4NS-23715-23898

5 vaccinations 15 coded responses 57 check-ins 14 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 076 / NJ
Registered: 2021-01-19

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

2021-01-18
Dose 1 — Pfizer-BioNTech
2021-01-19
Registered in v-safe
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-08
Dose 2 — Pfizer-BioNTech
2021-02-08
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

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

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

Free text: My headache in the back of my head may be a sinus pressure headache, but Im not sure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Sinus headache — Feeling: Good · Headache

Free text: I have a slight sinus headache, this time in the front of my head. Im sure its not related to the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-15
Survey response — day 7, dose 2
MedDRA: Sinus headache — Feeling: Good · Headache

Free text: Another sinus headache in the front of my head.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-09
Survey response — 6 months, dose 2
MedDRA: Transient global amnesia — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: July 11th I experienced a transient global amnesia episode. It lasted approximately 4 1/2 hours.

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

1 call case(s)
2021-09-29
Dose 3 — Pfizer-BioNTech
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities

Adult check-in
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal discomfort, Nausea — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Stomach unsettled: slightly queasy

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal discomfort — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Slight stomach upset

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal discomfort — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Slight stomach upset

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Survey response — day 7, dose 3
MedDRA: Office visit — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: My regular doctor's practice.

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Report sent to call center — day 7, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-08
Call successful
Participant prefers to complete VAERS report online
2021-10-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-20
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-29
Survey response — 3 months, dose 3
MedDRA: Laryngitis, Oropharyngeal pain — Feeling: Good

Free text: Sore throat and laryngitis for 3 days

MedDRA releases: 2024-11 · check-in free text available
2022-03-30
Survey response — 6 months, dose 3
MedDRA: Acupuncture, Back pain, Muscle spasms — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Back spasms and aches · Healthcare visit (other): Acupuncture

MedDRA releases: 2024-11 · check-in free text available
2022-03-30
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-05
Call successful
Does not wish to fill out VAERS report
2022-05-06
Dose 4 — Pfizer-BioNTech
2022-05-15
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-20
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-27
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-03
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-10
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-17
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-05
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-19
Dose 5 — Pfizer-BioNTech
2022-09-19
Health check-in — day 0, dose 5
Feeling: Good · Site: Pain · Headache

Adult check-in
2022-09-20
Survey response — days 1–6 daily, dose 5
MedDRA: Chills — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Chills late last night but they subsided.

MedDRA releases: 2024-11 · check-in free text available
2022-09-21
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Headache, Nausea

Adult check-in
2022-09-22
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-09-23
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-09-24
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Headache, Nausea

Adult check-in
2022-09-25
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-09-26
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-03
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-10
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-17
Survey response — day 28, dose 5
MedDRA: Eye irritation, Fatigue, Nasal discomfort, Nasopharyngitis, Rhinorrhoea — Feeling: Fair

Free text: Runny nose, irritated eyes and nasal passages , fatigue. Classic cold virus.

MedDRA releases: 2024-11 · check-in free text available
2022-10-24
Survey response — day 35, dose 5
MedDRA: Cough, Muscle spasms — Feeling: Fair

Free text: Back spasms, cough

MedDRA releases: 2024-11 · check-in free text available
2022-10-31
Survey response — day 42, dose 5
MedDRA: Headache — Feeling: Fair

Free text: Headaches

MedDRA releases: 2024-11 · check-in free text available
2022-12-19
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-20
Survey response — 6 months, dose 5
MedDRA: Vertigo — Feeling: Good

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-18	Pfizer-BioNTech
2	2021-02-08	Pfizer-BioNTech
3	2021-09-29	Pfizer-BioNTech	No
4	2022-05-06	Pfizer-BioNTech	No
5	2022-09-19	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): My headache in the back of my head may be a sinus pressure headache, but Im not sure

2021-02-13

Systemic reaction (other): I have a slight sinus headache, this time in the front of my head. Im sure its not related to the vaccine.

Release 4 — day 7, dose 2

2021-02-15

Systemic reaction (other): Another sinus headache in the front of my head.

Release 9 — 6 months, dose 2

2021-08-09

Symptoms: July 11th I experienced a transient global amnesia episode. It lasted approximately 4 1/2 hours.

Release 9 — days 1–6 daily, dose 3

2021-10-03

Systemic reaction (other): Stomach unsettled: slightly queasy

2021-10-04

Systemic reaction (other): Slight stomach upset

Release 10 — days 1–6 daily, dose 3

2021-10-05

Systemic reaction (other): Slight stomach upset

Release 10 — day 7, dose 3

2021-10-06

Healthcare visit (other): My regular doctor's practice.

Release 10 — 3 months, dose 3

2021-12-29

Symptoms: Sore throat and laryngitis for 3 days

Release 11 — 6 months, dose 3

2022-03-30

Symptoms: Back spasms and aches

Healthcare visit (other): Acupuncture

Release 12 — days 1–6 daily, dose 5

2022-09-20

Systemic reaction (other): Chills late last night but they subsided.

Release 12 — day 28, dose 5

2022-10-17

Symptoms: Runny nose, irritated eyes and nasal passages , fatigue. Classic cold virus.

Release 12 — day 35, dose 5

2022-10-24

Symptoms: Back spasms, cough

Release 12 — day 42, dose 5

2022-10-31

Symptoms: Headaches

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	Acupuncture	·	·	✓
HCVO	Office visit	·	·	✓
SD	Back pain	·	·	✓
SD	Cough	·	·	✓
SD	Eye irritation	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Laryngitis	·	·	✓
SD	Muscle spasms	·	·	✓
SD	Nasal discomfort	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Transient global amnesia	✓	·	✓
SD	Vertigo	·	·	✓
SRO	Abdominal discomfort	·	·	✓
SRO	Chills	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Nausea	·	·	✓
SRO	Paranasal sinus discomfort	○	○	○
SRO	Sinus headache	✓	✓	✓

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