4JR-24683-09230

3 vaccinations 10 coded responses 18 check-ins 10 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 290 / SC
Registered: 2021-02-17

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

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

2021-02-12
Dose 1 — Pfizer-BioNTech
2021-02-17
Registered in v-safe
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-02-18
Survey response — days 1–6 daily, dose 1
MedDRA: Neuropathy peripheral, Pre-existing disease — Feeling: Fair · Joint pains · Be unable to do your normal daily activities

Free text: I have neuropathy and arthritis in feet and lower legs.woke up with this today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-05
Dose 2 — Pfizer-BioNTech
2021-03-05
Health check-in — day 0, dose 2
Feeling: Fair · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Fall, Self-medication — Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Free text: I took a bad fall last night but I am not bruised. I think it is covid shot. I know my body. I am in bed. Took 3 Advil as Tylenol does not cut it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Wheezing — Feeling: Fair · Chills, Joint pains, Muscle or body aches

Free text: I have a cough and a wheeze. I use my inhaler.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None · Be unable to do your normal daily activities

Adult check-in
2021-03-12
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-21
Survey response — day 14, dose 2
MedDRA: Fatigue, Pain in extremity, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Going to vein dr to b sure I do not have a deep vein thrombosis in left thigh as the pain has moved up. Also tired. · Healthcare visit (other): Gong to vein clinic on Thursday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-26
Survey response — day 21, dose 2
MedDRA: Deep vein thrombosis, Fatigue, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Deep vein blood clot behind left knee. Tired. · Healthcare visit (other): Dr visit to vein clinic dr.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-02
Survey response — day 28, dose 2
MedDRA: Office visit, Thrombosis — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Deep vein clot behind left knee. · Healthcare visit (other): Vein dr appt

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-09
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-04
Survey response — 3 months, dose 2
MedDRA: Medical counselling, Respiratory tract congestion, Urticaria, Wheezing — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Hives that are huge on my back, arms.For past 11 days I have had congested chest, wheezing., sinus.I am to call internist if not better Monday. I called internist today. · Healthcare visit (other): Phone consultation with nurse.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
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)
2021-06-09
Call 1 — Left Voicemail
2021-09-08
Survey response — 6 months, dose 2
MedDRA: Office visit, Urticaria — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: I have had hives all summer. Went to allergist and dermatologist. Dermatologist advised me not to get a booster shot. · Healthcare visit (other): Went to dermatologist and allergist due to hives on back, elbows, neck , upper thigh

MedDRA releases: 2024-11 · check-in free text available
2021-09-08
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-09
Call 1 — Left Voicemail
2021-09-10
Call successful
Participant prefers to complete VAERS report online
2022-04-23
Dose 3 — Pfizer-BioNTech
2022-04-23
Survey response — day 0, dose 3
MedDRA: Incomplete course of vaccination — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Got it in April. First booster will take no more.

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Survey response — days 1–6 daily, dose 3
MedDRA: Feeling abnormal — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: I had booster in March or April. I am not getting another one. I feel bad and in bed for a week. I will not get the 4th one.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-12	Pfizer-BioNTech
2	2021-03-05	Pfizer-BioNTech
3	2022-04-23	Pfizer-BioNTech	No

Call center

5 call center cases

5 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-18

Systemic reaction (other): I have neuropathy and arthritis in feet and lower legs.woke up with this today.

Release 5 — days 1–6 daily, dose 2

2021-03-07

Systemic reaction (other): I took a bad fall last night but I am not bruised. I think it is covid shot. I know my body. I am in bed. Took 3 Advil as Tylenol does not cut it.

2021-03-08

Systemic reaction (other): I have a cough and a wheeze. I use my inhaler.

Release 6 — day 14, dose 2

2021-03-21

Symptoms: Going to vein dr to b sure I do not have a deep vein thrombosis in left thigh as the pain has moved up. Also tired.

Healthcare visit (other): Gong to vein clinic on Thursday.

Release 6 — day 21, dose 2

2021-03-26

Symptoms: Deep vein blood clot behind left knee. Tired.

Healthcare visit (other): Dr visit to vein clinic dr.

Release 6 — day 28, dose 2

2021-04-02

Symptoms: Deep vein clot behind left knee.

Healthcare visit (other): Vein dr appt

Release 8 — 3 months, dose 2

2021-06-04

Symptoms: Hives that are huge on my back, arms.For past 11 days I have had congested chest, wheezing., sinus.I am to call internist if not better Monday. I called internist today.

Healthcare visit (other): Phone consultation with nurse.

Release 9 — 6 months, dose 2

2021-09-08

Symptoms: I have had hives all summer. Went to allergist and dermatologist. Dermatologist advised me not to get a booster shot.

Healthcare visit (other): Went to dermatologist and allergist due to hives on back, elbows, neck , upper thigh

Release 11 — day 0, dose 3

2022-04-23

Systemic reaction (other): Got it in April. First booster will take no more.

Release 11 — days 1–6 daily, dose 3

2022-04-26

Systemic reaction (other): I had booster in March or April. I am not getting another one. I feel bad and in bed for a week. I will not get the 4th one.

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	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
HCVO	Urticaria	·	·	✓
SD	Deep vein thrombosis	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Medical counselling	✓	✓	✓
SD	Office visit	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Thrombosis	✓	✓	✓
SD	Urticaria	✓	✓	✓
SD	Wheezing	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Fall	✓	✓	✓
SRO	Feeling abnormal	·	·	✓
SRO	Incomplete course of vaccination	·	·	✓
SRO	Neuropathy peripheral	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Wheezing	✓	✓	✓

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