5KS-23588-74219

5 vaccinations 13 coded responses 46 check-ins 11 free-text entries 7 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 076 / NJ
Registered: 2021-01-30

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

2021-01-27
Dose 1 — Pfizer-BioNTech
2021-01-30
Registered in v-safe
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Diarrhea

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-02-03
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-17
Dose 2 — Pfizer-BioNTech
2021-02-17
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — day 7, dose 2
Feeling: Good · None

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

Adult check-in
2021-03-10
Survey response — day 21, dose 2
MedDRA: Arthralgia, Vaccination site discomfort — Feeling: Fair

Free text: Shoulder aches. Left worse than right. Left deltoid is vaccination site. Very uncomfortable.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — day 28, dose 2
MedDRA: Arthralgia, Fatigue — Feeling: Fair

Free text: Fatigue, shoulder aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — day 35, dose 2
MedDRA: Pain, Sciatica — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Left sciatic pain( low back and down left thigh)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-31
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-19
Survey response — 3 months, dose 2
MedDRA: Cough, Neuralgia — Feeling: Fair

Free text: Cough; sciatic nerve pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-28
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-05
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-09
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-28
Survey response — 3 months, dose 3
MedDRA: Ageusia, Anosmia, Chills, Cough, Diarrhoea, Headache, Oropharyngeal pain, Pain, Pyrexia — 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

Free text: Fever, chills, cough, sore throat, aches, loss of smell and taste, diarrhea, headache.

MedDRA releases: 2024-11 · check-in free text available
2021-12-28
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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-29
Call successful
Participant prefers to complete VAERS report online
2022-03-29
Survey response — 6 months, dose 3
MedDRA: Ageusia, Anosmia, Cough, Fatigue, Pain, Pyrexia, Respiratory tract congestion — 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 · Telehealth, virtual health, or email health consultation

Free text: Fever, cough, congestion, loss of taste and smell, extreme fatigue, body aches.

MedDRA releases: 2024-11 · check-in free text available
2022-03-29
Report sent to call center — 6 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-30
Call 1 — Left Voicemail
2022-03-31
Call 2 — Could Not Reach Participant
2022-04-05
Call 3 — Left Voicemail
2022-04-05
Call successful
Not applicable - Accidental Reporting
2022-04-06
Dose 4 — Pfizer-BioNTech
2022-04-15
Health check-in — day 7, dose 4
Feeling: Good · Site: Pain · Headache, Nausea · Be unable to work or attend school

Adult check-in
2022-04-20
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-27
Survey response — day 21, dose 4
MedDRA: Headache, Nausea — Feeling: Fair

Free text: Headache and nausea.

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Survey response — day 28, dose 4
MedDRA: Nausea — Feeling: Fair

Free text: Nausea

MedDRA releases: 2024-11 · check-in free text available
2022-05-11
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-18
Survey response — day 42, dose 4
MedDRA: Office visit, Pain, Sciatica — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Right side sciatic pain · Healthcare visit (other): Chiropractor

MedDRA releases: 2024-11 · check-in free text available
2022-05-18
Report sent to call center — day 42, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-19
Call 1 — Left Voicemail
2022-05-19
Call 1 — Left Voicemail
2022-05-19
Call 1 — Left Voicemail
2022-07-06
Survey response — 3 months, dose 4
MedDRA: Sinus operation, Surgery — 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, Hospitalization

Free text: Symptoms: Sinus surgery. · Healthcare visit (other): Same day surgery.

MedDRA releases: 2024-11 · check-in free text available
2022-07-06
Report sent to call center — 3 months, dose 4
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 · Hospitalization · 1 call case(s)
2022-07-07
Call 2 — Left Voicemail
2022-07-07
Call 2 — Left Voicemail
2022-07-07
Call X — Left Voicemail
2022-07-07
Call 2 — Left Voicemail
2022-07-07
Call 1 — Left Voicemail
2022-07-07
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-07
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-07
Survey response — 6 months, dose 4
MedDRA: Joint injury, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: Knee injury. Unrelated to COVID. · Healthcare visit (other): Orthopedic Doctors office

MedDRA releases: 2024-11 · check-in free text available
2022-10-07
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2022-10-10
Call 1 — Left Voicemail
2022-10-10
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-08
Dose 5 — Pfizer-BioNTech
2023-04-08
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2023-04-08
Survey response — 12 months, dose 4
MedDRA: Bronchitis — 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 · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-04-08
Report sent to call center — 12 months, dose 4
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 · 1 call case(s)
2023-04-11
Call 1 — Left Voicemail
2023-04-12
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2023-04-19
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2023-06-07
Survey response — 3 months, dose 5
MedDRA: Cough, Oropharyngeal pain, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-27	Pfizer-BioNTech
2	2021-02-17	Pfizer-BioNTech
3	2021-09-28	Pfizer-BioNTech	Flu
4	2022-04-06	Pfizer-BioNTech	No
5	2023-03-08	Pfizer-BioNTech	No

Call center

7 call center cases

6 successful · 1 unsuccessful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 5 — day 21, dose 2

2021-03-10

Symptoms: Shoulder aches. Left worse than right. Left deltoid is vaccination site. Very uncomfortable.

Release 5 — day 28, dose 2

2021-03-17

Symptoms: Fatigue, shoulder aches

Release 6 — day 35, dose 2

2021-03-24

Symptoms: Left sciatic pain( low back and down left thigh)

Release 8 — 3 months, dose 2

2021-05-19

Symptoms: Cough; sciatic nerve pain

Release 10 — 3 months, dose 3

2021-12-28

Symptoms: Fever, chills, cough, sore throat, aches, loss of smell and taste, diarrhea, headache.

Release 11 — 6 months, dose 3

2022-03-29

Symptoms: Fever, cough, congestion, loss of taste and smell, extreme fatigue, body aches.

Release 11 — day 21, dose 4

2022-04-27

Symptoms: Headache and nausea.

Release 11 — day 28, dose 4

2022-05-04

Symptoms: Nausea

Release 11 — day 42, dose 4

2022-05-18

Symptoms: Right side sciatic pain

Healthcare visit (other): Chiropractor

Release 12 — 3 months, dose 4

2022-07-06

Symptoms: Sinus surgery.

Healthcare visit (other): Same day surgery.

Release 12 — 6 months, dose 4

2022-10-07

Symptoms: Knee injury. Unrelated to COVID.

Healthcare visit (other): Orthopedic Doctors office

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	·	·	✓
HCVO	Surgery	·	·	✓
SD	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Bronchitis	·	·	✓
SD	Chills	·	·	✓
SD	Cough	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Joint injury	·	·	✓
SD	Nausea	·	·	✓
SD	Neuralgia	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sciatica	✓	✓	✓
SD	Sinus operation	·	·	✓
SD	Vaccination site discomfort	✓	✓	✓

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