3S8-20758-60363

6 vaccinations 16 coded responses 29 check-ins 15 free-text entries 7 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 921 / CA
Registered: 2021-03-25

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

Timeline

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

2021-03-24
Dose 1 — Pfizer-BioNTech
2021-03-25
Registered in v-safe
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, 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 — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-14
Dose 2 — Pfizer-BioNTech
2021-04-14
Survey response — day 0, dose 2
MedDRA: Burning sensation — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Kidney area on back felt like out was burning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Kidney area back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Renal pain — Feeling: Fair · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Pain in lower back-kidney area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-21
Survey response — day 7, dose 2
MedDRA: Back pain — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Low back/Kidney area pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — day 14, dose 2
MedDRA: Back pain, Renal pain — Feeling: Good

Free text: Kidney/back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Survey response — day 35, dose 2
MedDRA: Arthralgia, Asthenia — Feeling: Fair

Free text: All over Joint pain. Especially feet and ankles and hands. Low energy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — day 42, dose 2
MedDRA: Arthralgia, Insomnia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Insomnia, joint pain · Healthcare visit (other): Dr. Office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-14
Survey response — 3 months, dose 2
MedDRA: Postmenopausal haemorrhage — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Postmenopausal bleeding

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-14
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-22
Call 1 — Left Voicemail
2021-09-28
Dose 3 — Pfizer-BioNTech
2021-10-13
Survey response — 6 months, dose 2
MedDRA: Cough, Fatigue, Headache, Malaise, Pain, Pre-existing disease, Unevaluable event — Feeling: Poor · 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: Symptoms: Minor menstrual bleeding After third shot due to underlying health conditions - I was sick for 3 days headache, aches, cough, extreme tiredness. · Healthcare visit (other): Endometrial biopsy - neg results

MedDRA releases: 2024-11 · check-in free text available
2021-10-13
Report sent to call center — 6 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)
2021-10-14
Call 1 — Requested Callback
2021-10-14
Callback requested for
03:30PM
2021-10-14
Call successful
Participant prefers to complete VAERS report online
2021-10-14
Call successful
Participant prefers to complete VAERS report online
2021-10-14
Call successful
Participant prefers to complete VAERS report online
2022-03-31
Survey response — 6 months, dose 3
MedDRA: Abdominal distension, Arthralgia, Back pain, Respiratory tract 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: Joint and back pain. Bloating. Congestion.

MedDRA releases: 2024-11 · check-in free text available
2022-03-31
Report sent to call center — 6 months, dose 3
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)
2022-04-04
Call 1 — Left Voicemail
2022-04-22
Dose 4 — Pfizer-BioNTech
2022-04-25
Survey response — days 1–6 daily, dose 4
MedDRA: Hyperhidrosis — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sweating profusely

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Survey response — days 1–6 daily, dose 4
MedDRA: Hyperhidrosis — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting

Free text: Sweating

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Survey response — days 1–6 daily, dose 4
MedDRA: Hyperhidrosis — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Profuse perspiration

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-29
Health check-in — day 7, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches

Adult check-in
2022-05-15
Survey response — day 21, dose 4
MedDRA: Arthralgia, Bone pain, Pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Body aches. Joint pain. Bone pain.

MedDRA releases: 2024-11 · check-in free text available
2022-05-15
Report sent to call center — day 21, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-16
Call 2 — Left Voicemail
2022-05-16
Call 1 — Left Voicemail
2022-07-22
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-20
Dose 5 — Pfizer-BioNTech
2022-09-30
Health check-in — day 7, dose 5
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-10-04
Survey response — day 14, dose 5
MedDRA: Dyspnoea, Pain — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Difficulty breathing. Painful

MedDRA releases: 2024-11 · check-in free text available
2022-10-04
Report sent to call center — day 14, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-10-06
Call X — Left Voicemail
2022-10-06
Call 3 — Left Voicemail
2022-10-06
Call 2 — Left Voicemail
2022-10-13
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-10-27
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2023-04-23
Dose 6 — Pfizer-BioNTech
2023-05-09
Health check-in — day 14, dose 6
Feeling: Good

Adult check-in
2023-05-21
Survey response — day 28, dose 6
MedDRA: Bronchitis, Uvulitis — Feeling: Poor · 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

MedDRA releases: 2024-11
2023-05-21
Report sent to call center — day 28, dose 6
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)
2023-05-24
Call 3 — Left Voicemail
2023-05-24
Call 2 — Left Voicemail
2023-05-24
Call 1 — Left Voicemail
2023-05-24
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Pfizer-BioNTech
2	2021-04-14	Pfizer-BioNTech
3	2021-09-28	Pfizer-BioNTech	No
4	2022-04-22	Pfizer-BioNTech	No
5	2022-09-20	Pfizer-BioNTech	No
6	2023-04-23	Pfizer-BioNTech	No

Call center

7 call center cases

3 successful · 4 unsuccessful

See the call center timeline

Free text

Release 7 — day 0, dose 2

2021-04-14

Systemic reaction (other): Kidney area on back felt like out was burning

Release 7 — days 1–6 daily, dose 2

2021-04-16

Systemic reaction (other): Kidney area back pain

2021-04-17

Systemic reaction (other): Pain in lower back-kidney area

Release 7 — day 7, dose 2

2021-04-21

Systemic reaction (other): Low back/Kidney area pain

Release 8 — day 14, dose 2

2021-04-30

Symptoms: Kidney/back pain

Release 8 — day 35, dose 2

2021-05-19

Symptoms: All over Joint pain. Especially feet and ankles and hands. Low energy.

Release 8 — day 42, dose 2

2021-05-26

Symptoms: Insomnia, joint pain

Healthcare visit (other): Dr. Office

Release 9 — 3 months, dose 2

2021-07-14

Symptoms: Postmenopausal bleeding

Release 10 — 6 months, dose 2

2021-10-13

Symptoms: Minor menstrual bleeding After third shot due to underlying health conditions - I was sick for 3 days headache, aches, cough, extreme tiredness.

Healthcare visit (other): Endometrial biopsy - neg results

Release 11 — 6 months, dose 3

2022-03-31

Symptoms: Joint and back pain. Bloating. Congestion.

Release 11 — days 1–6 daily, dose 4

2022-04-25

Systemic reaction (other): Sweating profusely

2022-04-26

Systemic reaction (other): Sweating

2022-04-27

Systemic reaction (other): Profuse perspiration

Release 11 — day 21, dose 4

2022-05-15

Symptoms: Body aches. Joint pain. Bone pain.

Release 12 — day 14, dose 5

2022-10-04

Symptoms: Difficulty breathing. Painful

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	✓	✓	✓
HCVO	Unevaluable event	·	·	✓
SD	Abdominal distension	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Bone pain	·	·	✓
SD	Bronchitis	·	·	✓
SD	Cough	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Insomnia	✓	✓	✓
SD	Malaise	·	·	✓
SD	Pain	·	·	✓
SD	Postmenopausal haemorrhage	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Renal pain	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Uvulitis	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Burning sensation	✓	✓	✓
SRO	Hyperhidrosis	·	·	✓
SRO	Renal pain	✓	✓	○

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