3TA-11415-76020

3 vaccinations 7 coded responses 32 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 105 / NY
Registered: 2021-02-17

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

2021-02-17
Registered in v-safe
2021-02-17
Dose 1 — Pfizer-BioNTech
2021-02-17
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Good · Site: Pain

Free text: Pain is not terrible, but I just cant lie down on that side. Thats the extent of it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — day 7, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-03-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-10
Dose 2 — Pfizer-BioNTech
2021-03-10
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-01
Survey response — day 21, dose 2
MedDRA: Headache — Feeling: Fair

Free text: Headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — day 28, dose 2
MedDRA: Arthralgia — Feeling: Good · 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: Joint pain...unsure if its related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-10
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-27
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-04
Health check-in — day 7, dose 3
Feeling: Good · Nausea

Adult check-in
2021-10-11
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-25
Survey response — day 28, dose 3
MedDRA: Office visit, Tinnitus — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Tinnitus that I've gradually started to notice has worsened in the past couple of weeks and gotten very loud in both ears and is constant. I never had it before. Is this a possible side effect? · Healthcare visit (other): Primary dr with referral to audiologist

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-26
Call successful
Participant prefers to complete VAERS report online
2021-11-01
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-11-09
Survey response — day 42, dose 3
MedDRA: Tinnitus — Feeling: Fair

Free text: Tinnitus

MedDRA releases: 2024-11 · check-in free text available
2021-12-27
Survey response — 3 months, dose 3
MedDRA: Office visit, Tinnitus — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Persistent tinnitus. · Healthcare visit (other): Dr office, ENT, audiologist

MedDRA releases: 2024-11 · check-in free text available
2021-12-27
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-28
Call successful
Participant prefers to complete VAERS report online
2022-03-28
Survey response — 6 months, dose 3
MedDRA: Office visit, Tinnitus — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Worsening tinnitus that came in just after my booster · Healthcare visit (other): Audiologist and ent

MedDRA releases: 2024-11 · check-in free text available
2022-03-28
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-30
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-17	Pfizer-BioNTech
2	2021-03-10	Pfizer-BioNTech
3	2021-09-27	Pfizer-BioNTech	Flu

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-18

Systemic reaction (other): Pain is not terrible, but I just cant lie down on that side. Thats the extent of it.

Release 6 — day 21, dose 2

2021-04-01

Symptoms: Headache

Release 7 — day 28, dose 2

2021-04-09

Symptoms: Joint pain...unsure if its related

Release 10 — day 28, dose 3

2021-10-25

Symptoms: Tinnitus that I've gradually started to notice has worsened in the past couple of weeks and gotten very loud in both ears and is constant. I never had it before. Is this a possible side effect?

Healthcare visit (other): Primary dr with referral to audiologist

Release 10 — day 42, dose 3

2021-11-09

Symptoms: Tinnitus

Release 10 — 3 months, dose 3

2021-12-27

Symptoms: Persistent tinnitus.

Healthcare visit (other): Dr office, ENT, audiologist

Release 11 — 6 months, dose 3

2022-03-28

Symptoms: Worsening tinnitus that came in just after my booster

Healthcare visit (other): Audiologist and ent

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	Arthralgia	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Tinnitus	·	·	✓
SRO	Pain	✓	✓	✓

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