5JZ-25786-31156

3 vaccinations 13 coded responses 31 check-ins 14 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 947 / CA
Registered: 2021-02-21

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

2021-02-21
Registered in v-safe
2021-02-25
Dose 1 — Pfizer-BioNTech
2021-02-25
Health check-in — day 0, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-26
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea, Insomnia — Feeling: Fair · Site: Pain

Free text: Insomnia, Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea, Insomnia — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Insomnia, shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea, Insomnia — Feeling: Fair · Joint pains, Muscle or body aches

Free text: Insomnia, shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — day 7, dose 1
MedDRA: Dyspnoea, Insomnia — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Shortness of breath, insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-18
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-25
Survey response — day 28, dose 1
MedDRA: Arthralgia, Influenza like illness, Malaise, Pain, Pain in extremity — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Shoulder pain thats now radiating to my wrist and handFlu-like malaise is worsening

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Dose 2 — Pfizer-BioNTech
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Dyspnoea, Feeling abnormal, Pruritus — Feeling: Poor · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Itching, shortness of breath, cough, brainfog, feel stoned

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Insomnia — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Insomnia, shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Malaise — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Malaise, shoulder from first vaccine is still hurting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-08
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-04-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 21, dose 2
Feeling: Poor

Adult check-in
2021-04-29
Health check-in — day 28, dose 2
Feeling: Poor

Adult check-in
2021-05-06
Health check-in — day 35, dose 2
Feeling: Poor

Adult check-in
2021-05-13
Health check-in — day 42, dose 2
Feeling: Poor

Adult check-in
2021-07-01
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-01
Survey response — 6 months, dose 2
MedDRA: Anaphylactic reaction, Mast cell activation syndrome, Pre-existing disease — 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: Increased MCAS, Anaphylactic reactions to food

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-06
Call 1 — Left Voicemail
2021-10-12
Call 2 — Requested Callback
2021-10-14
Dose 3 — Pfizer-BioNTech
2021-10-14
Call successful
Participant prefers to complete VAERS report online
2021-10-28
Survey response — day 14, dose 3
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Delayed onset shoulder pain starting one week after third dose of Pfizer

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Health check-in — day 28, dose 3
Feeling: Poor

Adult check-in
2021-11-18
Survey response — day 35, dose 3
MedDRA: Nausea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Nausea

MedDRA releases: 2024-11 · check-in free text available
2021-11-28
Health check-in — day 42, dose 3
Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Increased post exertional malaise, mast cell activation, shortness of breath

Adult check-in · check-in free text available
2022-01-13
Survey response — 3 months, dose 3
MedDRA: Condition aggravated, Diarrhoea, Dyspnoea, Oropharyngeal pain, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Diarrhea, sore throat, difficulty breathing, worsened mast cell activation

MedDRA releases: 2024-11 · check-in free text available
2022-01-13
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-14
Call 1 — Left Voicemail
2022-04-14
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-25	Pfizer-BioNTech
2	2021-04-01	Pfizer-BioNTech
3	2021-10-14	Pfizer-BioNTech	No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-26

Systemic reaction (other): Insomnia, Shortness of breath

2021-03-01

Systemic reaction (other): Insomnia, shortness of breath

2021-03-02

Systemic reaction (other): Shortness of breath

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): Insomnia, shortness of breath

Release 5 — day 7, dose 1

2021-03-04

Systemic reaction (other): Shortness of breath, insomnia

Release 6 — day 28, dose 1

2021-03-25

Symptoms: Shoulder pain thats now radiating to my wrist and handFlu-like malaise is worsening

Release 6 — days 1–6 daily, dose 2

2021-04-02

Systemic reaction (other): Itching, shortness of breath, cough, brainfog, feel stoned

2021-04-04

Systemic reaction (other): Insomnia, shortness of breath

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Malaise, shoulder from first vaccine is still hurting

Release 9 — 6 months, dose 2

2021-10-01

Symptoms: Increased MCAS, Anaphylactic reactions to food

Release 10 — day 14, dose 3

2021-10-28

Symptoms: Delayed onset shoulder pain starting one week after third dose of Pfizer

Release 10 — day 35, dose 3

2021-11-18

Symptoms: Nausea

Release 10 — 3 months, dose 3

2022-01-13

Symptoms: Diarrhea, sore throat, difficulty breathing, worsened mast cell activation

Release 12 — day 42, dose 3

2021-11-28

Symptoms: Increased post exertional malaise, mast cell activation, shortness of breath

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
SD	Anaphylactic reaction	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Condition aggravated	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Influenza like illness	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Mast cell activation syndrome	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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