3X2-21467-78582

5 vaccinations 18 coded responses 60 check-ins 17 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 190 / PA
Registered: 2021-03-20

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

2021-03-20
Registered in v-safe
2021-03-20
Dose 1 — Pfizer-BioNTech
2021-03-20
Survey response — day 0, dose 1
MedDRA: Ear pruritus, Flushing, Throat irritation — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Scratchy throat, facial flushing and scratchy inner ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Pain · Headache

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: This might be chronic or related to something else. It's mostly my legs and back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-03
Survey response — day 14, dose 1
MedDRA: Lymphoedema, Malaise — Feeling: Fair

Free text: A little generalized malaise and minimal neck lymphedema

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Dose 2 — Pfizer-BioNTech
2021-04-10
Survey response — day 0, dose 2
MedDRA: Flushing — Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection site

Free text: Facial/neck flushing

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

Free text: The bottom of my feet hurt/ached

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Site: Pain · Fever · Nausea · Be unable to do your normal daily activities

Free text: Tinnitus for 2 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · None

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Nausea, Diarrhea

Adult check-in
2021-04-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-10
Health check-in — 3 months, dose 2
Feeling: Good

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

Adult check-in
2021-12-01
Dose 3 — Pfizer-BioNTech
2021-12-01
Survey response — day 0, dose 3
MedDRA: No adverse event — Feeling: Fair · Site: Pain · Joint pains

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-12-03
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Fair · Site: Pain · Fever · Joint pains, Nausea · Be unable to do your normal daily activities

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Good · Site: Pain · Diarrhea

Free text: None

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-08
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-22
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-29
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-05
Survey response — day 35, dose 3
MedDRA: Diarrhoea, Nausea — Feeling: Fair

Free text: Nausea, diarrhea.

MedDRA releases: 2024-11 · check-in free text available
2022-01-12
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-02
Survey response — 3 months, dose 3
MedDRA: Scan abnormal — Feeling: Good

Free text: Some nodules on lung scan.

MedDRA releases: 2024-11 · check-in free text available
2022-04-08
Dose 4 — Pfizer-BioNTech
2022-04-20
Health check-in — day 7, dose 4
Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-22
Survey response — day 14, dose 4
MedDRA: Rash, Rash vesicular — Feeling: Good

Free text: Some sort of vesicular rash to right chest area, bilateral axila areas, a few on the abdomen.

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Survey response — day 21, dose 4
MedDRA: Rash — Feeling: Good

Free text: Rash

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Survey response — day 28, dose 4
MedDRA: Office visit, Rash — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Chest rash · Healthcare visit (other): Office visit to dermatologist

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Report sent to call center — day 28, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-09
Call successful
Participant prefers to complete VAERS report online
2022-05-13
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-20
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-08
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-07
Survey response — 6 months, dose 4
MedDRA: Fascicular block, Office visit, Osteoarthritis, Osteopenia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Osteoarthritis, osteopenia, left fasicular block. · Healthcare visit (other): Dr. Office visit, In person.

MedDRA releases: 2024-11 · check-in free text available
2022-10-07
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-10
Call 1 — Left Voicemail
2022-11-10
Dose 5 — Pfizer-BioNTech
2022-11-11
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2022-11-12
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2022-11-13
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Fever · Rash, not including the immediate area around the injection site

Adult check-in
2022-11-14
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2022-11-15
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2022-11-16
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-11-17
Health check-in — day 7, dose 5
Feeling: Fair · Joint pains

Adult check-in
2022-11-24
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-12-01
Survey response — day 21, dose 5
MedDRA: Headache, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair

Free text: Sore throat, headache, runny nose.

MedDRA releases: 2024-11 · check-in free text available
2022-12-08
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-12-15
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-22
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-02-09
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-05-11
Survey response — 6 months, dose 5
MedDRA: Arthralgia, Sacral pain — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-20	Pfizer-BioNTech
2	2021-04-10	Pfizer-BioNTech
3	2021-12-01	Pfizer-BioNTech	No
4	2022-04-08	Pfizer-BioNTech	No
5	2022-11-10	Pfizer-BioNTech	No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-20

Systemic reaction (other): Scratchy throat, facial flushing and scratchy inner ears

Release 6 — days 1–6 daily, dose 1

2021-03-21

Systemic reaction (other): No

2021-03-26

Systemic reaction (other): This might be chronic or related to something else. It's mostly my legs and back

Release 6 — day 14, dose 1

2021-04-03

Symptoms: A little generalized malaise and minimal neck lymphedema

Release 7 — day 0, dose 2

2021-04-10

Systemic reaction (other): Facial/neck flushing

Release 7 — days 1–6 daily, dose 2

2021-04-11

Systemic reaction (other): The bottom of my feet hurt/ached

2021-04-12

Systemic reaction (other): Tinnitus for 2 days

Release 10 — day 0, dose 3

2021-12-01

Systemic reaction (other): No

Release 10 — days 1–6 daily, dose 3

2021-12-03

Systemic reaction (other): No

2021-12-04

Systemic reaction (other): None

Release 10 — day 35, dose 3

2022-01-05

Symptoms: Nausea, diarrhea.

Release 11 — 3 months, dose 3

2022-03-02

Symptoms: Some nodules on lung scan.

Release 11 — day 14, dose 4

2022-04-22

Symptoms: Some sort of vesicular rash to right chest area, bilateral axila areas, a few on the abdomen.

Release 11 — day 21, dose 4

2022-04-29

Symptoms: Rash

Release 11 — day 28, dose 4

2022-05-06

Symptoms: Chest rash

Healthcare visit (other): Office visit to dermatologist

Release 12 — 6 months, dose 4

2022-10-07

Symptoms: Osteoarthritis, osteopenia, left fasicular block.

Healthcare visit (other): Dr. Office visit, In person.

Release 12 — day 21, dose 5

2022-12-01

Symptoms: Sore throat, headache, runny nose.

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	Diarrhoea	·	·	✓
SD	Fascicular block	·	·	✓
SD	Headache	·	·	✓
SD	Lymphoedema	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Osteoarthritis	·	·	✓
SD	Osteopenia	·	·	✓
SD	Rash	·	·	✓
SD	Rash vesicular	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sacral pain	·	·	✓
SD	Scan abnormal	·	·	✓
SRO	Ear pruritus	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Throat irritation	✓	✓	✓
SRO	Tinnitus	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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