3Y5-33187-39972

4 vaccinations 12 coded responses 40 check-ins 10 free-text entries 7 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 891 / NV
Registered: 2021-03-30

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

2021-03-30
Registered in v-safe
2021-03-30
Dose 1 — Pfizer-BioNTech
2021-03-30
Health check-in — day 0, dose 1
Feeling: Good · Joint pains, Nausea

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Palpitations — Feeling: Poor · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: heart palpitations every once and awhile

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-06
Health check-in — day 7, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-13
Survey response — day 14, dose 1
MedDRA: Cough — Feeling: Fair

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-27
Dose 2 — Pfizer-BioNTech
2021-04-27
Health check-in — day 0, dose 2
Feeling: Fair · None

Adult check-in
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Migraine — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: migraines

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Itching · 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
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain, Pain in extremity — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site

Free text: sore throat arm pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains

Adult check-in
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Dyspnoea — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Abdominal pain

Free text: cough, short of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 7, dose 2
MedDRA: Brain fog, Swelling — Feeling: Good · Headache, Joint pains, Fatigue or tiredness

Free text: neck swelling & fogginess

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-08
Survey response — day 42, dose 2
MedDRA: Arthralgia, Chills, Dyspnoea, Migraine, Pyrexia — Feeling: Poor · 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: Severe joint pain, more migraines, trouble breathing chills, fevers of 101.2 past 2 days,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-15
Call 3 — Left Voicemail
2021-07-27
Survey response — 3 months, dose 2
MedDRA: Cough, Dizziness, Dyspnoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Dizziness. Shortness of breath. Cough

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-27
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-02
Call 3 — Could Not Reach Participant
2021-10-27
Survey response — 6 months, dose 2
MedDRA: Gastrointestinal disorder, Iron deficiency anaemia, Migraine, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: More migraines. Digestive issues. Iron Deficiency anemia. · Healthcare visit (other): Inpatient doctor visit

MedDRA releases: 2024-11 · check-in free text available
2021-10-27
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-27
Call 3 — Could Not Reach Participant
2022-04-27
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Dyspnoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Joint pain. Shortness of breath no matter when it I am.

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-04-28
Call 2 — Left Voicemail
2022-11-11
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2022-11-11
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2022-11-12
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-11-13
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-16
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · 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, Outpatient clinic or urgent care clinic visit

Adult check-in
2022-11-16
Report sent to call center — days 1–6 daily, 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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-17
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-17
Call X — Left Voicemail
2022-11-17
Call X — Left Voicemail
2022-11-17
Call X — Left Voicemail
2022-11-17
Call X — Left Voicemail
2022-11-17
Call 3 — Left Voicemail
2022-11-19
Health check-in — day 7, dose 3
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-25
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-12-02
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-12-09
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-12-16
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-12-23
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2023-02-08
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2023-02-10
Survey response — 3 months, dose 3
MedDRA: Brain fog, Dyspnoea — 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

MedDRA releases: 2024-11
2023-02-10
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-02-13
Call 1 — Left Voicemail
2023-02-13
Call 1 — Left Voicemail
2023-02-13
Call 1 — Left Voicemail
2023-02-13
Call 1 — Left Voicemail
2023-02-13
Call 1 — Left Voicemail
2023-02-13
Call 1 — Left Voicemail
2023-05-10
Survey response — 3 months, dose 4
MedDRA: COVID-19 — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-05-10
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-05-11
Call 2 — Left Voicemail
2023-05-11
Call 2 — Left Voicemail
2023-05-11
Call 2 — Left Voicemail
2023-05-11
Call 3 — Left Voicemail
2023-05-11
Call 2 — Left Voicemail
2023-05-11
Call 2 — Left Voicemail
2023-05-11
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Pfizer-BioNTech
2	2021-04-27	Pfizer-BioNTech
3	2022-11-11	Pfizer-BioNTech	Flu
4	2023-02-08	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-06-08	Unsuccessful
2021-07-27	Unsuccessful
2021-10-27	Unsuccessful
2022-04-27	Unsuccessful
2022-11-16	Unsuccessful
2023-02-10	Unsuccessful
2023-05-10	Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-04

Systemic reaction (other): heart palpitations every once and awhile

Release 7 — day 14, dose 1

2021-04-13

Symptoms: Cough

Release 8 — days 1–6 daily, dose 2

2021-04-28

Systemic reaction (other): migraines

2021-04-30

Systemic reaction (other): sore throat arm pain

2021-05-03

Systemic reaction (other): cough, short of breath

Release 8 — day 7, dose 2

2021-05-06

Systemic reaction (other): neck swelling & fogginess

Release 8 — day 42, dose 2

2021-06-08

Symptoms: Severe joint pain, more migraines, trouble breathing chills, fevers of 101.2 past 2 days,

Release 9 — 3 months, dose 2

2021-07-27

Symptoms: Dizziness. Shortness of breath. Cough

Release 10 — 6 months, dose 2

2021-10-27

Symptoms: More migraines. Digestive issues. Iron Deficiency anemia.

Healthcare visit (other): Inpatient doctor visit

Release 11 — 12 months, dose 2

2022-04-27

Symptoms: Joint pain. Shortness of breath no matter when it I am.

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	Brain fog	·	·	✓
SD	Chills	✓	✓	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dizziness	✓	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Iron deficiency anaemia	·	·	✓
SD	Migraine	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SRO	Brain fog	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Swelling	✓	✓	✓

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