42E-17335-84438

2 vaccinations 4 coded responses 26 check-ins 4 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 140 / NY
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 · Fatigue or tiredness

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Constipation — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Constipation

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: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
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 · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Constipation, Diarrhoea — Feeling: Fair · Fatigue or tiredness

Free text: Constipation/diarrhea both

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Rash, not including the immediate area around the injection site

Adult check-in
2021-05-04
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-11
Survey response — day 14, dose 2
MedDRA: Abdominal pain, Discomfort, Hepatomegaly, Pancreatitis, Splenomegaly, Unevaluable event — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: Pain in upper abdomen area, started about 4 days after Covid shot, progressed to being an all day uncomfortable feeling. Pancreas is inflamed, had an ultrasound yesterday to determine that and both spleen and liver are enlarged. · Healthcare visit (other): Going to Er this evening

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
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
2021-06-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-27
Survey response — 3 months, dose 2
MedDRA: Anaphylactic shock, Drug hypersensitivity, Head injury, Loss of consciousness — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Anaphylactic shock with allergic reactions during colonoscopy prep never experienced this before. Passed out and cracked head open. Was doing the Miralax prep.

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)
2021-08-04
Call successful
Participant prefers to complete VAERS report online
2021-10-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-28
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Pfizer-BioNTech
2	2021-04-27	Pfizer-BioNTech

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-04

Systemic reaction (other): Constipation

Release 8 — days 1–6 daily, dose 2

2021-04-30

Systemic reaction (other): Constipation/diarrhea both

Release 8 — day 14, dose 2

2021-05-11

Symptoms: Pain in upper abdomen area, started about 4 days after Covid shot, progressed to being an all day uncomfortable feeling. Pancreas is inflamed, had an ultrasound yesterday to determine that and both spleen and liver are enlarged.

Healthcare visit (other): Going to Er this evening

Release 9 — 3 months, dose 2

2021-07-27

Symptoms: Anaphylactic shock with allergic reactions during colonoscopy prep never experienced this before. Passed out and cracked head open. Was doing the Miralax prep.

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	Unevaluable event	✓	✓	✓
SD	Abdominal pain	✓	✓	✓
SD	Anaphylactic shock	✓	·	✓
SD	Discomfort	✓	✓	✓
SD	Drug hypersensitivity	✓	·	✓
SD	Head injury	✓	·	✓
SD	Hepatomegaly	✓	✓	✓
SD	Loss of consciousness	✓	·	✓
SD	Pancreatitis	✓	✓	✓
SD	Splenomegaly	✓	✓	✓
SRO	Constipation	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓

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