5UL-10284-35566

2 vaccinations 8 coded responses 21 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 279 / NC
Registered: 2021-01-23

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

2021-01-23
Registered in v-safe
2021-01-23
Dose 1 — Pfizer-BioNTech
2021-01-23
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Fair · Site: Pain, Redness, Itching · Fever · Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus, Swelling face, Urticaria — Feeling: Fair · Rash, not including the immediate area around the injection site

Free text: I am stopping one of my medications because I do not know what is causing my reaction. Hives, swelling n itchy ness to my face.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Erythema, Rash, Skin swelling — Feeling: Fair · Fever · Rash, not including the immediate area around the injection site

Free text: Rash, redness, puffy, not itchy today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Erythema, Pruritus — Feeling: Fair · Fever · Chills, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: My face is blotchy red and itches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Rash, Specialist consultation — Feeling: Fair · Muscle or body aches, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Rash from top of head to shoulders · Healthcare visit (other): Infectious disease specialist doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-29
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction, Unevaluable event — Feeling: Fair · Rash, not including the immediate area around the injection site

Free text: I started prednisone by my doctors orders.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — day 7, dose 1
MedDRA: Rash — Feeling: Fair · Rash, not including the immediate area around the injection site

Free text: I am taking prednisone doc orders due to the rash.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-13
Dose 2 — Pfizer-BioNTech
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-21
Call successful
Participant prefers to complete VAERS report online
2021-08-14
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-13
Survey response — 12 months, dose 2
MedDRA: Abdominal discomfort, Bowel movement irregularity, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities

Free text: Upset stomach. Very gastric. Bowel movements not regular.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-23	Pfizer-BioNTech
2	2021-02-13	Pfizer-BioNTech

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-23

Systemic reaction (other): No

Release 2 — days 1–6 daily, dose 1

2021-01-25

Systemic reaction (other): I am stopping one of my medications because I do not know what is causing my reaction. Hives, swelling n itchy ness to my face.

2021-01-26

Systemic reaction (other): Rash, redness, puffy, not itchy today.

2021-01-27

Systemic reaction (other): My face is blotchy red and itches

2021-01-28

Systemic reaction (other): Rash from top of head to shoulders

Healthcare visit (other): Infectious disease specialist doctor

Release 3 — days 1–6 daily, dose 1

2021-01-29

Systemic reaction (other): I started prednisone by my doctors orders.

Release 3 — day 7, dose 1

2021-01-30

Systemic reaction (other): I am taking prednisone doc orders due to the rash.

Release 11 — 12 months, dose 2

2022-02-13

Symptoms: Upset stomach. Very gastric. Bowel movements not regular.

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	Specialist consultation	✓	✓	✓
SD	Abdominal discomfort	·	·	✓
SD	Bowel movement irregularity	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Adverse reaction	✓	·	✓
SRO	Erythema	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Skin swelling	✓	✓	✓
SRO	Swelling face	✓	✓	✓
SRO	Unevaluable event	○	✓	○
SRO	Urticaria	✓	✓	✓

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