59N-13771-49898

2 vaccinations 7 coded responses 14 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 750 / TX
Registered: 2021-03-31

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-31
Registered in v-safe
2021-03-31
Dose 1 — Pfizer-BioNTech
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2021-04-07
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Joint pains, Muscle or body aches, Abdominal pain

Free text: Menstrual like symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — day 14, dose 1
MedDRA: Arthralgia, Pain in extremity, Self-medication, Uterine pain — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Pain in uterus, legs, hip joints. Not much improvement. NSAIDs only a little helpful. Very painful and I have a high tolerance for pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 21, dose 1
MedDRA: Abdominal pain, Condition aggravated, Office visit, Pre-existing disease — Feeling: Poor · 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: Worsening/staying the same abdominal pain. Doc thinks the shot may have exacerbated ovarian cysts which is causing all the extra pain. Was turned away from receiving second shot today and told I might should only get one if no improvement soon

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-28
Survey response — day 28, dose 1
MedDRA: Chest pain, Musculoskeletal chest pain, Painful respiration — Feeling: Poor · Be unable to work, 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

Free text: Chest and rib pain. Hurts to breathe. Been on nsaids and about to have to get steroids for the ongoing pain. Was advised not to get second shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Report sent to call center — day 28, dose 1
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)
2021-05-07
Survey response — day 35, dose 1
MedDRA: Abdominal pain, Dyspnoea, Loss of personal independence in daily activities, Painful respiration — Feeling: Fair · Be unable to work, 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

Free text: Shortness of breath, pain breathing, abdominal pain that interferes with daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Report sent to call center — day 35, dose 1
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)
2021-05-08
Dose 2 — Pfizer-BioNTech
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-05-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-31
Survey response — day 21, dose 2
MedDRA: Decreased appetite, Dizziness, Headache, Nausea — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Dizzy, headache, nausea, less appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Survey response — day 28, dose 2
MedDRA: Decreased appetite, Dizziness, Syncope — Feeling: Poor · Be unable to do your normal daily activities

Free text: Loss of appetite, dizzy/faint

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-02-04
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Pfizer-BioNTech
2	2021-05-08	Pfizer-BioNTech

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 7 — day 7, dose 1

2021-04-07

Systemic reaction (other): Menstrual like symptoms

Release 7 — day 14, dose 1

2021-04-14

Symptoms: Pain in uterus, legs, hip joints. Not much improvement. NSAIDs only a little helpful. Very painful and I have a high tolerance for pain.

Release 7 — day 21, dose 1

2021-04-21

Symptoms: Worsening/staying the same abdominal pain. Doc thinks the shot may have exacerbated ovarian cysts which is causing all the extra pain. Was turned away from receiving second shot today and told I might should only get one if no improvement soon

Release 8 — day 28, dose 1

2021-04-28

Symptoms: Chest and rib pain. Hurts to breathe. Been on nsaids and about to have to get steroids for the ongoing pain. Was advised not to get second shot

Release 8 — day 35, dose 1

2021-05-07

Symptoms: Shortness of breath, pain breathing, abdominal pain that interferes with daily activities

Release 8 — day 21, dose 2

2021-05-31

Symptoms: Dizzy, headache, nausea, less appetite

Release 8 — day 28, dose 2

2021-06-07

Symptoms: Loss of appetite, dizzy/faint

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	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Decreased appetite	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Loss of personal independence in daily activities	✓	✓	✓
SD	Musculoskeletal chest pain	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Painful respiration	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Self-medication	·	·	✓
SD	Syncope	✓	✓	✓
SD	Uterine pain	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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