46A-14834-21180

3 vaccinations 8 coded responses 35 check-ins 8 free-text entries 5 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 295 / SC
Registered: 2021-03-09

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

GXM-80971-67444 Child or adolescent in my care · Male · 2021-11-22

Timeline

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

2021-03-09
Registered in v-safe
2021-03-09
Dose 1 — Pfizer-BioNTech
2021-03-09
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — day 7, dose 1
Feeling: Poor · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-30
Dose 2 — Pfizer-BioNTech
2021-03-30
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

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

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-06
Health check-in — day 7, dose 2
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-21
Survey response — day 21, dose 2
MedDRA: Arthralgia — Feeling: Good · 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: Joint pain

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

1 call case(s)
2021-04-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-29
Survey response — 3 months, dose 2
MedDRA: Pre-existing disease — Feeling: Good · 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: A rod from a back surgery fractured. I need to have the back surgery redone. I will have a fusion from t8 to s1 and a fusion of the sacroiliac joints.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
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)
2021-07-01
Call 1 — Left Voicemail
2021-09-30
Survey response — 6 months, dose 2
MedDRA: Device breakage, Spinal operation — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Hospitalization

Free text: Just had spinal surgery. One of the rods from a previous surgery fractured.

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
2021-10-01
Call successful
Participant prefers to complete VAERS report online
2021-11-22
Dose 3 — Pfizer-BioNTech
2021-11-22
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · None

Adult check-in
2021-11-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-11-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-30
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-06
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-15
Survey response — day 21, dose 3
MedDRA: Breast mass, Cellulitis, Fear, Lymphadenopathy, Skin ulcer — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I have developed an ulcer on my Great toe of my right foot with cellulitis. I also had a scare two weeks ago of masses in each breast. On Monday After the mammogram then sonogram all is ok. Just having the COVID vaccine my lymph nodes are enlarged.

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-16
Call 1 — Left Voicemail
2021-12-22
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-27
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-03
Survey response — day 42, dose 3
MedDRA: Emergency care, SARS-CoV-2 test positive, Urinary tract disorder — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: I got the third immunization approximately 4weeks ago. I had urinary issues that caused me to go to the ER on Christmas Eve. They were not sure if I passed the stone or not. Then I had a positive CoVid test 12/29. Went to the ER 12/30 for antibodie

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-01-04
Call successful
Participant prefers to complete VAERS report online
2022-02-23
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Pfizer-BioNTech
2	2021-03-30	Pfizer-BioNTech
3	2021-11-22	Pfizer-BioNTech	No

Call center

5 call center cases

5 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-31

Systemic reaction (other): Coughing

2021-04-01

Systemic reaction (other): Coughing

2021-04-02

Systemic reaction (other): Coughing

Release 7 — day 21, dose 2

2021-04-21

Symptoms: Joint pain

Release 9 — 3 months, dose 2

2021-06-29

Symptoms: A rod from a back surgery fractured. I need to have the back surgery redone. I will have a fusion from t8 to s1 and a fusion of the sacroiliac joints.

Release 9 — 6 months, dose 2

2021-09-30

Symptoms: Just had spinal surgery. One of the rods from a previous surgery fractured.

Release 10 — day 21, dose 3

2021-12-15

Symptoms: I have developed an ulcer on my Great toe of my right foot with cellulitis. I also had a scare two weeks ago of masses in each breast. On Monday After the mammogram then sonogram all is ok. Just having the COVID vaccine my lymph nodes are enlarged. cut off by CDC

Release 10 — day 42, dose 3

2022-01-03

Symptoms: I got the third immunization approximately 4weeks ago. I had urinary issues that caused me to go to the ER on Christmas Eve. They were not sure if I passed the stone or not. Then I had a positive CoVid test 12/29. Went to the ER 12/30 for antibodie cut off by CDC

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	Arthralgia	✓	✓	✓
SD	Breast mass	·	·	✓
SD	Cellulitis	·	·	✓
SD	Device breakage	·	·	✓
SD	Emergency care	·	·	✓
SD	Fear	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Skin ulcer	·	·	✓
SD	Spinal operation	·	·	✓
SD	Urinary tract disorder	·	·	✓
SRO	Cough	✓	✓	✓

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