586-26659-37113

2 vaccinations 8 coded responses 23 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 454 / OH
Registered: 2021-09-18

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

2021-09-17
Dose 1 — Pfizer-BioNTech
2021-09-18
Registered in v-safe
2021-09-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-09-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-09-21
Survey response — days 1–6 daily, dose 1
MedDRA: Body dysmorphic disorder, Condition aggravated, Pre-existing disease — Feeling: Poor

Free text: I have had severe mood swings and alarming body dysmorphia to the point that it feels like not only am I not taking any of my mood medication but it feels like it is worse than when I didnt take it before. I called my doctor to make an appointment.

MedDRA releases: 2024-11 · check-in free text available
2021-09-22
Survey response — days 1–6 daily, dose 1
MedDRA: Anxiety, Body dysmorphic disorder, Muscle spasms, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Severe body dysmorphia and anxiety, muscle spasms · Healthcare visit (other): Dr appt with PCP

MedDRA releases: 2024-11 · check-in free text available
2021-09-22
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-09-24
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-09-24
Call 1 — Left Voicemail
2021-10-01
Survey response — day 14, dose 1
MedDRA: Anxiety, Depression — Feeling: Good

Free text: Severe depression and anxiety

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Call successful
Participant prefers to complete VAERS report online
2021-10-08
Dose 2 — Pfizer-BioNTech
2021-10-08
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fever · None

Adult check-in
2021-10-09
Survey response — days 1–6 daily, dose 2
MedDRA: Pain, Supraventricular tachycardia — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Pain in SVT I was dx w 3 days ago

MedDRA releases: 2024-11 · check-in free text available
2021-10-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-10-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness · Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-10-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Nausea

Adult check-in
2021-10-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-10-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea, Abdominal pain

Adult check-in
2021-10-15
Survey response — day 7, dose 2
MedDRA: Cough, Ear congestion — Feeling: Good

Free text: Stuffy ear, cough

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-10-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-11-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-01-09
Survey response — 3 months, dose 2
MedDRA: Chills, Cough, Malaise, Pyrexia — 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: Chills, cough, fever, malaise

MedDRA releases: 2024-11 · check-in free text available
2022-01-09
Report sent to call center — 3 months, dose 2
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)
2022-01-11
Call 1 — Could Not Reach Participant
2022-01-14
Call successful
Participant prefers to complete VAERS report online
2022-04-08
Survey response — 6 months, dose 2
MedDRA: Pain, Weight increased — 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: Excessive weight gain, a great deal of pain.

MedDRA releases: 2024-11 · check-in free text available
2022-04-08
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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-04-13
Call 1 — Left Voicemail
2022-10-08
Survey response — 12 months, dose 2
MedDRA: Fibromyalgia, Metapneumovirus infection, Psoriatic arthropathy — 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: I had hmpv for 2 months, new psoriatic inflammatory arthritis diagnosis and worsening fibromyalgia

MedDRA releases: 2024-11 · check-in free text available
2022-10-08
Report sent to call center — 12 months, dose 2
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)
2022-10-10
Call 1 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-09-17	Pfizer-BioNTech	No
2	2021-10-08	Pfizer-BioNTech	No

Call center

4 call center cases

2 successful · 2 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-09-21

Systemic reaction (other): I have had severe mood swings and alarming body dysmorphia to the point that it feels like not only am I not taking any of my mood medication but it feels like it is worse than when I didnt take it before. I called my doctor to make an appointment. cut off by CDC

2021-09-22

Systemic reaction (other): Severe body dysmorphia and anxiety, muscle spasms

Healthcare visit (other): Dr appt with PCP

Release 9 — day 14, dose 1

2021-10-01

Symptoms: Severe depression and anxiety

Release 10 — days 1–6 daily, dose 2

2021-10-09

Systemic reaction (other): Pain in SVT I was dx w 3 days ago

Release 10 — day 7, dose 2

2021-10-15

Systemic reaction (other): Stuffy ear, cough

Release 10 — 3 months, dose 2

2022-01-09

Symptoms: Chills, cough, fever, malaise

Release 11 — 6 months, dose 2

2022-04-08

Symptoms: Excessive weight gain, a great deal of pain.

Release 12 — 12 months, dose 2

2022-10-08

Symptoms: I had hmpv for 2 months, new psoriatic inflammatory arthritis diagnosis and worsening fibromyalgia

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	Anxiety	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Depression	·	·	✓
SD	Fibromyalgia	·	·	✓
SD	Malaise	·	·	✓
SD	Metapneumovirus infection	·	·	✓
SD	Pain	·	·	✓
SD	Psoriatic arthropathy	·	·	✓
SD	Pyrexia	·	·	✓
SD	Weight increased	·	·	✓
SRO	Anxiety	·	·	✓
SRO	Body dysmorphic disorder	·	·	✓
SRO	Condition aggravated	·	·	✓
SRO	Cough	·	·	✓
SRO	Ear congestion	·	·	✓
SRO	Muscle spasms	·	·	✓
SRO	Pain	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Supraventricular tachycardia	·	·	✓

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