59Y-23893-67138

5 vaccinations 16 coded responses 31 check-ins 16 free-text entries 4 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 986 / WA
Registered: 2021-04-14

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
Dose 1 — Pfizer-BioNTech
2021-04-14
Registered in v-safe
2021-04-14
Survey response — day 14, dose 1
MedDRA: Cough, Dyspnoea, Fatigue, Myalgia, Upper-airway cough syndrome — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increased shortness of breath, postnasal drip, coughing, muscle aches, and fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Dose 2 — Pfizer-BioNTech
2021-04-21
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Oropharyngeal pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: cough, sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Sneezing — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: coughing, sneezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — day 7, dose 2
MedDRA: Cough — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Free text: coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 14, dose 2
MedDRA: Cold sweat, Cough, Diabetes mellitus, Fatigue, Feeling abnormal, Headache, Hyperhidrosis, Oropharyngeal pain, Pain, Pre-existing disease, Unevaluable event — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Lingering fatigue, persistent cough, hot/cold sweats, body aches, sore throat, headache, spikes in blood sugar (type 2 diabetic), brain fog · Healthcare visit (other): scheduled video appointment

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-12
Survey response — day 21, dose 2
MedDRA: Blood glucose increased, Cough, Fatigue, Pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Body aches, coughing, fatigue, blood sugar spikes (330-450)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-22
Dose 3 — Pfizer-BioNTech
2021-10-22
Survey response — 6 months, dose 2
MedDRA: Blood glucose increased, Nausea, Pancreatic disorder, Renal disorder, Unevaluable event, Vomiting, Weight decreased — 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

Free text: Symptoms: Pancreas and/or kidney issues causing high blood sugar, nausea, vomiting, and unintended weight loss · Healthcare visit (other): abdominal ultrasound

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Survey response — day 0, dose 3
MedDRA: Nausea, Pre-existing disease — Feeling: Fair · Fatigue or tiredness, Nausea

Free text: nausea was present prior to injection

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Report sent to call center — 6 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 · 1 call case(s)
2021-10-23
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-24
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-10-25
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-10-25
Call successful
Participant prefers to complete VAERS report online
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-10-30
Health check-in — day 7, dose 3
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-05
Survey response — day 14, dose 3
MedDRA: Fatigue, Nausea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Increased nausea and fatigue in the last 3 days. CT of abdomen is scheduled next week to investigate kidneys and pancreas after inconclusive ultrasound.

MedDRA releases: 2024-11 · check-in free text available
2022-07-05
Dose 4 — Pfizer-BioNTech
2022-07-06
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-07-07
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-07-09
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2022-07-10
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2022-07-13
Health check-in — day 7, dose 4
Feeling: Fair · Site: Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2022-07-28
Survey response — day 21, dose 4
MedDRA: Nausea, Office visit — Feeling: Poor · 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: Symptoms: Nausea continues to get worse. No known cause yet found, although abdominal CT scan, ultrasound, colonoscopy, and endoscopy have been performed. · Healthcare visit (other): in person visit with PCP and specialists

MedDRA releases: 2024-11 · check-in free text available
2022-07-28
Report sent to call center — day 21, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-07-29
Call 1 — Left Voicemail
2022-09-14
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-09-14
Health check-in — day 0, dose 5
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2022-09-17
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-18
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2022-09-19
Survey response — days 1–6 daily, dose 5
MedDRA: Cough — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: coughing

MedDRA releases: 2024-11 · check-in free text available
2022-09-20
Survey response — days 1–6 daily, dose 5
MedDRA: Cough — Feeling: Fair · Site: Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Free text: coughing

MedDRA releases: 2024-11 · check-in free text available
2022-09-23
Survey response — day 7, dose 5
MedDRA: Cough — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Free text: coughing

MedDRA releases: 2024-11 · check-in free text available
2022-10-01
Survey response — day 14, dose 5
MedDRA: Visual field defect, Visual impairment — Feeling: Fair

Free text: Vision changes, intermittent fluctuations around perimeter of visual field.

MedDRA releases: 2024-11 · check-in free text available
2022-12-16
Survey response — 3 months, dose 5
MedDRA: Brain fog, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increased occurrence of intermittent brain fog/fugue state, possibly metabolic and possibly non-neurological in nature.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Pfizer-BioNTech
2	2021-04-21	Pfizer-BioNTech
3	2021-10-22	Pfizer-BioNTech	No
4	2022-07-05	Pfizer-BioNTech	No
5	2022-09-14	Pfizer-BioNTech	Flu

Call center

4 call center cases

3 successful · 1 unsuccessful

See the call center timeline

Free text

Release 7 — day 14, dose 1

2021-04-14

Symptoms: Increased shortness of breath, postnasal drip, coughing, muscle aches, and fatigue.

Release 7 — days 1–6 daily, dose 2

2021-04-23

Systemic reaction (other): cough, sore throat

2021-04-24

Systemic reaction (other): coughing, sneezing

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): coughing

Release 8 — day 7, dose 2

2021-04-28

Systemic reaction (other): coughing

Release 8 — day 14, dose 2

2021-05-06

Symptoms: Lingering fatigue, persistent cough, hot/cold sweats, body aches, sore throat, headache, spikes in blood sugar (type 2 diabetic), brain fog

Healthcare visit (other): scheduled video appointment

Release 8 — day 21, dose 2

2021-05-12

Symptoms: Body aches, coughing, fatigue, blood sugar spikes (330-450)

Release 10 — 6 months, dose 2

2021-10-22

Symptoms: Pancreas and/or kidney issues causing high blood sugar, nausea, vomiting, and unintended weight loss

Healthcare visit (other): abdominal ultrasound

Release 10 — day 0, dose 3

2021-10-22

Systemic reaction (other): nausea was present prior to injection

Release 10 — day 14, dose 3

2021-11-05

Symptoms: Increased nausea and fatigue in the last 3 days. CT of abdomen is scheduled next week to investigate kidneys and pancreas after inconclusive ultrasound.

Release 12 — day 21, dose 4

2022-07-28

Symptoms: Nausea continues to get worse. No known cause yet found, although abdominal CT scan, ultrasound, colonoscopy, and endoscopy have been performed.

Healthcare visit (other): in person visit with PCP and specialists

Release 12 — days 1–6 daily, dose 5

2022-09-19

Systemic reaction (other): coughing

2022-09-20

Systemic reaction (other): coughing

Release 12 — day 7, dose 5

2022-09-23

Systemic reaction (other): coughing

Release 12 — day 14, dose 5

2022-10-01

Symptoms: Vision changes, intermittent fluctuations around perimeter of visual field.

Release 12 — 3 months, dose 5

2022-12-16

Symptoms: Increased occurrence of intermittent brain fog/fugue state, possibly metabolic and possibly non-neurological in nature.

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	Unevaluable event	✓	✓	✓
SD	Blood glucose increased	✓	✓	✓
SD	Brain fog	·	·	✓
SD	Cold sweat	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Diabetes mellitus	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hyperhidrosis	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pancreatic disorder	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Renal disorder	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Upper-airway cough syndrome	✓	✓	✓
SD	Visual field defect	·	·	✓
SD	Visual impairment	·	·	✓
SD	Vomiting	·	·	✓
SD	Weight decreased	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Nausea	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pre-existing disease	·	·	✓
SRO	Sneezing	✓	✓	✓

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