438-25389-69447

2 vaccinations 7 coded responses 25 check-ins 7 free-text entries 6 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 486 / MI
Registered: 2021-01-15

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

2021-01-14
Dose 1 — Pfizer-BioNTech
2021-01-15
Registered in v-safe
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Nausea, Pain in extremity — Feeling: Good · Site: Pain

Free text: Nausea for 4 hours the day of the first dose. Mild soreness in arm of injection today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-05
Dose 2 — Pfizer-BioNTech
2021-02-05
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-02-12
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-26
Survey response — day 21, dose 2
MedDRA: Emergency care — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Experienced a fall 2/24/21 and ER visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-05
Survey response — day 28, dose 2
MedDRA: Fall, Physiotherapy — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: Fall on ice with complications · Healthcare visit (other): Physical Therapy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Report sent to call center — day 28, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-12
Survey response — day 35, dose 2
MedDRA: Fall, Pain, Physiotherapy — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Continuing pain related to a fall incident 2/24/21 with follow up treatment · Healthcare visit (other): Physical therapy and additional clinical test

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Report sent to call center — day 35, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-22
Survey response — day 42, dose 2
MedDRA: Back pain, Fall, Physiotherapy — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Back pain related to a fall 2/24/21 · Healthcare visit (other): Physical therapy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
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)
2021-05-09
Survey response — 3 months, dose 2
MedDRA: Fall, Pain, Physiotherapy — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Have had a consistent pain in left side. Unsure if related to a fall . Have an upcoming appointment with a healthcare professional . · Healthcare visit (other): PT. Also have an upcoming doctor visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-06
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-06
Call successful
Participant prefers to complete VAERS report online
2022-02-06
Survey response — 12 months, dose 2
MedDRA: Lymph node pain, Lymphadenopathy, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: I received my Pfizer booster in Oct and had experienced lymph swelling (axilla) and pain. · Healthcare visit (other): Ultrasound

MedDRA releases: 2024-11 · check-in free text available
2022-02-06
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-08
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Pfizer-BioNTech
2	2021-02-05	Pfizer-BioNTech

Call center

6 call center cases

5 successful · 1 unsuccessful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): Nausea for 4 hours the day of the first dose. Mild soreness in arm of injection today

Release 4 — day 21, dose 2

2021-02-26

Symptoms: Experienced a fall 2/24/21 and ER visit

Release 5 — day 28, dose 2

2021-03-05

Symptoms: Fall on ice with complications

Healthcare visit (other): Physical Therapy

Release 5 — day 35, dose 2

2021-03-12

Symptoms: Continuing pain related to a fall incident 2/24/21 with follow up treatment

Healthcare visit (other): Physical therapy and additional clinical test

Release 6 — day 42, dose 2

2021-03-22

Symptoms: Back pain related to a fall 2/24/21

Healthcare visit (other): Physical therapy

Release 8 — 3 months, dose 2

2021-05-09

Symptoms: Have had a consistent pain in left side. Unsure if related to a fall . Have an upcoming appointment with a healthcare professional .

Healthcare visit (other): PT. Also have an upcoming doctor visit

Release 11 — 12 months, dose 2

2022-02-06

Symptoms: I received my Pfizer booster in Oct and had experienced lymph swelling (axilla) and pain.

Healthcare visit (other): Ultrasound

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	Physiotherapy	✓	✓	✓
HCVO	Unevaluable event	·	·	✓
SD	Back pain	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Fall	✓	✓	✓
SD	Lymph node pain	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Pain	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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