4SL-87014-78716

4 vaccinations 12 coded responses 42 check-ins 11 free-text entries 7 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 197 / DE
Registered: 2021-03-07

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

2021-03-07
Registered in v-safe
2021-03-07
Dose 1 — Pfizer-BioNTech
2021-03-07
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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 — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-26
Dose 2 — Pfizer-BioNTech
2021-03-26
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Nausea

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

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

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-23
Survey response — day 28, dose 2
MedDRA: Bronchitis, Sinusitis — Feeling: Fair

Free text: Feel like I am starting with bronchitis and or sinusitis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-25
Survey response — 3 months, dose 2
MedDRA: Nervous system disorder — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: L3 nerve issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-24
Survey response — 6 months, dose 2
MedDRA: Asthma, Brain fog, Fatigue — 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 · Outpatient clinic or urgent care clinic visit

Free text: Fog brainFatigue3 asthma attacks

MedDRA releases: 2024-11 · check-in free text available
2021-09-24
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-09-29
Call 2 — Left Voicemail
2021-10-07
Dose 3 — Pfizer-BioNTech
2021-10-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-10-09
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-10-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness · Muscle or body aches

Adult check-in
2021-10-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-14
Survey response — day 7, dose 3
MedDRA: Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: Nothing from this shot just the left over covid brain and shortness of breath and recently had four asthma attacks in four weeks

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-29
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-04
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-11
Survey response — day 35, dose 3
MedDRA: Brain fog, Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Brain fog and exhaustion

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-06
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-07
Survey response — 6 months, dose 3
MedDRA: Pre-existing disease, Pulmonary fibrosis — Feeling: Fair · 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: Post Covid syndrome with pulmonary scarring

MedDRA releases: 2024-11 · check-in free text available
2022-04-07
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-11
Call 1 — Left Voicemail
2022-04-11
Call successful
Participant prefers to complete VAERS report online
2022-05-20
Dose 4 — Pfizer-BioNTech
Co-administered: Pneumonia
2022-06-03
Survey response — day 14, dose 4
MedDRA: Blood immunoglobulin E decreased, Blood immunoglobulin G decreased, Hypoaesthesia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: I have Numbness of 4th and 5th digit of right hand. Low IGe and low iGg. · Healthcare visit (other): Appointments in person

MedDRA releases: 2024-11 · check-in free text available
2022-06-03
Report sent to call center — day 14, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-06-06
Call 3 — Left Voicemail
2022-06-06
Call 3 — Left Voicemail
2022-06-12
Survey response — day 21, dose 4
MedDRA: Hypoaesthesia — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Two fingers on right hand have been numb now all my fingers are numb.

MedDRA releases: 2024-11 · check-in free text available
2022-06-12
Report sent to call center — day 21, dose 4
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-13
Call 3 — Left Voicemail
2022-06-23
Survey response — day 28, dose 4
MedDRA: Cubital tunnel syndrome, 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

Free text: Diagnosis of cubital tunnel syndrome/ very painful.

MedDRA releases: 2024-11 · check-in free text available
2022-06-23
Report sent to call center — day 28, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-06-24
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-06-24
Call 1 — Left Voicemail
2022-06-24
Call 2 — Left Voicemail
2022-06-24
Call 3 — Left Voicemail
2022-07-02
Survey response — day 42, dose 4
MedDRA: Cough, Oropharyngeal pain — Feeling: Poor

Free text: Coughing and sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-11-18
Survey response — 6 months, dose 4
MedDRA: Hypogammaglobulinaemia, Immunodeficiency — 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: Hypogammaglobulinemia and specific antibody deficiency

MedDRA releases: 2024-11 · check-in free text available
2022-11-18
Report sent to call center — 6 months, dose 4
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)
2022-11-21
Call X — Left Voicemail
2022-11-21
Call X — Left Voicemail
2022-11-21
Call X — Left Voicemail
2022-11-21
Call X — Left Voicemail
2023-05-26
Survey response — 12 months, dose 4
MedDRA: Fungal infection, Headache, Sinusitis — 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

MedDRA releases: 2024-11
2023-05-26
Call case (no matching report) — Unsuccessful
2023-05-30
Call 1 — Could Not Reach Participant
2023-05-30
Call 1 — Could Not Reach Participant
2023-05-30
Call 1 — Could Not Reach Participant
2023-05-30
Call 1 — Could Not Reach Participant
2023-05-30
Call 1 — Could Not Reach Participant
2023-06-02
Call 2 — Could Not Reach Participant
2023-06-02
Call 2 — Could Not Reach Participant
2023-06-02
Call 2 — Could Not Reach Participant
2023-06-02
Call 2 — Could Not Reach Participant
2023-06-02
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-07	Pfizer-BioNTech
2	2021-03-26	Pfizer-BioNTech
3	2021-10-07	Pfizer-BioNTech	No
4	2022-05-20	Pfizer-BioNTech	Pneumonia

Call center

7 call center cases

2 successful · 5 unsuccessful

See the call center timeline

Free text

Release 7 — day 28, dose 2

2021-04-23

Symptoms: Feel like I am starting with bronchitis and or sinusitis

Release 9 — 3 months, dose 2

2021-06-25

Symptoms: L3 nerve issues

Release 9 — 6 months, dose 2

2021-09-24

Symptoms: Fog brainFatigue3 asthma attacks

Release 10 — day 7, dose 3

2021-10-14

Systemic reaction (other): Nothing from this shot just the left over covid brain and shortness of breath and recently had four asthma attacks in four weeks

Release 10 — day 35, dose 3

2021-11-11

Symptoms: Brain fog and exhaustion

Release 11 — 6 months, dose 3

2022-04-07

Symptoms: Post Covid syndrome with pulmonary scarring

Release 11 — day 14, dose 4

2022-06-03

Symptoms: I have Numbness of 4th and 5th digit of right hand. Low IGe and low iGg.

Healthcare visit (other): Appointments in person

Release 12 — day 21, dose 4

2022-06-12

Symptoms: Two fingers on right hand have been numb now all my fingers are numb.

Release 12 — day 28, dose 4

2022-06-23

Symptoms: Diagnosis of cubital tunnel syndrome/ very painful.

Release 12 — day 42, dose 4

2022-07-02

Symptoms: Coughing and sore throat

Release 12 — 6 months, dose 4

2022-11-18

Symptoms: Hypogammaglobulinemia and specific antibody deficiency

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	Office visit	·	·	✓
SD	Asthma	·	·	✓
SD	Blood immunoglobulin E decreased	·	·	✓
SD	Blood immunoglobulin G decreased	·	·	✓
SD	Brain fog	·	·	✓
SD	Bronchitis	✓	✓	✓
SD	Cough	·	·	✓
SD	Cubital tunnel syndrome	·	·	✓
SD	Fatigue	·	·	✓
SD	Fungal infection	·	·	✓
SD	Headache	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Hypogammaglobulinaemia	·	·	✓
SD	Immunodeficiency	·	·	✓
SD	Nervous system disorder	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pulmonary fibrosis	·	·	✓
SD	Sinusitis	✓	✓	✓
SRO	Pre-existing disease	·	·	✓

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