5WL-82084-20764

3 vaccinations 12 coded responses 27 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 802 / CO
Registered: 2021-03-17

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

2021-03-11
Dose 1 — Pfizer-BioNTech
2021-03-17
Registered in v-safe
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Hyperhidrosis — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-27
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-01
Dose 2 — Pfizer-BioNTech
2021-04-01
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal, Oropharyngeal pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Sore throat, foggy brain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Oropharyngeal pain, Rhinorrhoea — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Sore throat, right ear pain, runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Oropharyngeal pain, Photophobia — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Sore throat, sensitivity to light, ear pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Feeling abnormal — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: ear pain, brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Free text: Right ear pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Ear pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 7, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 21, dose 2
Feeling: Fair

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

Adult check-in
2021-05-11
Health check-in — day 35, dose 2
Feeling: Fair

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

Adult check-in
2021-07-01
Survey response — 3 months, dose 2
MedDRA: Menstruation irregular, Pre-existing disease — Feeling: Fair

Free text: I have PCOS and dont normally have regular periods but since the vaccine I have had a mentral period every month like normal and I havent been that way in years. I sore because I had Covid in April 2020 if that was caused by the virus itself.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-01
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-10-01
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Headache, Diarrhea

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Rash — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site

Free text: Rash to trunk/ abdomen

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Rash — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site

Free text: Rash to abdomen

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-10-29
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-05
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-03
Survey response — 3 months, dose 3
MedDRA: COVID-19 — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Covid positive

MedDRA releases: 2024-11 · check-in free text available
2022-10-03
Survey response — 12 months, dose 3
MedDRA: Herpes zoster — 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: Recurrent shingles

MedDRA releases: 2024-11 · check-in free text available
2022-10-03
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)
2022-10-05
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Pfizer-BioNTech
2	2021-04-01	Pfizer-BioNTech
3	2021-10-01	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2022-10-03	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-17

Systemic reaction (other): Sweats

Release 6 — days 1–6 daily, dose 2

2021-04-02

Systemic reaction (other): Sore throat, foggy brain

2021-04-03

Systemic reaction (other): Sore throat, right ear pain, runny nose

2021-04-04

Systemic reaction (other): Sore throat, sensitivity to light, ear pain

2021-04-05

Systemic reaction (other): ear pain, brain fog

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Right ear pain

2021-04-07

Systemic reaction (other): Ear pain

Release 9 — 3 months, dose 2

2021-07-01

Symptoms: I have PCOS and dont normally have regular periods but since the vaccine I have had a mentral period every month like normal and I havent been that way in years. I sore because I had Covid in April 2020 if that was caused by the virus itself.

Release 9 — days 1–6 daily, dose 3

2021-10-03

Systemic reaction (other): Rash to trunk/ abdomen

Release 10 — days 1–6 daily, dose 3

2021-10-04

Systemic reaction (other): Rash to abdomen

Release 10 — 3 months, dose 3

2022-01-03

Symptoms: Covid positive

Release 12 — 12 months, dose 3

2022-10-03

Symptoms: Recurrent shingles

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	COVID-19	·	·	✓
SD	Herpes zoster	·	·	✓
SD	Menstruation irregular	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Photophobia	✓	✓	✓
SRO	Rash	·	·	✓
SRO	Rhinorrhoea	✓	✓	✓

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