4MC-97359-90163

3 vaccinations 13 coded responses 26 check-ins 13 free-text entries 7 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 915 / CA
Registered: 2021-04-01

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

2021-04-01
Registered in v-safe
2021-04-01
Dose 1 — Pfizer-BioNTech
2021-04-01
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-08
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-15
Survey response — day 14, dose 1
MedDRA: Anxiety, Chest discomfort, Heart rate increased, Palpitations, Sensory disturbance — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Severe anxiety and regret about getting the covid vaccine. Terrified that Im going to get a blood clot. Occasional weird feelings in my chest and legs and a pounding heart beating at a higher-than-normal rate.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 21, dose 1
MedDRA: Abdominal pain, Back pain — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Persistent abdominal and back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — day 21, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-29
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-05-01
Dose 2 — Pfizer-BioNTech
2021-05-06
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Dyspnoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Lightheadedness and breathing issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-07
Survey response — days 1–6 daily, dose 2
MedDRA: Anxiety — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Increased anxiety

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — day 7, dose 2
MedDRA: Anxiety — Feeling: Fair · Headache, Fatigue or tiredness

Free text: High anxiety

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-22
Survey response — day 21, dose 2
MedDRA: Abdominal pain, Arthralgia, Musculoskeletal chest pain — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Mild but noticeable stabbing pains in rib cage, shoulder, abdomen, etc. Same as with first shot. Am becoming more concerned.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
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)
2021-05-29
Survey response — day 28, dose 2
MedDRA: Dizziness — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Frequent lightheadedness, unclear whether related to vaccine or not

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-06
Survey response — day 35, dose 2
MedDRA: Back pain, Flank pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Back and side pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-06
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-15
Survey response — day 42, dose 2
MedDRA: Ear pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Eardrum throbbing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-17
Call 1 — Left Voicemail
2021-06-17
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-07-31
Survey response — 3 months, dose 2
MedDRA: Nausea, New daily persistent headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: New daily headaches and nausea

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-30
Dose 3 — Pfizer-BioNTech
2022-01-16
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-22
Survey response — day 21, dose 3
MedDRA: Headache — Feeling: Fair

Free text: New headaches for

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-12
Survey response — day 42, dose 3
MedDRA: Chest pain, Heart rate increased — Feeling: Fair · Be unable to do your normal daily activities

Free text: Heart rate jumps when going up stairs. Intermittent stabbing chest pains.

MedDRA releases: 2024-11 · check-in free text available
2022-03-31
Survey response — 3 months, dose 3
MedDRA: COVID-19 — 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 · Telehealth, virtual health, or email health consultation

Free text: I caught COVID-19 on March 13.

MedDRA releases: 2024-11 · check-in free text available
2022-03-31
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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-04-04
Call successful
Does not wish to fill out VAERS report
2022-06-30
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-30
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Pfizer-BioNTech
2	2021-05-01	Pfizer-BioNTech
3	2021-12-30	Pfizer-BioNTech	No

Call center

7 call center cases

7 successful

See the call center timeline

Free text

Release 7 — day 14, dose 1

2021-04-15

Symptoms: Severe anxiety and regret about getting the covid vaccine. Terrified that Im going to get a blood clot. Occasional weird feelings in my chest and legs and a pounding heart beating at a higher-than-normal rate.

Release 7 — day 21, dose 1

2021-04-22

Symptoms: Persistent abdominal and back pain

Release 8 — days 1–6 daily, dose 2

2021-05-06

Systemic reaction (other): Lightheadedness and breathing issues

2021-05-07

Systemic reaction (other): Increased anxiety

Release 8 — day 7, dose 2

2021-05-10

Systemic reaction (other): High anxiety

Release 8 — day 21, dose 2

2021-05-22

Symptoms: Mild but noticeable stabbing pains in rib cage, shoulder, abdomen, etc. Same as with first shot. Am becoming more concerned.

Release 8 — day 28, dose 2

2021-05-29

Symptoms: Frequent lightheadedness, unclear whether related to vaccine or not

Release 8 — day 35, dose 2

2021-06-06

Symptoms: Back and side pain

Release 9 — day 42, dose 2

2021-06-15

Symptoms: Eardrum throbbing

Release 9 — 3 months, dose 2

2021-07-31

Symptoms: New daily headaches and nausea

Release 11 — day 21, dose 3

2022-01-22

Symptoms: New headaches for

Release 11 — day 42, dose 3

2022-02-12

Symptoms: Heart rate jumps when going up stairs. Intermittent stabbing chest pains.

Release 11 — 3 months, dose 3

2022-03-31

Symptoms: I caught COVID-19 on March 13.

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	Abdominal pain	✓	✓	✓
SD	Anxiety	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Chest pain	·	·	✓
SD	COVID-19	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Flank pain	✓	✓	✓
SD	Headache	·	·	✓
SD	Heart rate increased	✓	✓	✓
SD	Musculoskeletal chest pain	✓	✓	✓
SD	Nausea	✓	·	✓
SD	New daily persistent headache	✓	·	✓
SD	Palpitations	✓	✓	✓
SD	Sensory disturbance	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓

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