52R-19547-80023

4 vaccinations 10 coded responses 38 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 292 / SC
Registered: 2021-01-16

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-12
Dose 1 — Pfizer-BioNTech
2021-01-16
Registered in v-safe
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — day 7, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-01-26
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-02
Dose 2 — Pfizer-BioNTech
2021-02-04
Survey response — days 1–6 daily, dose 2
MedDRA: Body temperature increased, Chills, Headache — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The day after the 2nd dose I had temperature of 99.8 (my temperature is normally 97) I had a headache and chills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 21, dose 2
Feeling: Good

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

Adult check-in
2021-03-09
Survey response — day 35, dose 2
MedDRA: Menstrual disorder — Feeling: Good

Free text: Unsure if this is related to the vaccine or not but I have not had a period in well over a year and had a period last week lasting three (3) days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-03
Survey response — 6 months, dose 2
MedDRA: Hypoaesthesia — Feeling: Good

Free text: Numbness in heel of left foot

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-30
Dose 3 — Pfizer-BioNTech
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-01
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Free text: Swelling under arm if the injection, feels like lympnoyd area

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Oedema peripheral — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Free text: Underarm swelling and pain on injection arm

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: Oedema peripheral — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Slight underarm swelling on injection arm

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2021-11-08
Survey response — day 7, dose 3
MedDRA: Postmenopausal haemorrhage — Feeling: Good

Free text: I started menstruating (light) on Sat 11/06/21 odd since I am menopausal. On my 2nd dose the same thing happened.

MedDRA releases: 2024-11 · check-in free text available
2021-11-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-22
Survey response — day 21, dose 3
MedDRA: Abdominal pain, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Pain in abdomen on right side · Healthcare visit (other): Going to get a CT scan for it today

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-29
Survey response — day 28, dose 3
MedDRA: Abdominal pain, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Abdominal pain, possible fibroids enlarged · Healthcare visit (other): CT scan

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-29
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-30
Call 1 — Left Voicemail
2021-12-05
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-13
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-30
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-09
Dose 4 — Pfizer-BioNTech
2022-05-19
Health check-in — day 7, dose 4
Feeling: Good · Joint pains

Adult check-in
2022-05-23
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-01
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-07
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-13
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-21
Health check-in — day 42, dose 4
Feeling: Good

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

Adult check-in
2022-11-07
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-05-10
Survey response — 12 months, dose 4
MedDRA: Diarrhoea, Eye irritation, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-05-10
Report sent to call center — 12 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-05-11
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-05-11
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-12	Pfizer-BioNTech
2	2021-02-02	Pfizer-BioNTech
3	2021-10-30	Pfizer-BioNTech	No
4	2022-05-09	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-11-22	Successful 2021-11-29	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-29	Successful 2023-05-11	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-05-10	Successful 2023-05-11	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-04

Systemic reaction (other): The day after the 2nd dose I had temperature of 99.8 (my temperature is normally 97) I had a headache and chills

Release 5 — day 35, dose 2

2021-03-09

Symptoms: Unsure if this is related to the vaccine or not but I have not had a period in well over a year and had a period last week lasting three (3) days.

Release 9 — 6 months, dose 2

2021-08-03

Symptoms: Numbness in heel of left foot

Release 10 — days 1–6 daily, dose 3

2021-11-01

Systemic reaction (other): Swelling under arm if the injection, feels like lympnoyd area

2021-11-02

Systemic reaction (other): Underarm swelling and pain on injection arm

2021-11-03

Systemic reaction (other): Slight underarm swelling on injection arm

Release 10 — day 7, dose 3

2021-11-08

Systemic reaction (other): I started menstruating (light) on Sat 11/06/21 odd since I am menopausal. On my 2nd dose the same thing happened.

Release 10 — day 21, dose 3

2021-11-22

Symptoms: Pain in abdomen on right side

Healthcare visit (other): Going to get a CT scan for it today

Release 10 — day 28, dose 3

2021-11-29

Symptoms: Abdominal pain, possible fibroids enlarged

Healthcare visit (other): CT scan

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	Unevaluable event	·	·	✓
SD	Abdominal pain	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Eye irritation	·	·	✓
SD	Hypoaesthesia	✓	·	✓
SD	Menstrual disorder	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Axillary pain	·	·	✓
SRO	Body temperature increased	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Oedema peripheral	·	·	✓
SRO	Postmenopausal haemorrhage	·	·	✓

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