3XM-60793-57268

2 vaccinations 11 coded responses 17 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 786 / TX
Registered: 2021-04-14

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

2021-04-12
Dose 1 — Pfizer-BioNTech
2021-04-14
Registered in v-safe
2021-04-14
Survey response — days 1–6 daily, dose 1
MedDRA: Blepharospasm, Feeling cold — Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Free text: Twitching around left eye including eyelid and felt a bit cold at times today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle twitching — Feeling: Good · Headache

Free text: Left eye muscle twitch

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 1
MedDRA: Blepharospasm — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Left eye twitching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle twitching — Feeling: Good

Free text: Left eye area muscle twitching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — day 7, dose 1
MedDRA: Oropharyngeal pain — Feeling: Poor · Headache, Fatigue or tiredness, Nausea

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — day 14, dose 1
MedDRA: Cough, Fatigue, Headache, Nasal congestion, Respiratory tract congestion, SARS-CoV-2 test — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Last week, especially Apr21/2021, and Apr22/2021, I had mild to moderate congestion , headache, cough, fatigue. Congestion continues. · Healthcare visit (other): Covid test via mouth swab (mobile walk up unit)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-03
Dose 2 — Pfizer-BioNTech
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Chest discomfort, neck stiffness, sore throat, felt faint after walking around slowly for a few minutes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle twitching — Feeling: Fair · Site: Pain · Headache, Nausea

Free text: Muscle twitching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-10
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-17
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-24
Survey response — day 21, dose 2
MedDRA: Chest discomfort, Headache, Nasal congestion, Nasopharyngitis, Oropharyngeal pain, Productive cough — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cold symptoms (nasal congestion, phlegm, headache, chest discomfort and sore throat)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-14
Survey response — day 42, dose 2
MedDRA: Constipation, Menstrual disorder — Feeling: Fair

Free text: Early menstrual cycle (day 19) and constipation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-11-03
Survey response — 6 months, dose 2
MedDRA: Anaemia, Insomnia — Feeling: Fair

Free text: Diagnosed with very mild anemia. Continue to have insomnia.

MedDRA releases: 2024-11 · check-in free text available
2022-04-07
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-12	Pfizer-BioNTech
2	2021-05-03	Pfizer-BioNTech

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-14

Systemic reaction (other): Twitching around left eye including eyelid and felt a bit cold at times today

2021-04-15

Systemic reaction (other): Left eye muscle twitch

2021-04-16

Systemic reaction (other): Left eye twitching

2021-04-17

Systemic reaction (other): Left eye area muscle twitching

Release 7 — day 7, dose 1

2021-04-19

Systemic reaction (other): Sore throat

Release 7 — day 14, dose 1

2021-04-26

Symptoms: Last week, especially Apr21/2021, and Apr22/2021, I had mild to moderate congestion , headache, cough, fatigue. Congestion continues.

Healthcare visit (other): Covid test via mouth swab (mobile walk up unit)

Release 8 — days 1–6 daily, dose 2

2021-05-04

Systemic reaction (other): Chest discomfort, neck stiffness, sore throat, felt faint after walking around slowly for a few minutes

2021-05-05

Systemic reaction (other): Muscle twitching

Release 8 — day 21, dose 2

2021-05-24

Symptoms: Cold symptoms (nasal congestion, phlegm, headache, chest discomfort and sore throat)

Release 9 — day 42, dose 2

2021-06-14

Symptoms: Early menstrual cycle (day 19) and constipation

Release 10 — 6 months, dose 2

2021-11-03

Symptoms: Diagnosed with very mild anemia. Continue to have insomnia.

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	SARS-CoV-2 test	✓	✓	✓
SD	Anaemia	·	·	✓
SD	Chest discomfort	✓	✓	✓
SD	Constipation	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Insomnia	·	·	✓
SD	Menstrual disorder	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Productive cough	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SRO	Blepharospasm	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Muscle twitching	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓

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