5YF-45821-71818

4 vaccinations 14 coded responses 38 check-ins 14 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 017 / MA
Registered: 2021-03-26

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-26
Registered in v-safe
2021-03-26
Dose 1 — Pfizer-BioNTech
2021-03-26
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Emotional distress, Heart rate irregular, Lacrimation increased — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Free text: #NAME?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-31
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Good · Headache, Fatigue or tiredness, Nausea

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Sacral pain — Feeling: Good · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 7, dose 1
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-16
Dose 2 — Pfizer-BioNTech
2021-04-16
Survey response — day 0, dose 2
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: A feeling of blood rushing to my face. (Mild)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-04-23
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-30
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-16
Survey response — 3 months, dose 2
MedDRA: Amenorrhoea — Feeling: Good

Free text: I have not menstruated since first vaccine

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-23
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-11-01
Survey response — day 7, dose 3
MedDRA: Neck pain, Pain, Pain in extremity — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Radiating pain on left arm (jab side) from neck to hand. Worse at night

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-13
Survey response — day 21, dose 3
MedDRA: Arthralgia, Back pain, Chest pain, Neck pain, Pain, Pain in extremity, Pain in jaw — Feeling: Fair

Free text: My arm still hurts. Radiating pain through my shoulder, chest, and upper back. Through my neck and jaw. It's steady and hasn't stopped since vaccine.

MedDRA releases: 2024-11 · check-in free text available
2021-11-20
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-27
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-04
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-22
Survey response — 3 months, dose 3
MedDRA: Kidney infection — Feeling: Poor · Be unable to work or attend school

Free text: Kidneys infection

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
Survey response — 6 months, dose 3
MedDRA: Alopecia, Kidney infection — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Multiple kidney infections Hair thinning that began shortly after first dose, but I did not make the connection until the last dose.

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-04-25
Call successful
Participant prefers to complete VAERS report online
2022-09-11
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-09-28
Survey response — day 14, dose 4
MedDRA: Alopecia, Hyperhidrosis, Memory impairment — Feeling: Fair

Free text: Mild hair loss. Forgetfulness. Increased perspiration.

MedDRA releases: 2024-11 · check-in free text available
2022-10-02
Survey response — day 21, dose 4
MedDRA: Abdominal pain upper — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe stomach cramps

MedDRA releases: 2024-11 · check-in free text available
2022-10-09
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-16
Survey response — day 35, dose 4
MedDRA: Dysmenorrhoea, Migraine, Pre-existing disease, Premenstrual syndrome — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Menstruation is ridiculously painful and it has never been so before. Menstrual moods and migraines are also worse than ever before as well.

MedDRA releases: 2024-11 · check-in free text available
2022-10-23
Survey response — day 42, dose 4
MedDRA: Cystitis, Urinary tract infection — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Bladder/Upper urinary tract infection

MedDRA releases: 2024-11 · check-in free text available
2022-10-23
Report sent to call center — day 42, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-25
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-11
Survey response — 3 months, dose 4
MedDRA: COVID-19, Eczema, Pre-existing disease — Feeling: Poor · 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: Covid with an eczema flare

MedDRA releases: 2024-11 · check-in free text available
2022-12-11
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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-12-13
Call 1 — Left Voicemail
2023-03-12
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-26	Pfizer-BioNTech
2	2021-04-16	Pfizer-BioNTech
3	2021-10-23	Pfizer-BioNTech	Flu
4	2022-09-11	Pfizer-BioNTech	Flu

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-27

Systemic reaction (other): #NAME?

2021-03-31

Systemic reaction (other): Sore throat

2021-04-01

Systemic reaction (other): Sore throat

Release 7 — day 0, dose 2

2021-04-16

Systemic reaction (other): A feeling of blood rushing to my face. (Mild)

Release 9 — 3 months, dose 2

2021-07-16

Symptoms: I have not menstruated since first vaccine

Release 10 — day 7, dose 3

2021-11-01

Systemic reaction (other): Radiating pain on left arm (jab side) from neck to hand. Worse at night

Release 10 — day 21, dose 3

2021-11-13

Symptoms: My arm still hurts. Radiating pain through my shoulder, chest, and upper back. Through my neck and jaw. It's steady and hasn't stopped since vaccine.

Release 11 — 3 months, dose 3

2022-01-22

Symptoms: Kidneys infection

Release 11 — 6 months, dose 3

2022-04-23

Symptoms: Multiple kidney infections Hair thinning that began shortly after first dose, but I did not make the connection until the last dose.

Release 12 — day 14, dose 4

2022-09-28

Symptoms: Mild hair loss. Forgetfulness. Increased perspiration.

Release 12 — day 21, dose 4

2022-10-02

Symptoms: Severe stomach cramps

Release 12 — day 35, dose 4

2022-10-16

Symptoms: Menstruation is ridiculously painful and it has never been so before. Menstrual moods and migraines are also worse than ever before as well.

Release 12 — day 42, dose 4

2022-10-23

Symptoms: Bladder/Upper urinary tract infection

Release 12 — 3 months, dose 4

2022-12-11

Symptoms: Covid with an eczema flare

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	Abdominal pain upper	·	·	✓
SD	Alopecia	·	·	✓
SD	Amenorrhoea	✓	·	✓
SD	Arthralgia	·	·	✓
SD	Back pain	·	·	✓
SD	Chest pain	·	·	✓
SD	COVID-19	·	·	✓
SD	Cystitis	·	·	✓
SD	Dysmenorrhoea	·	·	✓
SD	Eczema	·	·	✓
SD	Hyperhidrosis	·	·	✓
SD	Kidney infection	·	·	✓
SD	Memory impairment	·	·	✓
SD	Migraine	·	·	✓
SD	Neck pain	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pain in jaw	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Premenstrual syndrome	·	·	✓
SD	Urinary tract infection	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Emotional distress	✓	✓	✓
SRO	Heart rate irregular	✓	✓	✓
SRO	Lacrimation increased	✓	✓	✓
SRO	Neck pain	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Sacral pain	✓	✓	✓

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