434-38811-11626

4 vaccinations 11 coded responses 37 check-ins 11 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 333 / FL
Registered: 2021-02-03

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-03
Registered in v-safe
2021-02-03
Dose 1 — Pfizer-BioNTech
2021-02-03
Survey response — day 0, dose 1
MedDRA: Tinnitus — Feeling: Good

Free text: Ringing in my ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Good · Site: Pain, Swelling

Free text: Ringing in my ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Good · Site: Pain, Swelling

Free text: Ringing in my ears.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — days 1–6 daily, dose 1
MedDRA: Hot flush — Feeling: Good · Fever · Chills

Free text: Hot flashes all night last night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-02-10
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-23
Dose 2 — Pfizer-BioNTech
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Chills, Joint pains

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Chills, Joint pains

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-02
Survey response — day 7, dose 2
MedDRA: Dyspnoea, Seasonal allergy — Feeling: Fair · Headache

Free text: Allergic. Breathing issues. Could be seasonal.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — day 14, dose 2
MedDRA: Rash — Feeling: Good

Free text: Rash on my face and other body parts.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-25
Survey response — 3 months, dose 2
MedDRA: Injection site erythema, Injection site pain, Injection site swelling — Feeling: Good

Free text: Pain, redness and swelling at injection site exactly 2 months after 2nd injection. It passed about a week later.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-25
Dose 3 — Pfizer-BioNTech
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-04
Health check-in — day 7, dose 3
Feeling: Good · Site: Itching · None

Adult check-in
2021-10-09
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-16
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-30
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-06
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-25
Survey response — 3 months, dose 3
MedDRA: Gallbladder operation — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Gallbladder surgery

MedDRA releases: 2024-11 · check-in free text available
2021-12-25
Report sent to call center — 3 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

Hospitalization · 1 call case(s)
2021-12-27
Call 1 — Left Voicemail
2022-03-28
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-11
Dose 4 — Pfizer-BioNTech
Co-administered: Shingles
2022-04-18
Health check-in — day 7, dose 4
Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Adult check-in
2022-04-25
Survey response — day 14, dose 4
MedDRA: Herpes zoster — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Due to Shingles Vaccine given the same day as Covid Vaccine I developed a mild case of shingles of the mouth and face. Not due to Covid vaccine.

MedDRA releases: 2024-11 · check-in free text available
2022-04-25
Report sent to call center — day 14, dose 4
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-04-26
Call 1 — Left Voicemail
2022-05-02
Survey response — day 21, dose 4
MedDRA: Herpes zoster, Oral discomfort — Feeling: Good

Free text: Contracted shingles of the mouth from shingles vaccine. Food and drink something burn like lemon juice on a cut.

MedDRA releases: 2024-11 · check-in free text available
2022-05-11
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-23
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-11
Survey response — 3 months, dose 4
MedDRA: Cough, Fatigue, Photophobia, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Fatigue, light sensitivity, cough, congestion.

MedDRA releases: 2024-11 · check-in free text available
2022-07-11
Report sent to call center — 3 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-12
Call 1 — Left Voicemail
2022-07-12
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-12
Call successful
Participant prefers to complete VAERS report online
2022-07-12
Call successful
Participant prefers to complete VAERS report online
2023-04-11
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-03	Pfizer-BioNTech
2	2021-02-23	Pfizer-BioNTech
3	2021-09-25	Pfizer-BioNTech	No
4	2022-04-11	Pfizer-BioNTech	Shingles

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 3 — day 0, dose 1

2021-02-03

Systemic reaction (other): Ringing in my ears

Release 3 — days 1–6 daily, dose 1

2021-02-04

Systemic reaction (other): Ringing in my ears

2021-02-05

Systemic reaction (other): Ringing in my ears.

2021-02-06

Systemic reaction (other): Hot flashes all night last night

Release 4 — day 7, dose 2

2021-03-02

Systemic reaction (other): Allergic. Breathing issues. Could be seasonal.

Release 5 — day 14, dose 2

2021-03-09

Symptoms: Rash on my face and other body parts.

Release 8 — 3 months, dose 2

2021-05-25

Symptoms: Pain, redness and swelling at injection site exactly 2 months after 2nd injection. It passed about a week later.

Release 10 — 3 months, dose 3

2021-12-25

Symptoms: Gallbladder surgery

Release 11 — day 14, dose 4

2022-04-25

Symptoms: Due to Shingles Vaccine given the same day as Covid Vaccine I developed a mild case of shingles of the mouth and face. Not due to Covid vaccine.

Release 11 — day 21, dose 4

2022-05-02

Symptoms: Contracted shingles of the mouth from shingles vaccine. Food and drink something burn like lemon juice on a cut.

Release 12 — 3 months, dose 4

2022-07-11

Symptoms: Fatigue, light sensitivity, cough, congestion.

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
SD	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Gallbladder operation	·	·	✓
SD	Herpes zoster	·	·	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Oral discomfort	·	·	✓
SD	Photophobia	·	·	✓
SD	Rash	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Seasonal allergy	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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