597-30088-32626

2 vaccinations 3 coded responses 19 check-ins 3 free-text entries 3 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 520 / IA
Registered: 2021-04-15

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

2021-04-15
Registered in v-safe
2021-04-15
Dose 1 — Pfizer-BioNTech
2021-04-15
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-24
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-11
Dose 2 — Pfizer-BioNTech
2021-05-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-05-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-20
Health check-in — day 7, dose 2
Feeling: Poor · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-25
Survey response — day 14, dose 2
MedDRA: Abdominal pain upper, Asthenia, Dizziness, Dyspepsia, Fatigue, Hot flush, Nausea, Urticaria — Feeling: Poor · Be unable to work, 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: Severe fatigue, dizzy, hot flashes, stomach pain, heart burn, weak, hives once and nauseated since May 15th.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Report sent to call center — day 14, 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)
2021-06-03
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-09
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Coeliac disease, Cortisol abnormal, Food allergy, Gastrointestinal disorder, Hormone level abnormal, Office visit, Tremor — 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, Emergency room or emergency department visit

Free text: Since May - newly celiac, food allergies, hand tremors, GI issues, joint pain and a cortisol/hormone imbalance. Seeing lots of doctors.

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
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 · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2021-11-10
Call 1 — Left Voicemail
2022-05-11
Survey response — 12 months, dose 2
MedDRA: Coeliac disease, Fatigue, Food allergy, Night sweats, Tremor, Urticaria — Feeling: Fair · 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, Emergency room or emergency department visit

Free text: Since vaccination i have celiac & 22 food allergies. Now break out into hives from the sun. Hand tremors, night sweats & still have major fatigue. Doctors cant figure out whats going on.

MedDRA releases: 2024-11 · check-in free text available
2022-05-11
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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-05-12
Call 1 — Could Not Reach Participant
2022-05-17
Call successful
Participant prefers to complete VAERS report online
2022-05-17
Call successful
Participant prefers to complete VAERS report online
2022-05-17
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-15	Pfizer-BioNTech
2	2021-05-11	Pfizer-BioNTech

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 8 — day 14, dose 2

2021-05-25

Symptoms: Severe fatigue, dizzy, hot flashes, stomach pain, heart burn, weak, hives once and nauseated since May 15th.

Release 10 — 6 months, dose 2

2021-11-09

Symptoms: Since May - newly celiac, food allergies, hand tremors, GI issues, joint pain and a cortisol/hormone imbalance. Seeing lots of doctors.

Release 11 — 12 months, dose 2

2022-05-11

Symptoms: Since vaccination i have celiac & 22 food allergies. Now break out into hives from the sun. Hand tremors, night sweats & still have major fatigue. Doctors cant figure out whats going on.

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	Abdominal pain upper	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Asthenia	✓	✓	✓
SD	Coeliac disease	·	·	✓
SD	Cortisol abnormal	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Dyspepsia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Food allergy	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Hormone level abnormal	·	·	✓
SD	Hot flush	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Night sweats	·	·	✓
SD	Office visit	·	·	✓
SD	Tremor	·	·	✓
SD	Urticaria	✓	✓	✓

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