4VU-12892-52591

4 vaccinations 16 coded responses 35 check-ins 16 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 782 / TX
Registered: 2021-03-03

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

2021-03-02
Dose 1 — Pfizer-BioNTech
2021-03-03
Registered in v-safe
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: Ocular hyperaemia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Fatigue or tiredness, Nausea

Free text: My eyes were red

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain, Eye pain — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Free text: Eye pain, ear pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Blepharospasm, Vertigo — Feeling: Fair · Site: Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Vertigo, eyelid twitching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Blepharospasm — Feeling: Fair · Site: Redness, Itching · Fatigue or tiredness

Free text: Eye lid twitching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain — Feeling: Fair · Site: Redness, Itching · Headache, Fatigue or tiredness

Free text: Ear pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain — Feeling: Good · Fatigue or tiredness

Free text: Ear pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — day 7, dose 1
MedDRA: Ear pain — Feeling: Fair · Fatigue or tiredness

Free text: Ear pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-23
Dose 2 — Pfizer-BioNTech
2021-03-23
Health check-in — day 0, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Blepharospasm — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Eyelid twitching

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: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-03-31
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-06
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-27
Survey response — day 35, dose 2
MedDRA: Daydreaming, Memory impairment — Feeling: Fair

Free text: I am forgetful. More so than usual. Very very absent minded.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-22
Health check-in — 3 months, dose 2
Feeling: Poor

Adult check-in
2021-09-23
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-12
Dose 3 — Pfizer-BioNTech
2022-04-23
Dose 4 — Pfizer-BioNTech
2022-04-24
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2022-04-25
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-04-26
Survey response — days 1–6 daily, dose 4
MedDRA: Injection site reaction, Pulse abnormal — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Pulsating around injection site...it was brief lasted less than an hour

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Survey response — days 1–6 daily, dose 4
MedDRA: Back pain — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Back pain

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2022-04-30
Health check-in — day 7, dose 4
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2022-05-07
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-14
Survey response — day 21, dose 4
MedDRA: Ear disorder, Ear pain, Myalgia, Oropharyngeal pain, Otorrhoea, Pharyngeal erythema, Vertigo — Feeling: Poor · 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: Ear/throat pain, Doc said throat was very red and there are bubbles behind my ear. Tested negative for everything. My ears have been leaking for the last two weeks, and I have had vertigo and muscle aches.

MedDRA releases: 2024-11 · check-in free text available
2022-05-14
Report sent to call center — day 21, dose 4
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)
2022-05-16
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-21
Survey response — day 28, dose 4
MedDRA: Cough, Sputum discoloured, Wheezing — Feeling: Poor

Free text: Coughing up yellow, wheezing

MedDRA releases: 2024-11 · check-in free text available
2022-05-28
Survey response — day 35, dose 4
MedDRA: Chills, Cough, Ear pain, Laryngitis, Nasopharyngitis, Oropharyngeal pain — Feeling: Poor · 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: I still have whatever cold that I reported the last time. Laryngitis, sore throat, chills, ear pain, cough that will not go away.

MedDRA releases: 2024-11 · check-in free text available
2022-05-28
Report sent to call center — day 35, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-31
Call successful
Participant prefers to complete VAERS report online
2022-06-06
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-23
Survey response — 3 months, dose 4
MedDRA: Malaise, Nasopharyngitis, Office visit — 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: Symptoms: From May 13 to the end of June I was violently ill with a cold that took three rounds of amtibiotics and steroids to get rid of. · Healthcare visit (other): Reg gp appointments

MedDRA releases: 2024-11 · check-in free text available
2022-07-23
Report sent to call center — 3 months, 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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-26
Call 1 — Left Voicemail
2022-10-23
Survey response — 6 months, dose 4
MedDRA: Injection site pain — Feeling: Fair

Free text: I still have intense arm pain where I was given the shot.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-02	Pfizer-BioNTech
2	2021-03-23	Pfizer-BioNTech
3	2021-10-12	Pfizer-BioNTech	No
4	2022-04-23	Pfizer-BioNTech	No

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): My eyes were red

Release 5 — days 1–6 daily, dose 1

2021-03-04

Systemic reaction (other): Eye pain, ear pain

2021-03-05

Systemic reaction (other): Vertigo, eyelid twitching

2021-03-06

Systemic reaction (other): Eye lid twitching

2021-03-07

Systemic reaction (other): Ear pain

2021-03-08

Systemic reaction (other): Ear pain

Release 5 — day 7, dose 1

2021-03-09

Systemic reaction (other): Ear pain

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): Eyelid twitching

Release 8 — day 35, dose 2

2021-04-27

Symptoms: I am forgetful. More so than usual. Very very absent minded.

Release 11 — days 1–6 daily, dose 4

2022-04-26

Systemic reaction (other): Pulsating around injection site...it was brief lasted less than an hour

2022-04-27

Systemic reaction (other): Back pain

Release 11 — day 21, dose 4

2022-05-14

Symptoms: Ear/throat pain, Doc said throat was very red and there are bubbles behind my ear. Tested negative for everything. My ears have been leaking for the last two weeks, and I have had vertigo and muscle aches.

Release 11 — day 28, dose 4

2022-05-21

Symptoms: Coughing up yellow, wheezing

Release 11 — day 35, dose 4

2022-05-28

Symptoms: I still have whatever cold that I reported the last time. Laryngitis, sore throat, chills, ear pain, cough that will not go away.

Release 12 — 3 months, dose 4

2022-07-23

Symptoms: From May 13 to the end of June I was violently ill with a cold that took three rounds of amtibiotics and steroids to get rid of.

Healthcare visit (other): Reg gp appointments

Release 12 — 6 months, dose 4

2022-10-23

Symptoms: I still have intense arm pain where I was given the shot.

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	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Daydreaming	✓	✓	✓
SD	Ear disorder	·	·	✓
SD	Ear pain	·	·	✓
SD	Injection site pain	·	·	✓
SD	Laryngitis	·	·	✓
SD	Malaise	·	·	✓
SD	Memory impairment	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Otorrhoea	·	·	✓
SD	Pharyngeal erythema	·	·	✓
SD	Sputum discoloured	·	·	✓
SD	Vertigo	·	·	✓
SD	Wheezing	·	·	✓
SRO	Back pain	·	·	✓
SRO	Blepharospasm	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Injection site reaction	·	·	✓
SRO	Ocular hyperaemia	✓	✓	✓
SRO	Pulse abnormal	·	·	✓
SRO	Vertigo	✓	✓	✓

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