5UV-22638-49054

3 vaccinations 10 coded responses 37 check-ins 10 free-text entries 6 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 628 / IL
Registered: 2020-12-17

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

2020-12-17
Registered in v-safe
2020-12-17
Dose 1 — Pfizer-BioNTech
2020-12-17
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2020-12-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2020-12-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2020-12-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2020-12-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2020-12-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-24
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2020-12-31
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-01-07
Survey response — day 21, dose 1
MedDRA: Headache, Self-medication — Feeling: Fair

Free text: Headache not relieved by over the counter medication

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Dose 2 — Pfizer-BioNTech
2021-01-08
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Diarrhea

Adult check-in
2021-01-12
Survey response — days 1–6 daily, dose 2
MedDRA: Asthma — Feeling: Good

Free text: Asthma attack

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-01-29
Survey response — day 21, dose 2
MedDRA: Unevaluable event — Feeling: Fair

Free text: Sinus issues which appear to be due to allergies. They respond to increase in allergy medication.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-19
Survey response — day 42, dose 2
MedDRA: Sinusitis — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sinus infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Report sent to call center — day 42, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-09
Survey response — 3 months, dose 2
MedDRA: Vertigo — 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: Severe Vertigo. On ongoing steroids

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Report sent to call center — 3 months, dose 2
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)
2021-07-11
Survey response — 6 months, dose 2
MedDRA: Female reproductive tract disorder, Sinusitis — 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: Continue sinus infections and female issues that complicate what antibiotics I can take

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-11
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

1 call case(s)
2021-07-15
Call 1 — Left Voicemail
2021-07-16
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-07-16
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-07-16
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-09-28
Dose 3 — Pfizer-BioNTech
2021-09-29
Survey response — days 1–6 daily, dose 3
MedDRA: Cardiac flutter — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Mild heart fluttering last night

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Joint pains, Muscle or body aches

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

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling · 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
Survey response — day 28, dose 3
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Flare up in preexisting gi symptoms

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-28
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
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
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-29
Survey response — 6 months, dose 3
MedDRA: Multiple sclerosis, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Slight increase in Multiple Sceleosis symptoms but nothing that indicates new lesions

MedDRA releases: 2024-11 · check-in free text available
2022-03-29
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-30
Call successful
Does not wish to fill out VAERS report
2022-09-29
Survey response — 12 months, dose 3
MedDRA: Inflammation, Mobility decreased, Office visit, 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: Arthritis in several joints. Doctors recommended a knee replacement. Mobility has declined. Lots of inflammation, blood test ordered.

MedDRA releases: 2024-11 · check-in free text available
2022-09-29
Report sent to call center — 12 months, dose 3
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)
2022-09-30
Call 1 — Left Voicemail
2022-09-30
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-17	Pfizer-BioNTech
2	2021-01-08	Pfizer-BioNTech
3	2021-09-28	Pfizer-BioNTech	No

Call center

6 call center cases

6 successful

See the call center timeline

Free text

Release 1 — day 21, dose 1

2021-01-07

Symptoms: Headache not relieved by over the counter medication

Release 1 — days 1–6 daily, dose 2

2021-01-12

Systemic reaction (other): Asthma attack

Release 3 — day 21, dose 2

2021-01-29

Symptoms: Sinus issues which appear to be due to allergies. They respond to increase in allergy medication.

Release 4 — day 42, dose 2

2021-02-19

Symptoms: Sinus infection

Release 7 — 3 months, dose 2

2021-04-09

Symptoms: Severe Vertigo. On ongoing steroids

Release 9 — 6 months, dose 2

2021-07-11

Symptoms: Continue sinus infections and female issues that complicate what antibiotics I can take

Release 9 — days 1–6 daily, dose 3

2021-09-29

Systemic reaction (other): Mild heart fluttering last night

Release 10 — day 28, dose 3

2021-10-26

Symptoms: Flare up in preexisting gi symptoms

Release 11 — 6 months, dose 3

2022-03-29

Symptoms: Slight increase in Multiple Sceleosis symptoms but nothing that indicates new lesions

Release 12 — 12 months, dose 3

2022-09-29

Symptoms: Arthritis in several joints. Doctors recommended a knee replacement. Mobility has declined. Lots of inflammation, blood test ordered.

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	Condition aggravated	·	·	✓
SD	Female reproductive tract disorder	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Inflammation	·	·	✓
SD	Mobility decreased	·	·	✓
SD	Multiple sclerosis	·	·	✓
SD	Office visit	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Self-medication	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SD	Vertigo	✓	✓	✓
SRO	Asthma	✓	✓	✓
SRO	Cardiac flutter	·	·	✓

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