5E6-78892-45171

4 vaccinations 13 coded responses 39 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 840 / UT
Registered: 2021-03-25

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

Registered dependents

AYL-28678-60440 Child or adolescent in my care · Female · 2022-09-01

Timeline

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

2021-03-25
Registered in v-safe
2021-03-25
Dose 1 — Pfizer-BioNTech
2021-03-25
Survey response — day 0, dose 1
MedDRA: Arthralgia, Hypoaesthesia — Feeling: Good · Site: Pain

Free text: Jaw joint pain and a little numbness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Joint swelling, Pain in jaw, Paraesthesia — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Free text: TMJ/jaw pain, tingliness and swelling in my knees

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in jaw, Pre-existing disease — Feeling: Good

Free text: Jaw/TMJ pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-19
Dose 2 — Pfizer-BioNTech
2021-04-19
Survey response — day 0, dose 2
MedDRA: Limb discomfort — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Legs feel heavy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

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

Adult check-in
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Lactation disorder — Feeling: Good · Headache, Joint pains, Nausea, Diarrhea

Free text: Clogged milk duct (lactating)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Nausea, Diarrhea

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-26
Health check-in — day 7, dose 2
Feeling: Good · Headache, Nausea, Diarrhea

Adult check-in
2021-05-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-24
Survey response — day 35, dose 2
MedDRA: Fatigue, Headache, Pain, Respiratory tract congestion — Feeling: Fair

Free text: CongestionSlight headacheLittle achyFatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Survey response — day 42, dose 2
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-20
Survey response — 3 months, dose 2
MedDRA: Breast oedema, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Edema in breast · Healthcare visit (other): Ultrasound and mammogram

MedDRA releases: 2024-11 · check-in free text available
2021-07-20
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-26
Call 1 — Left Voicemail
2021-07-29
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-23
Dose 3 — Pfizer-BioNTech
2022-04-23
Survey response — 12 months, dose 2
MedDRA: Anosmia, COVID-19, Gastroenteritis viral — Feeling: Good · Be unable to do your normal daily activities

Free text: Stomach flu Had Covid in late December/early January and still have some lingering and intermittent issues with a lack of a sense of smell.

MedDRA releases: 2024-11 · check-in free text available
2022-11-01
Dose 4 — Pfizer-BioNTech
2022-11-02
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-11-03
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Diarrhea

Adult check-in
2022-11-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-11-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-08
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-11-16
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-22
Survey response — day 21, dose 4
MedDRA: Oropharyngeal pain, Pain, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sore throat Runny nose Aches

MedDRA releases: 2024-11 · check-in free text available
2022-11-29
Survey response — day 28, dose 4
MedDRA: Cough, Headache, Oropharyngeal pain, Pain, Sneezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: Aches Headache Sore throat Sneezing Cough

MedDRA releases: 2024-11 · check-in free text available
2022-12-06
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-15
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-02-01
Survey response — 3 months, dose 4
MedDRA: Chills, Oropharyngeal pain, Pain, Sneezing — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-02-01
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-02-02
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-05-02
Survey response — 6 months, dose 4
MedDRA: Nasopharyngitis, Pregnancy — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Pfizer-BioNTech
2	2021-04-19	Pfizer-BioNTech
3	2021-11-23	Pfizer-BioNTech	No
4	2022-11-01	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-07-20	Successful 2021-07-29	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2023-02-01	Successful 2023-02-02	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 6 — day 0, dose 1

2021-03-25

Systemic reaction (other): Jaw joint pain and a little numbness

Release 6 — days 1–6 daily, dose 1

2021-03-26

Systemic reaction (other): TMJ/jaw pain, tingliness and swelling in my knees

2021-03-28

Systemic reaction (other): Jaw/TMJ pain

Release 7 — day 0, dose 2

2021-04-19

Systemic reaction (other): Legs feel heavy

Release 7 — days 1–6 daily, dose 2

2021-04-23

Systemic reaction (other): Clogged milk duct (lactating)

Release 8 — day 35, dose 2

2021-05-24

Symptoms: CongestionSlight headacheLittle achyFatigue

Release 8 — day 42, dose 2

2021-05-31

Symptoms: Sore throat

Release 9 — 3 months, dose 2

2021-07-20

Symptoms: Edema in breast

Healthcare visit (other): Ultrasound and mammogram

Release 11 — 12 months, dose 2

2022-04-23

Symptoms: Stomach flu Had Covid in late December/early January and still have some lingering and intermittent issues with a lack of a sense of smell.

Release 12 — day 21, dose 4

2022-11-22

Symptoms: Sore throat Runny nose Aches

Release 12 — day 28, dose 4

2022-11-29

Symptoms: Aches Headache Sore throat Sneezing Cough

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	Unevaluable event	·	·	✓
SD	Anosmia	·	·	✓
SD	Breast oedema	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Gastroenteritis viral	·	·	✓
SD	Headache	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pregnancy	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Sneezing	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Joint swelling	✓	✓	✓
SRO	Lactation disorder	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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