5SJ-11233-87768

2 vaccinations 9 coded responses 25 check-ins 9 free-text entries 7 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 974 / OR
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
2021-02-21
Dose 1 — Pfizer-BioNTech
2021-02-21
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches

Adult check-in
2021-02-24
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea, Wheezing — Feeling: Fair

Free text: SOB, wheezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-28
Survey response — day 7, dose 1
MedDRA: Dyspnoea, Productive cough — Feeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Productive cough, shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — day 14, dose 1
MedDRA: Chronic obstructive pulmonary disease, Pre-existing disease — Feeling: Good · Be unable to work, 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: Exacerbation of COPD

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-14
Dose 2 — Pfizer-BioNTech
2021-03-14
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-03-21
Health check-in — day 7, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-03-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-04
Survey response — day 21, dose 2
MedDRA: Arthralgia, Fracture — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: 6/10 pain in left ankle, not associated with any injury · Healthcare visit (other): X-ray beg for fracture

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-11
Survey response — day 28, dose 2
MedDRA: Arthralgia, Erythema, Joint swelling, Unevaluable event — 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: Symptoms: Increased pain (8-9/10), swelling and redness left ankle. · Healthcare visit (other): Ultrasound ordered

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-19
Survey response — day 35, dose 2
MedDRA: Arthralgia, Joint swelling, Thrombosis — 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: Continued increasing pain and swelling left ankle. Ultrasound showed blood clot. Started on blood thinner.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-25
Survey response — day 42, dose 2
MedDRA: Thrombosis — Feeling: Poor · 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: Continued blood clot left ankle.

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

1 call case(s)
2021-06-13
Survey response — 3 months, dose 2
MedDRA: Cough, Dyspnoea — 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 cough and SOB.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-13
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)
2021-06-17
Call 1 — Left Voicemail
2021-09-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-14
Survey response — 12 months, dose 2
MedDRA: Cough, Dyspnoea, Pyrexia, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: SOB, cough, fever · Healthcare visit (other): Infusion center

MedDRA releases: 2024-11 · check-in free text available
2022-03-14
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-15
Call 1 — Left Voicemail
2022-03-15
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-21	Pfizer-BioNTech
2	2021-03-14	Pfizer-BioNTech

Call center

7 call center cases

7 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-24

Systemic reaction (other): SOB, wheezing

Release 4 — day 7, dose 1

2021-02-28

Systemic reaction (other): Productive cough, shortness of breath

Release 5 — day 14, dose 1

2021-03-07

Symptoms: Exacerbation of COPD

Release 6 — day 21, dose 2

2021-04-04

Symptoms: 6/10 pain in left ankle, not associated with any injury

Healthcare visit (other): X-ray beg for fracture

Release 7 — day 28, dose 2

2021-04-11

Symptoms: Increased pain (8-9/10), swelling and redness left ankle.

Healthcare visit (other): Ultrasound ordered

Release 7 — day 35, dose 2

2021-04-19

Symptoms: Continued increasing pain and swelling left ankle. Ultrasound showed blood clot. Started on blood thinner.

Release 7 — day 42, dose 2

2021-04-25

Symptoms: Continued blood clot left ankle.

Release 9 — 3 months, dose 2

2021-06-13

Symptoms: Increased cough and SOB.

Release 11 — 12 months, dose 2

2022-03-14

Symptoms: SOB, cough, fever

Healthcare visit (other): Infusion center

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	Fracture	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Chronic obstructive pulmonary disease	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Erythema	✓	✓	✓
SD	Joint swelling	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Thrombosis	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Productive cough	✓	✓	✓
SRO	Wheezing	✓	✓	✓

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