normal daily activities

Free text: Added Mast activation symptoms such as pain, itching and continued vestibular migraines.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Dose 2 — Pfizer-BioNTech
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · 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
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Vestibular migraine — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Vestibular migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Vestibular migraine — Feeling: Fair · Headache, Joint pains, Muscle or body aches

Free text: Vestibular migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Headache, Joint pains, Muscle or body aches

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — day 7, dose 2
MedDRA: Arthralgia, Back pain, Myalgia, Neck pain — Feeling: Good · Headache, Joint pains, Muscle or body aches

Free text: Muscle and joint pain is and has been in back and neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — day 14, dose 2
MedDRA: Back pain, Condition aggravated, Mastocytosis, Neck pain, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: Intermittent increased mast activation with back and neck pain. I have mast cell disease and it has bee much worse since receiving the vaccines. It does seem to be improving now but not back to baseline

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-15
Survey response — day 28, dose 2
MedDRA: Fatigue, Feeling abnormal, Pain, Vestibular migraine — Feeling: Fair · Be unable to do your normal daily activities

Free text: Vestibular migraine, brain fog, pain, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-17
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-16
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-13
Dose 3 — Pfizer-BioNTech
2022-03-20
Survey response — 12 months, dose 2
MedDRA: Urticaria — Feeling: Good · 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: Hives lasting 5 weeks over all of my body

MedDRA releases: 2024-11 · check-in free text available
2022-03-20
Report sent to call center — 12 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)
2022-03-23
Call successful
Participant prefers to complete VAERS report online
2022-05-17
Dose 4 — Moderna
2022-05-17
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2022-05-18
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2022-05-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches

Adult check-in
2022-05-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches

Adult check-in
2022-05-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches

Adult check-in
2022-05-23
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2022-05-24
Health check-in — day 7, dose 4
Feeling: Good · Muscle or body aches

Adult check-in
2022-05-31
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-07
Survey response — day 21, dose 4
MedDRA: Vestibular migraine — Feeling: Good

Free text: Vestibule migraine for 3 days

MedDRA releases: 2024-11 · check-in free text available
2022-06-14
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-06-21
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-28
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-16
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-06
Dose 5 — Moderna
2022-10-11
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-10-12
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-10-13
Health check-in — day 7, dose 5
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-10-20
Survey response — day 14, dose 5
MedDRA: Mast cell activation syndrome, Rash — Feeling: Good

Free text: Rash on trunk. Symptoms associated with Mast cell activation

MedDRA releases: 2024-11 · check-in free text available
2022-10-27
Survey response — day 21, dose 5
MedDRA: Vestibular migraine — Feeling: Fair · Be unable to do your normal daily activities

Free text: Vestibular migraine

MedDRA releases: 2024-11 · check-in free text available
2022-11-03
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-10
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-17
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-05
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-06
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-24	Pfizer-BioNTech
2	2021-03-18	Pfizer-BioNTech
3	2021-10-13	Pfizer-BioNTech	No
4	2022-05-17	Moderna	No
5	2022-10-06	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-28

Systemic reaction (other): On day of vaccination I had a rash within 1.5 hrs. It was on my chest. Red macular papule burning and itching. Lasted just over a day. Later I developed a hive on the same shoulder as the vaccination

2021-03-02

Systemic reaction (other): Brain fog is and has been present off and on with mild head ache

Release 5 — day 7, dose 1

2021-03-03

Systemic reaction (other): Brain fog intermittently. Milf

Release 5 — day 14, dose 1

2021-03-10

Symptoms: Vestibular migraine

Release 5 — day 21, dose 1

2021-03-17

Symptoms: Added Mast activation symptoms such as pain, itching and continued vestibular migraines.

Release 6 — days 1–6 daily, dose 2

2021-03-22

Systemic reaction (other): Vestibular migraine

2021-03-23

Systemic reaction (other): Vestibular migraine

2021-03-24

Systemic reaction (other): Brain fog

Release 6 — day 7, dose 2

2021-03-25

Systemic reaction (other): Muscle and joint pain is and has been in back and neck

Release 6 — day 14, dose 2

2021-04-01

Symptoms: Intermittent increased mast activation with back and neck pain. I have mast cell disease and it has bee much worse since receiving the vaccines. It does seem to be improving now but not back to baseline

Release 7 — day 28, dose 2

2021-04-15

Symptoms: Vestibular migraine, brain fog, pain, fatigue

Release 11 — 12 months, dose 2

2022-03-20

Symptoms: Hives lasting 5 weeks over all of my body

Release 11 — day 21, dose 4

2022-06-07

Symptoms: Vestibule migraine for 3 days

Release 12 — day 14, dose 5

2022-10-20

Symptoms: Rash on trunk. Symptoms associated with Mast cell activation

Release 12 — day 21, dose 5

2022-10-27

Symptoms: Vestibular migraine

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	Back pain	✓	✓	✓
SD	Condition aggravated	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Mast cell activation syndrome	✓	✓	✓
SD	Mastocytosis	○	✓	○
SD	Neck pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash	·	·	✓
SD	Urticaria	·	·	✓
SD	Vestibular migraine	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Burning sensation	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Rash erythematous	✓	✓	✓
SRO	Urticaria	✓	✓	✓
SRO	Vestibular migraine	✓	✓	✓

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