58K-21194-83993

4 vaccinations 8 coded responses 33 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 473 / IN
Registered: 2021-03-05

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

2021-03-05
Registered in v-safe
2021-03-05
Dose 1 — Pfizer-BioNTech
2021-03-05
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-26
Dose 2 — Pfizer-BioNTech
2021-03-26
Survey response — day 0, dose 2
MedDRA: Tinnitus — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Hot flush, Insomnia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Hot flashes, insomnia last night

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 · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Abdominal pain · Be unable to work

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-25
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-21
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2022-03-27
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-18
Dose 4 — Moderna
2022-04-24
Survey response — days 1–6 daily, dose 4
MedDRA: Anxiety, Menopause — Feeling: Good · Site: Pain · Headache

Free text: Anxiety when falling asleep, probably related to menopause

MedDRA releases: 2024-11 · check-in free text available
2022-04-25
Survey response — day 7, dose 4
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness

Free text: I think the fatigue is due to menopause-related insomnia

MedDRA releases: 2024-11 · check-in free text available
2022-05-02
Survey response — day 14, dose 4
MedDRA: Arthralgia, Chills, Ear pain, Gastroenteritis viral, Nausea, Pyrexia, SARS-CoV-2 test negative, Sinusitis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Just caught some kind of mild stomach virus. Temp 101 at highest, joint pain, chills, nausea. Also sinus infection and ear pain. Home COVID test was negative.

MedDRA releases: 2024-11 · check-in free text available
2022-05-09
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-16
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-23
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-30
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-18
Survey response — 3 months, dose 4
MedDRA: Pain in jaw, Toothache — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Tooth pain and TMJ pain

MedDRA releases: 2024-11 · check-in free text available
2022-07-18
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-19
Call 1 — Left Voicemail
2022-10-17
Survey response — 6 months, dose 4
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Contracted COVID-19 in late July 2022. It was mostly mild in my sinuses, and I took Paxlovid.

MedDRA releases: 2024-11 · check-in free text available
2022-10-17
Report sent to call center — 6 months, dose 4
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-10-18
Call successful
Does not wish to fill out VAERS report
2022-10-18
Call successful
Does not wish to fill out VAERS report
2023-04-18
Survey response — 12 months, dose 4
MedDRA: Bronchitis, Influenza, Office visit, Pneumonia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-18
Report sent to call center — 12 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-04-19
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	2021-03-05	Pfizer-BioNTech
2	2021-03-26	Pfizer-BioNTech
3	2021-11-21	Pfizer-BioNTech	Flu
4	2022-04-18	Moderna	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 6 — day 0, dose 2

2021-03-26

Systemic reaction (other): Tinnitus

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): Hot flashes, insomnia last night

Release 11 — days 1–6 daily, dose 4

2022-04-24

Systemic reaction (other): Anxiety when falling asleep, probably related to menopause

Release 11 — day 7, dose 4

2022-04-25

Systemic reaction (other): I think the fatigue is due to menopause-related insomnia

Release 11 — day 14, dose 4

2022-05-02

Symptoms: Just caught some kind of mild stomach virus. Temp 101 at highest, joint pain, chills, nausea. Also sinus infection and ear pain. Home COVID test was negative.

Release 12 — 3 months, dose 4

2022-07-18

Symptoms: Tooth pain and TMJ pain

Release 12 — 6 months, dose 4

2022-10-17

Symptoms: Contracted COVID-19 in late July 2022. It was mostly mild in my sinuses, and I took Paxlovid.

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
SD	Arthralgia	·	·	✓
SD	Bronchitis	·	·	✓
SD	Chills	·	·	✓
SD	COVID-19	·	·	✓
SD	Ear pain	·	·	✓
SD	Gastroenteritis viral	·	·	✓
SD	Influenza	·	·	✓
SD	Nausea	·	·	✓
SD	Office visit	·	·	✓
SD	Pain in jaw	·	·	✓
SD	Pneumonia	·	·	✓
SD	Pyrexia	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinusitis	·	·	✓
SD	Toothache	·	·	✓
SRO	Anxiety	·	·	✓
SRO	Fatigue	·	·	✓
SRO	Hot flush	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Menopause	·	·	✓
SRO	Tinnitus	✓	✓	✓

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