3Q2-15138-00410

2 vaccinations 9 coded responses 24 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 430 / OH
Registered: 2021-05-06

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

2021-05-05
Dose 1 — Pfizer-BioNTech
2021-05-06
Registered in v-safe
2021-05-06
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Good · Site: Pain

Free text: Little spot of stinging for a brief time- a few seconds

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — days 1–6 daily, dose 1
MedDRA: Myalgia, Pain in extremity — Feeling: Good · Site: Pain · Headache

Free text: Yesterday evening, my left arm muscles, all down my arm, felt sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-10
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Good

Free text: A few spots in my body have felt like stings, again.

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

Free text: More areas of stinging

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-26
Dose 2 — Pfizer-BioNTech
2021-05-26
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-27
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Itching on the arm of the injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-05-30
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms, Pain in extremity — Feeling: Good · Joint pains, Muscle or body aches, Nausea, Diarrhea

Free text: The arm muscles in the arm that had the shot were jerking for 5-10 minutes and the forearm was hurting today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Nausea

Adult check-in
2021-06-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-06-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-30
Survey response — day 35, dose 2
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Many headaches which is unusual for me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-25
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-24
Survey response — 6 months, dose 2
MedDRA: Anxiety, Hypertension — Feeling: Fair

Free text: Higher blood pressure; anxiety

MedDRA releases: 2024-11 · check-in free text available
2022-05-28
Survey response — 12 months, dose 2
MedDRA: Blood pressure increased, Gout, Wrist fracture — Feeling: Fair · 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: Gout, high blood pressure, broken wrist

MedDRA releases: 2024-11 · check-in free text available
2022-05-28
Report sent to call center — 12 months, dose 2
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)
2022-06-01
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-05	Pfizer-BioNTech
2	2021-05-26	Pfizer-BioNTech

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-06

Systemic reaction (other): Little spot of stinging for a brief time- a few seconds

2021-05-07

Systemic reaction (other): Yesterday evening, my left arm muscles, all down my arm, felt sore

2021-05-10

Systemic reaction (other): A few spots in my body have felt like stings, again.

2021-05-11

Systemic reaction (other): More areas of stinging

Release 8 — days 1–6 daily, dose 2

2021-05-27

Systemic reaction (other): Itching on the arm of the injection

2021-05-30

Systemic reaction (other): The arm muscles in the arm that had the shot were jerking for 5-10 minutes and the forearm was hurting today.

Release 9 — day 35, dose 2

2021-06-30

Symptoms: Many headaches which is unusual for me.

Release 10 — 6 months, dose 2

2021-11-24

Symptoms: Higher blood pressure; anxiety

Release 11 — 12 months, dose 2

2022-05-28

Symptoms: Gout, high blood pressure, broken wrist

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	Anxiety	·	·	✓
SD	Blood pressure increased	·	·	✓
SD	Gout	·	·	✓
SD	Headache	✓	✓	✓
SD	Hypertension	·	·	✓
SD	Wrist fracture	·	·	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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