5AY-22623-69172

3 vaccinations 14 coded responses 34 check-ins 14 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 300 / GA
Registered: 2021-01-19

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

2021-01-19
Registered in v-safe
2021-01-19
Dose 1 — Pfizer-BioNTech
2021-01-19
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-02
Survey response — day 14, dose 1
MedDRA: Chills, Headache, Pain, Pyrexia — Feeling: Good · Be unable to do your normal daily activities

Free text: 3 degrees fever, chills, body aches, severe headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Dose 2 — Pfizer-BioNTech
2021-02-09
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-16
Health check-in — day 7, dose 2
Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-02-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-09
Survey response — day 28, dose 2
MedDRA: Dyspnoea, Fatigue — Feeling: Fair

Free text: Fatigue, out of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-25
Survey response — day 42, dose 2
MedDRA: Breast pain, Impaired healing, Office visit, Photopsia — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Flashing lights in my right eye. Sore breast. · Healthcare visit (other): Ophthalmologist. Gynecologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-11
Survey response — 3 months, dose 2
MedDRA: Headache, Ocular discomfort, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Eye pressure increased. 27 and 22.Dull headaches like a caffeine headache. Not migraine · Healthcare visit (other): MD visits

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-10
Survey response — 6 months, dose 2
MedDRA: Feeling abnormal, Somnolence — Feeling: Fair · Be unable to do your normal daily activities

Free text: I want to sleep all the time. I am sleeping 12 hours each night. I do not want to get up but when I do I feel sleepy all day. I used to sleep nine hour nights about a year ago. When I waked up I felt good.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-01
Dose 3 — Pfizer-BioNTech
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Blood glucose increased — Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness

Free text: Higher blood sugar

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Survey response — days 1–6 daily, dose 3
MedDRA: Adverse reaction — Feeling: Good

Free text: It took 10 days before I reacted to the second shot.

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Survey response — days 1–6 daily, dose 3
MedDRA: Blood glucose increased — Feeling: Good

Free text: My blood sugar is running 15 points higher than usual (119 today)

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Survey response — days 1–6 daily, dose 3
MedDRA: Blood glucose increased — Feeling: Good

Free text: My blood sugar is still about 15 points higher than my normal

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Survey response — day 7, dose 3
MedDRA: Blood glucose increased — Feeling: Good

Free text: Blood sugar is running high. About 119

MedDRA releases: 2024-11 · check-in free text available
2021-10-15
Survey response — day 14, dose 3
MedDRA: Office visit, Skin warm, Swelling, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: I have a swelling on the right side of my neck under the ear. My Endochronologist advised me to see an ENT. He said the right side of my neck was noticeably hotter than the left side. · Healthcare visit (other): I have an appointment with an ENT in November.

MedDRA releases: 2024-11 · check-in free text available
2021-10-15
Report sent to call center — day 14, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-19
Call 1 — Left Voicemail
2021-10-19
Call successful
Does not wish to fill out VAERS report
2021-10-22
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-30
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-06
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-13
Survey response — day 42, dose 3
MedDRA: Musculoskeletal stiffness, Pain, Physiotherapy — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: A very stiff neck. It became painful turn it right or left. · Healthcare visit (other): Physical therapy. I have had three sessions and will need 10-15 more.

MedDRA releases: 2024-11 · check-in free text available
2021-11-13
Report sent to call center — day 42, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-16
Call 1 — Could Not Reach Participant
2021-11-19
Call 2 — Could Not Reach Participant
2021-12-31
Survey response — 3 months, dose 3
MedDRA: Cough, Fatigue, Influenza virus test, Office visit, Rhinorrhoea, SARS-CoV-2 test — 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

Free text: Symptoms: Runny nose, cough, fatigue. Exposure to husband who rapid tested positive last Monday. He has had 101+ fever since December 20. I tested negative but have symptoms. · Healthcare visit (other): Doctor's office rapid Covid and flu tests

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Report sent to call center — 3 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2022-01-04
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-19	Pfizer-BioNTech
2	2021-02-09	Pfizer-BioNTech
3	2021-10-01	Pfizer-BioNTech	No

Call center

5 call center cases

5 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): No

Release 3 — day 14, dose 1

2021-02-02

Symptoms: 3 degrees fever, chills, body aches, severe headache

Release 5 — day 28, dose 2

2021-03-09

Symptoms: Fatigue, out of breath

Release 6 — day 42, dose 2

2021-03-25

Symptoms: Flashing lights in my right eye. Sore breast.

Healthcare visit (other): Ophthalmologist. Gynecologist

Release 8 — 3 months, dose 2

2021-05-11

Symptoms: Eye pressure increased. 27 and 22.Dull headaches like a caffeine headache. Not migraine

Healthcare visit (other): MD visits

Release 9 — 6 months, dose 2

2021-08-10

Symptoms: I want to sleep all the time. I am sleeping 12 hours each night. I do not want to get up but when I do I feel sleepy all day. I used to sleep nine hour nights about a year ago. When I waked up I felt good.

Release 10 — days 1–6 daily, dose 3

2021-10-04

Systemic reaction (other): Higher blood sugar

2021-10-05

Systemic reaction (other): It took 10 days before I reacted to the second shot.

2021-10-06

Systemic reaction (other): My blood sugar is running 15 points higher than usual (119 today)

2021-10-07

Systemic reaction (other): My blood sugar is still about 15 points higher than my normal

Release 10 — day 7, dose 3

2021-10-08

Systemic reaction (other): Blood sugar is running high. About 119

Release 10 — day 14, dose 3

2021-10-15

Symptoms: I have a swelling on the right side of my neck under the ear. My Endochronologist advised me to see an ENT. He said the right side of my neck was noticeably hotter than the left side.

Healthcare visit (other): I have an appointment with an ENT in November.

Release 10 — day 42, dose 3

2021-11-13

Symptoms: A very stiff neck. It became painful turn it right or left.

Healthcare visit (other): Physical therapy. I have had three sessions and will need 10-15 more.

Release 10 — 3 months, dose 3

2021-12-31

Symptoms: Runny nose, cough, fatigue. Exposure to husband who rapid tested positive last Monday. He has had 101+ fever since December 20. I tested negative but have symptoms.

Healthcare visit (other): Doctor's office rapid Covid and flu tests

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	Impaired healing	○	✓	○
HCVO	Influenza virus test	·	·	✓
HCVO	Office visit	✓	✓	✓
HCVO	Physiotherapy	·	·	✓
HCVO	SARS-CoV-2 test	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Breast pain	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Cough	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	·	✓
SD	Headache	✓	✓	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Ocular discomfort	✓	✓	✓
SD	Office visit	·	·	✓
SD	Pain	✓	✓	✓
SD	Photopsia	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Skin warm	·	·	✓
SD	Somnolence	✓	·	✓
SD	Swelling	·	·	✓
SRO	Adverse reaction	·	·	✓
SRO	Blood glucose increased	·	·	✓
SRO	No adverse event	✓	✓	✓

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