49Z-19163-48534

4 vaccinations 11 coded responses 34 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 013 / MA
Registered: 2021-03-21

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

2021-03-06
Dose 1 — Pfizer-BioNTech
2021-03-21
Registered in v-safe
2021-03-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-27
Dose 2 — Pfizer-BioNTech
2021-03-27
Survey response — day 0, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: I just got the shot today so it is too early to know

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Nausea

Free text: ringing in my ears. (Also the day after the shot which I didn't report.)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Middle insomnia, Stress, Tinnitus — Feeling: Fair

Free text: tinnitus, woken from sleep with stress attack

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-03
Survey response — day 7, dose 2
MedDRA: Tinnitus — Feeling: Fair · Fatigue or tiredness

Free text: tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-24
Survey response — day 28, dose 2
MedDRA: Vertigo — Feeling: Fair

Free text: Vertigo every morning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-03
Dose 3 — Pfizer-BioNTech
2021-09-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-03
Survey response — day 28, dose 3
MedDRA: Arthralgia, Back pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Back and hip pain for 2 weeks still not resolved. Not sure if it has anything to do with the vaccine, though.

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-15
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-03
Survey response — 3 months, dose 3
MedDRA: Ear discomfort, Sinus headache — Feeling: Fair

Free text: Sinus headaches almost every day and plugged up ears. I don't usually have sinus headaches.

MedDRA releases: 2024-11 · check-in free text available
2022-03-04
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-12
Dose 4 — Moderna
2022-04-14
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-15
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-17
Survey response — days 1–6 daily, dose 4
MedDRA: Back pain — Feeling: Good · Muscle or body aches

Free text: Upper back pain on and off. Possibly from irritated stomach

MedDRA releases: 2024-11 · check-in free text available
2022-04-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-19
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-26
Survey response — day 14, dose 4
MedDRA: Muscle rupture, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Torn muscle in back. Sore throat that keeps coming back

MedDRA releases: 2024-11 · check-in free text available
2022-05-03
Survey response — day 21, dose 4
MedDRA: Back pain, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Upper back pain, tingling in toes possible disc rupture

MedDRA releases: 2024-11 · check-in free text available
2022-05-10
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-17
Survey response — day 35, dose 4
MedDRA: Hypertension, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Extremely high blood pressure 203/113 at the doctors office. It has been climbing steadily since I was boosted. Usually around 135/85. Looking at my records it rose after my last booster but not as high

MedDRA releases: 2024-11 · check-in free text available
2022-05-17
Report sent to call center — day 35, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-18
Call 1 — Left Voicemail
2022-05-18
Call successful
Participant prefers to complete VAERS report online
2022-05-24
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-12
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-12
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-06	Pfizer-BioNTech
2	2021-03-27	Pfizer-BioNTech
3	2021-09-03	Pfizer-BioNTech	No
4	2022-04-12	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — day 0, dose 2

2021-03-27

Systemic reaction (other): I just got the shot today so it is too early to know

Release 6 — days 1–6 daily, dose 2

2021-03-30

Systemic reaction (other): ringing in my ears. (Also the day after the shot which I didn't report.)

2021-04-01

Systemic reaction (other): tinnitus, woken from sleep with stress attack

Release 6 — day 7, dose 2

2021-04-03

Systemic reaction (other): tinnitus

Release 7 — day 28, dose 2

2021-04-24

Symptoms: Vertigo every morning.

Release 9 — day 28, dose 3

2021-10-03

Symptoms: Back and hip pain for 2 weeks still not resolved. Not sure if it has anything to do with the vaccine, though.

Release 10 — 3 months, dose 3

2021-12-03

Symptoms: Sinus headaches almost every day and plugged up ears. I don't usually have sinus headaches.

Release 11 — days 1–6 daily, dose 4

2022-04-17

Systemic reaction (other): Upper back pain on and off. Possibly from irritated stomach

Release 11 — day 14, dose 4

2022-04-26

Symptoms: Torn muscle in back. Sore throat that keeps coming back

Release 11 — day 21, dose 4

2022-05-03

Symptoms: Upper back pain, tingling in toes possible disc rupture

Release 11 — day 35, dose 4

2022-05-17

Symptoms: Extremely high blood pressure 203/113 at the doctors office. It has been climbing steadily since I was boosted. Usually around 135/85. Looking at my records it rose after my last booster but not as high

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	Back pain	·	·	✓
SD	Ear discomfort	·	·	✓
SD	Hypertension	·	·	✓
SD	Muscle rupture	·	·	✓
SD	Office visit	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Paraesthesia	·	·	✓
SD	Sinus headache	·	·	✓
SD	Vertigo	✓	✓	✓
SRO	Back pain	·	·	✓
SRO	Middle insomnia	✓	✓	✓
SRO	Stress	✓	✓	✓
SRO	Tinnitus	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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