4YY-19820-51773

2 vaccinations 8 coded responses 25 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 600 / IL
Registered: 2021-02-04

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

2021-02-04
Registered in v-safe
2021-02-04
Dose 1 — Pfizer-BioNTech
2021-02-04
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-06
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea — Feeling: Good · Site: Pain · Headache, Muscle or body aches

Free text: Sniffles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Survey response — days 1–6 daily, dose 1
MedDRA: Irritability — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Irritable

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-02-11
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-25
Dose 2 — Pfizer-BioNTech
2021-02-25
Survey response — day 0, dose 2
MedDRA: Body temperature normal — Feeling: Fair · Fever · Headache, Fatigue or tiredness

Free text: My normal body temp is on the low side 97.5 so even getting to 99 makes me feel a bit off. I know it's not really a fever.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Somnolence — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: I had to take a nap. I have not had to do this in 20 years.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Felt Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Headache

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-04
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-27
Survey response — 3 months, dose 2
MedDRA: Cough, Emergency care, Haematochezia, Office visit, Oropharyngeal pain, Respiratory disorder — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Symptoms: Have not been well for a month. Got a sore throat. Turned into respiratory virus. I was still working from home & not going out. Was coughing violently. Upon going to bathroom there was lots of blood in the toilet. Was sent to ER. · Healthcare visit (other): Appts with GI, Pulmonary & ENT Doctors

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
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)
2021-08-26
Survey response — 6 months, dose 2
MedDRA: Pre-existing disease — 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, Outpatient clinic or urgent care clinic visit

Free text: I don't think they are related to vaccine. I have reflux due to a structural isdue in mt esophagus. Also have gastritis.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
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

1 call case(s)
2021-08-30
Call 1 — Left Voicemail
2021-08-30
Call successful
Participant prefers to complete VAERS report online
2022-02-25
Survey response — 12 months, dose 2
MedDRA: Abnormal faeces, Office visit, Postmenopausal haemorrhage, Unevaluable event — 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, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: I've had post menopausal bleeding after 21 years. I've also had stool leakage. So far, I've gone through many tests & the doctors haven't found a clinical reason for the bleeding. · Healthcare visit (other): Endometrial biopsy

MedDRA releases: 2024-11 · check-in free text available
2022-02-25
Report sent to call center — 12 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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-28
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Pfizer-BioNTech
2	2021-02-25	Pfizer-BioNTech

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-06

Systemic reaction (other): Sniffles

2021-02-07

Systemic reaction (other): Irritable

Release 4 — day 0, dose 2

2021-02-25

Systemic reaction (other): My normal body temp is on the low side 97.5 so even getting to 99 makes me feel a bit off. I know it's not really a fever.

Release 4 — days 1–6 daily, dose 2

2021-02-27

Systemic reaction (other): I had to take a nap. I have not had to do this in 20 years.

2021-02-28

Systemic reaction (other): Felt Dizziness

Release 8 — 3 months, dose 2

2021-05-27

Symptoms: Have not been well for a month. Got a sore throat. Turned into respiratory virus. I was still working from home & not going out. Was coughing violently. Upon going to bathroom there was lots of blood in the toilet. Was sent to ER.

Healthcare visit (other): Appts with GI, Pulmonary & ENT Doctors

Release 9 — 6 months, dose 2

2021-08-26

Symptoms: I don't think they are related to vaccine. I have reflux due to a structural isdue in mt esophagus. Also have gastritis.

Release 11 — 12 months, dose 2

2022-02-25

Symptoms: I've had post menopausal bleeding after 21 years. I've also had stool leakage. So far, I've gone through many tests & the doctors haven't found a clinical reason for the bleeding.

Healthcare visit (other): Endometrial biopsy

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	✓	✓	✓
HCVO	Unevaluable event	·	·	✓
SD	Abnormal faeces	·	·	✓
SD	Cough	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Haematochezia	✓	✓	✓
SD	Office visit	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Postmenopausal haemorrhage	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Respiratory disorder	✓	✓	✓
SRO	Body temperature normal	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Irritability	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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