3WU-25742-90003

2 vaccinations 4 coded responses 21 check-ins 4 free-text entries 5 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 452 / OH
Registered: 2020-12-21

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

2020-12-21
Registered in v-safe
2020-12-21
Dose 1 — Pfizer-BioNTech
2020-12-21
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2020-12-27
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea, Sneezing — Feeling: Good

Free text: Sneezing, runny nose x few days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-28
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-06
Survey response — day 14, dose 1
MedDRA: Dehydration, Headache, Hypotension, Migraine, Pre-existing disease — Feeling: Good · Be unable to work, 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: Hypotension, dehydration, migraine 1 day after blood donation. Headaches/possible migraine 3 consecutive days prior to blood donation.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-11
Dose 2 — Pfizer-BioNTech
2021-01-11
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-13
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-14
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Decreased appetite — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work

Free text: Axillary tenderness on same arm as injection; I forgot to report it yesterday. Decreased appetite.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Report sent to call center — days 1–6 daily, dose 2
Be unable to work

1 call case(s)
2021-01-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-16
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-20
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-01-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-13
Call 1 — Left Voicemail
2021-02-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-02-24
Call successful
Participant prefers to complete VAERS report online
2021-04-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-11
Survey response — 12 months, dose 2
MedDRA: Blister, Fatigue, Headache, Hypersensitivity, Injection site reaction, Nausea, Office visit, Pruritus, 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: Mild fatigue ongoing. Headache, injection site welt, nausea, and increased fatigue following Shingles vaccine 1/6/22. Developed new allergy to hormone replacement therapy patch last month: welt, blisters, itching, addressed by ObGyn.

MedDRA releases: 2024-11 · check-in free text available
2022-01-11
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)
2022-01-12
Call 1 — Left Voicemail
2022-01-14
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-21	Pfizer-BioNTech
2	2021-01-11	Pfizer-BioNTech

Call center

5 call center cases

5 successful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-27

Systemic reaction (other): Sneezing, runny nose x few days

Release 1 — day 14, dose 1

2021-01-06

Symptoms: Hypotension, dehydration, migraine 1 day after blood donation. Headaches/possible migraine 3 consecutive days prior to blood donation.

Release 2 — days 1–6 daily, dose 2

2021-01-14

Systemic reaction (other): Axillary tenderness on same arm as injection; I forgot to report it yesterday. Decreased appetite.

Release 10 — 12 months, dose 2

2022-01-11

Symptoms: Mild fatigue ongoing. Headache, injection site welt, nausea, and increased fatigue following Shingles vaccine 1/6/22. Developed new allergy to hormone replacement therapy patch last month: welt, blisters, itching, addressed by ObGyn.

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	Blister	·	·	✓
SD	Dehydration	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Hypersensitivity	·	·	✓
SD	Hypotension	✓	✓	✓
SD	Injection site reaction	·	·	✓
SD	Migraine	✓	✓	✓
SD	Nausea	·	·	✓
SD	Office visit	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	·	·	✓
SD	Urticaria	·	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sneezing	✓	✓	✓

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