3XM-43283-71910

3 vaccinations 12 coded responses 38 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 750 / TX
Registered: 2021-03-02

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

2021-03-02
Registered in v-safe
2021-03-02
Dose 1 — Pfizer-BioNTech
2021-03-02
Survey response — day 0, dose 1
MedDRA: Anxiety — Feeling: Good · Fatigue or tiredness · Be unable to work

Free text: Anxious over possible symptoms but unfounded. No issues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Good · Site: Pain · Headache

Free text: Headache began late evening of first day following shot.

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

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-23
Dose 2 — Pfizer-BioNTech
2021-03-23
Survey response — day 0, dose 2
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness

Free text: Fatigue but from lack of sleep and volunteering at vaccination site from 7:00 am to 12:00 pm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Same yesterday but forgot to respond to safe while at work.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Injection site still slight ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-06
Dose 3 — Pfizer-BioNTech
2021-10-06
Survey response — day 0, dose 3
MedDRA: Pain — Feeling: Good

Free text: Little ache not much

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Survey response — days 1–6 daily, dose 3
MedDRA: Pruritus — Feeling: Good

Free text: Itching all over especially arms / wrists / hands

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Survey response — days 1–6 daily, dose 3
MedDRA: Pruritus — Feeling: Fair · Site: Itching · Fever

Free text: Itching everywhere on arms back upper body

MedDRA releases: 2024-11 · check-in free text available
2021-10-09
Survey response — days 1–6 daily, dose 3
MedDRA: Pruritus — Feeling: Good · Site: Itching

Free text: Just itchy all over but not as bad as yesterday

MedDRA releases: 2024-11 · check-in free text available
2021-10-10
Survey response — days 1–6 daily, dose 3
MedDRA: Pruritus — Feeling: Good

Free text: Itching all over on occasion now instead of all the time. Strange but itchy along veins

MedDRA releases: 2024-11 · check-in free text available
2021-10-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-13
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-20
Survey response — day 14, dose 3
MedDRA: Asthma, Dyspnoea, Pre-existing disease — Feeling: Good

Free text: Feels like my asthma returned. I am short of breath with heaters, blowing air, wind.

MedDRA releases: 2024-11 · check-in free text available
2021-10-27
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-03
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-11
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-17
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-05
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-06
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-06
Survey response — 12 months, dose 3
MedDRA: COVID-19, Emergency care, Renal pain — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Symptoms: I contracted Covid · Healthcare visit (other): Emergency room never tested me for Covid and that is what I had manifest as bilateral kidney pain.

MedDRA releases: 2024-11 · check-in free text available
2022-10-06
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
2022-10-07
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-02	Pfizer-BioNTech
2	2021-03-23	Pfizer-BioNTech
3	2021-10-06	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-03-02

Systemic reaction (other): Anxious over possible symptoms but unfounded. No issues.

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): Headache began late evening of first day following shot.

Release 6 — day 0, dose 2

2021-03-23

Systemic reaction (other): Fatigue but from lack of sleep and volunteering at vaccination site from 7:00 am to 12:00 pm

Release 6 — days 1–6 daily, dose 2

2021-03-25

Systemic reaction (other): Same yesterday but forgot to respond to safe while at work.

2021-03-29

Systemic reaction (other): Injection site still slight ache

Release 10 — day 0, dose 3

2021-10-06

Systemic reaction (other): Little ache not much

Release 10 — days 1–6 daily, dose 3

2021-10-07

Systemic reaction (other): Itching all over especially arms / wrists / hands

2021-10-08

Systemic reaction (other): Itching everywhere on arms back upper body

2021-10-09

Systemic reaction (other): Just itchy all over but not as bad as yesterday

2021-10-10

Systemic reaction (other): Itching all over on occasion now instead of all the time. Strange but itchy along veins

Release 10 — day 14, dose 3

2021-10-20

Symptoms: Feels like my asthma returned. I am short of breath with heaters, blowing air, wind.

Release 12 — 12 months, dose 3

2022-10-06

Symptoms: I contracted Covid

Healthcare visit (other): Emergency room never tested me for Covid and that is what I had manifest as bilateral kidney pain.

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	Emergency care	·	·	✓
HCVO	Renal pain	·	·	✓
SD	Asthma	·	·	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Pre-existing disease	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Pain	·	·	✓
SRO	Pruritus	·	·	✓

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