59B-14983-49242

4 vaccinations 8 coded responses 45 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 103 / NY
Registered: 2021-02-08

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

2021-02-08
Registered in v-safe
2021-02-08
Dose 1 — Pfizer-BioNTech
2021-02-08
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · 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 — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-02-15
Health check-in — day 7, dose 1
Feeling: Fair · Headache

Adult check-in
2021-02-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-02
Dose 2 — Pfizer-BioNTech
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Day after shot, severe chills, some aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-06
Survey response — day 35, dose 2
MedDRA: Constipation, Hot flush, Hyperhidrosis — Feeling: Good

Free text: Flashes and profusely sweating. No fever. Constipation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — day 42, dose 2
MedDRA: Hyperhidrosis — Feeling: Good

Free text: Profuse sweating at times. No nausea, vomiting or diarrhea. No fever.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-31
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-11
Dose 3 — Pfizer-BioNTech
2021-11-14
Survey response — days 1–6 daily, dose 3
MedDRA: Fatigue — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Very tired

MedDRA releases: 2024-11 · check-in free text available
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-16
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-11-17
Survey response — days 1–6 daily, dose 3
MedDRA: Gingival bleeding — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Bleeding gums

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Survey response — day 7, dose 3
MedDRA: Gingival bleeding — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness

Free text: Bleeding gums

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-02
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-09
Survey response — day 28, dose 3
MedDRA: Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Palpitations

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-10
Call 1 — Left Voicemail
2021-12-13
Call successful
Does not wish to fill out VAERS report
2021-12-16
Survey response — day 35, dose 3
MedDRA: Office visit, Palpitations, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: On last check in, I reported palpitations but upon checking the dates, I realize that I had them previous to my booster. They have not gotten any better or worse. · Healthcare visit (other): Saw cardiologist for palpitations prior to booster

MedDRA releases: 2024-11 · check-in free text available
2021-12-16
Report sent to call center — day 35, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-19
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-12-23
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-10
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-12
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-25
Dose 4 — Pfizer-BioNTech
2022-11-26
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-11-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Redness · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-11-28
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-11-29
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-11-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-12-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-12-02
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-12-09
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-12-16
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-12-23
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-12-30
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2023-01-06
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-02-24
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-05-26
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-08	Pfizer-BioNTech
2	2021-03-02	Pfizer-BioNTech
3	2021-11-11	Pfizer-BioNTech	No
4	2022-11-25	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-08

Systemic reaction (other): Day after shot, severe chills, some aches

Release 7 — day 35, dose 2

2021-04-06

Symptoms: Flashes and profusely sweating. No fever. Constipation

Release 7 — day 42, dose 2

2021-04-13

Symptoms: Profuse sweating at times. No nausea, vomiting or diarrhea. No fever.

Release 10 — days 1–6 daily, dose 3

2021-11-14

Systemic reaction (other): Very tired

2021-11-17

Systemic reaction (other): Bleeding gums

Release 10 — day 7, dose 3

2021-11-18

Systemic reaction (other): Bleeding gums

Release 10 — day 28, dose 3

2021-12-09

Symptoms: Palpitations

Release 10 — day 35, dose 3

2021-12-16

Symptoms: On last check in, I reported palpitations but upon checking the dates, I realize that I had them previous to my booster. They have not gotten any better or worse.

Healthcare visit (other): Saw cardiologist for palpitations prior to booster

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	Palpitations	·	·	✓
HCVO	Pre-existing disease	·	·	✓
SD	Constipation	✓	✓	✓
SD	Hot flush	✓	✓	✓
SD	Hyperhidrosis	✓	✓	✓
SD	Palpitations	·	·	✓
SD	Pre-existing disease	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Fatigue	·	·	✓
SRO	Gingival bleeding	·	·	✓
SRO	Pain	✓	✓	✓

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