5A4-13263-95530

2 vaccinations 5 coded responses 20 check-ins 5 free-text entries 5 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 851 / AZ
Registered: 2021-10-08

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-10-08
Registered in v-safe
2021-10-08
Dose 1 — Pfizer-BioNTech
2021-10-08
Health check-in — day 0, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-10-09
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-10
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Chills, 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
2021-10-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-10-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2021-10-13
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Headache, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2021-10-14
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2021-10-15
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Adult check-in
2021-10-22
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-10-29
Survey response — day 21, dose 1
MedDRA: Chest pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Chest pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Dose 2 — Pfizer-BioNTech
2021-11-02
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Adult check-in
2021-11-03
Report sent to call center — days 1–6 daily, 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

Emergency room or emergency department visit · 1 call case(s)
2021-11-04
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-11-05
Call 1 — Left Voicemail
2021-11-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-07
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-14
Survey response — day 14, dose 2
MedDRA: Headache, Nausea, Vomiting — Feeling: Poor · 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

Free text: Severe headache , nausea and vomiting

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Report sent to call center — day 14, 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 · 1 call case(s)
2021-11-15
Call 1 — Left Voicemail
2022-01-30
Survey response — 3 months, dose 2
MedDRA: Abdominal pain upper, Back pain, Chest pain, Dizziness, Electric shock sensation, Fatigue, Insomnia, Migraine, Nausea, Sensory disturbance, Vomiting — Feeling: Poor · 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

Free text: Chest pain Fatigue Electric shock feelings in body Constant upper abdominal pain Severe lumbar pain Migraines Dizziness Fluttering in upper left abdomen under ribs Insomnia Vomiting and nausea

MedDRA releases: 2024-11 · check-in free text available
2022-01-30
Report sent to call center — 3 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 · 1 call case(s)
2022-02-03
Call 1 — Could Not Reach Participant
2022-02-08
Call 2 — Could Not Reach Participant
2022-05-03
Survey response — 6 months, dose 2
MedDRA: Chest pain, Dizziness, Office visit, Palpitations, Syncope — 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, Emergency room or emergency department visit

Free text: Symptoms: Heart palpitations Chest pain Dizziness and fainting episodes · Healthcare visit (other): Cardiologist

MedDRA releases: 2024-11 · check-in free text available
2022-05-03
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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-05-04
Call 1 — Left Voicemail
2022-10-31
Survey response — 12 months, dose 2
MedDRA: Coccidioidomycosis — 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: Valley fever

MedDRA releases: 2024-11 · check-in free text available
2022-10-31
Report sent to call center — 12 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)
2022-11-01
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-10-08	Pfizer-BioNTech	No
2	2021-10-31	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-11-03	Unsuccessful
2021-11-14	Unsuccessful
2022-01-30	Unsuccessful
2022-05-03	Unsuccessful
2022-10-31	Unsuccessful

Free text

Release 10 — day 21, dose 1

2021-10-29

Symptoms: Chest pain

Release 10 — day 14, dose 2

2021-11-14

Symptoms: Severe headache , nausea and vomiting

Release 11 — 3 months, dose 2

2022-01-30

Symptoms: Chest pain Fatigue Electric shock feelings in body Constant upper abdominal pain Severe lumbar pain Migraines Dizziness Fluttering in upper left abdomen under ribs Insomnia Vomiting and nausea

Release 11 — 6 months, dose 2

2022-05-03

Symptoms: Heart palpitations Chest pain Dizziness and fainting episodes

Healthcare visit (other): Cardiologist

Release 12 — 12 months, dose 2

2022-10-31

Symptoms: Valley fever

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	·	·	✓
SD	Abdominal pain upper	·	·	✓
SD	Back pain	·	·	✓
SD	Chest pain	·	·	✓
SD	Coccidioidomycosis	·	·	✓
SD	Dizziness	·	·	✓
SD	Electric shock sensation	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Insomnia	·	·	✓
SD	Migraine	·	·	✓
SD	Nausea	·	·	✓
SD	Palpitations	·	·	✓
SD	Sensory disturbance	·	·	✓
SD	Syncope	·	·	✓
SD	Vomiting	·	·	✓

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