5JQ-32188-06954

1 vaccination 10 coded responses 16 check-ins 10 free-text entries 4 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 010 / MA
Registered: 2021-03-29

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

2021-03-29
Registered in v-safe
2021-03-29
Dose 1 — Pfizer-BioNTech
2021-03-29
Survey response — day 0, dose 1
MedDRA: Hypoaesthesia, Hypoaesthesia oral — Feeling: Fair · Chills, Headache, Muscle or body aches, Nausea

Free text: Legs, feet, and toes numbness besides my lips

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-31
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Hypoaesthesia — Feeling: Fair · Chills, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Numbness in my hands and heaviness in my chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph nodes

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

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-05
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-12
Survey response — day 14, dose 1
MedDRA: Abdominal pain, Headache, Nausea — Feeling: Good · Be unable to do your normal daily activities

Free text: Headaches, Nausea, Pain on left side of abdomen. And was only able to eat Activia yogurt for three days because of the nausea & pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 21, dose 1
MedDRA: Costochondritis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Never had this before but the doctor is saying I have Costochondritis.

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
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-26
Survey response — day 28, dose 1
MedDRA: Office visit, Pancreatitis — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I have pancreatitis. · Healthcare visit (other): Doctor office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Report sent to call center — day 28, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-03
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-05-10
Survey response — day 42, dose 1
MedDRA: Condition aggravated, Pancreatitis, Pre-existing disease, Renal disorder — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Since being diagnosed with pancreatitis after getting my first vaccine, I also been having problems with my kidneys. And my Still's disease is active. In which before the vaccine, I was doing good with that.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Report sent to call center — day 42, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-28
Call 1 — Left Voicemail
2021-06-28
Survey response — 3 months, dose 1
MedDRA: Pancreatitis, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: Flare of Pancreatitis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-27
Survey response — 6 months, dose 1
MedDRA: Nephrolithiasis, Renal stone removal — Feeling: Fair · Be unable to do your normal daily activities

Free text: On August 29 I was diagnosed with having a kidney stone the size of 9.5mm which is unpassable. I had already two surgeries with no success. The doctor is going to try again, but this time the doctor is going to perform laser surgery.

MedDRA releases: 2024-11 · check-in free text available
2022-03-29
Survey response — 12 months, dose 1
MedDRA: Nephrolithiasis, Nervous system disorder, Pancreatitis, Renal disorder — Feeling: Fair · 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: I still have kidney stones. And now I have been diagnosed as having advanced kidney disease. I still get bouts on and off of pancreatitis. And also having neurological issues.

MedDRA releases: 2024-11 · check-in free text available
2022-03-29
Report sent to call center — 12 months, dose 1
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)
2022-03-30
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-29	Pfizer-BioNTech

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-29

Systemic reaction (other): Legs, feet, and toes numbness besides my lips

Release 6 — days 1–6 daily, dose 1

2021-03-31

Systemic reaction (other): Numbness in my hands and heaviness in my chest

2021-04-02

Systemic reaction (other): Swollen lymph nodes

Release 7 — day 14, dose 1

2021-04-12

Symptoms: Headaches, Nausea, Pain on left side of abdomen. And was only able to eat Activia yogurt for three days because of the nausea & pain.

Release 7 — day 21, dose 1

2021-04-21

Symptoms: Never had this before but the doctor is saying I have Costochondritis.

Release 8 — day 28, dose 1

2021-04-26

Symptoms: I have pancreatitis.

Healthcare visit (other): Doctor office visit

Release 8 — day 42, dose 1

2021-05-10

Symptoms: Since being diagnosed with pancreatitis after getting my first vaccine, I also been having problems with my kidneys. And my Still's disease is active. In which before the vaccine, I was doing good with that.

Release 9 — 3 months, dose 1

2021-06-28

Symptoms: Flare of Pancreatitis

Release 9 — 6 months, dose 1

2021-09-27

Symptoms: On August 29 I was diagnosed with having a kidney stone the size of 9.5mm which is unpassable. I had already two surgeries with no success. The doctor is going to try again, but this time the doctor is going to perform laser surgery.

Release 11 — 12 months, dose 1

2022-03-29

Symptoms: I still have kidney stones. And now I have been diagnosed as having advanced kidney disease. I still get bouts on and off of pancreatitis. And also having neurological issues.

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	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Costochondritis	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Nephrolithiasis	·	·	✓
SD	Nervous system disorder	·	·	✓
SD	Pancreatitis	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Renal disorder	✓	✓	✓
SD	Renal stone removal	·	·	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Hypoaesthesia oral	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓

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