4WX-53408-54777

2 vaccinations 9 coded responses 23 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 494 / MI
Registered: 2020-12-30

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

2020-12-30
Registered in v-safe
2020-12-30
Dose 1 — Pfizer-BioNTech
2020-12-30
Health check-in — day 0, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Vision blurred — Feeling: Good · Fatigue or tiredness

Free text: Slight blurriness of eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-01-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Survey response — day 14, dose 1
MedDRA: Arthralgia, Myalgia — Feeling: Good

Free text: Aching muscles in my hips.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-20
Dose 2 — Pfizer-BioNTech
2021-01-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-22
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain — Feeling: Good · Fatigue or tiredness

Free text: A little achy under the armpit of the arm that had the shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Dizziness — Feeling: Good · Fatigue or tiredness

Free text: Tender under arm pit, dizziness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain — Feeling: Good · Fatigue or tiredness

Free text: Pain under arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — day 7, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-02-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-03
Survey response — day 42, dose 2
MedDRA: Diarrhoea — Feeling: Good

Free text: Diarrhea 2 days ago. Good today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — 3 months, dose 2
MedDRA: Chest pain, Dyspepsia, Emergency care, Pre-existing disease — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Heartburn and chest pain. and trouble with my gall bladder. I went to the ER last night. No heart issues. Gall bladder may need to be removed.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Report sent to call center — 3 months, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-23
Survey response — 6 months, dose 2
MedDRA: Cholecystectomy, Surgery — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: Had gall bladder removed. Have to watch my diet very carefully. P · Healthcare visit (other): Outpatient surgery.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-23
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-29
Call successful
Participant prefers to complete VAERS report online
2022-01-21
Survey response — 12 months, dose 2
MedDRA: Alopecia — Feeling: Good

Free text: Shedding quite a bit of hair.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Pfizer-BioNTech
2	2021-01-20	Pfizer-BioNTech

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-31

Systemic reaction (other): Slight blurriness of eyes

Release 1 — day 14, dose 1

2021-01-13

Symptoms: Aching muscles in my hips.

Release 2 — days 1–6 daily, dose 2

2021-01-22

Systemic reaction (other): A little achy under the armpit of the arm that had the shot.

2021-01-23

Systemic reaction (other): Tender under arm pit, dizziness.

2021-01-24

Systemic reaction (other): Pain under arm.

Release 5 — day 42, dose 2

2021-03-03

Symptoms: Diarrhea 2 days ago. Good today.

Release 7 — 3 months, dose 2

2021-04-21

Symptoms: Heartburn and chest pain. and trouble with my gall bladder. I went to the ER last night. No heart issues. Gall bladder may need to be removed.

Release 9 — 6 months, dose 2

2021-07-23

Symptoms: Had gall bladder removed. Have to watch my diet very carefully. P

Healthcare visit (other): Outpatient surgery.

Release 10 — 12 months, dose 2

2022-01-21

Symptoms: Shedding quite a bit of hair.

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	Surgery	✓	·	✓
SD	Alopecia	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Cholecystectomy	✓	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dyspepsia	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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