629-39287-28129

3 vaccinations 15 coded responses 39 check-ins 14 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 660 / KS
Registered: 2021-04-10

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

2021-04-10
Registered in v-safe
2021-04-10
Dose 1 — Pfizer-BioNTech
2021-04-10
Health check-in — day 0, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 1
MedDRA: Poor feeding infant — Feeling: Good · Site: Pain

Free text: Nursing newborn has developed oral thrush

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-17
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-24
Survey response — day 14, dose 1
MedDRA: Anxiety, Feeling abnormal — Feeling: Good

Free text: Increased anxiety and brain fog.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Dose 2 — Pfizer-BioNTech
2021-05-01
Survey response — day 0, dose 2
MedDRA: Irritability — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Irritability

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Anxiety, Irritability — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Extreme irritability and Anxiety

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Anxiety — Feeling: Fair · Fatigue or tiredness · Be unable to work or attend school

Free text: Anxiety

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-05-09
Health check-in — day 7, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-05-15
Survey response — day 14, dose 2
MedDRA: Headache — Feeling: Fair

Free text: Continued, constant headaches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-06
Survey response — day 35, dose 2
MedDRA: Diarrhoea, Vomiting — Feeling: Good · Be unable to do your normal daily activities

Free text: Vomiting and diarrhea for 3 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-31
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-30
Survey response — 6 months, dose 2
MedDRA: Hand-foot-and-mouth disease — Feeling: Good · Be unable to do your normal daily activities

Free text: Hand foot and mouth disease

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2022-01-28
Health check-in — day 0, dose 3
Feeling: Fair · Headache · Be unable to do your normal daily activities

Adult check-in
2022-01-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-01-30
Survey response — days 1–6 daily, dose 3
MedDRA: Musculoskeletal pain, Neck pain, Spinal pain — Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Received the shot in my left arm and am experiencing pain in my left shoulder blade, along my spine and up into my neck on the left side.

MedDRA releases: 2024-11 · check-in free text available
2022-01-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-02-01
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Myalgia — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Free text: Pain in left armpit and pectoral area.

MedDRA releases: 2024-11 · check-in free text available
2022-02-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-02-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-02-04
Health check-in — day 7, dose 3
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-02-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-02-18
Survey response — day 21, dose 3
MedDRA: Headache — Feeling: Fair

Free text: Consistent headache

MedDRA releases: 2024-11 · check-in free text available
2022-02-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-03-04
Survey response — day 35, dose 3
MedDRA: Migraine — Feeling: Poor

Free text: Weekly migraines

MedDRA releases: 2024-11 · check-in free text available
2022-03-11
Survey response — day 42, dose 3
MedDRA: Migraine — Feeling: Fair · Be unable to do your normal daily activities

Free text: Migraines 3-4 times a week

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Survey response — 3 months, dose 3
MedDRA: Migraine, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: Not new but continued migraines that have progressively gotten worse.

MedDRA releases: 2024-11 · check-in free text available
2022-07-31
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-01-29
Survey response — 12 months, dose 3
MedDRA: Headache, Paranasal sinus discomfort, Sinus congestion — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-01-29
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-30
Call 1 — Could Not Reach Participant
2023-02-02
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-10	Pfizer-BioNTech
2	2021-05-01	Pfizer-BioNTech
3	2022-01-28	Pfizer-BioNTech	Flu

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-14

Systemic reaction (other): Nursing newborn has developed oral thrush

Release 7 — day 14, dose 1

2021-04-24

Symptoms: Increased anxiety and brain fog.

Release 8 — day 0, dose 2

2021-05-01

Systemic reaction (other): Irritability

Release 8 — days 1–6 daily, dose 2

2021-05-03

Systemic reaction (other): Extreme irritability and Anxiety

2021-05-04

Systemic reaction (other): Anxiety

Release 8 — day 14, dose 2

2021-05-15

Symptoms: Continued, constant headaches.

Release 8 — day 35, dose 2

2021-06-06

Symptoms: Vomiting and diarrhea for 3 days

Release 10 — 6 months, dose 2

2021-10-30

Symptoms: Hand foot and mouth disease

Release 11 — days 1–6 daily, dose 3

2022-01-30

Systemic reaction (other): Received the shot in my left arm and am experiencing pain in my left shoulder blade, along my spine and up into my neck on the left side.

2022-02-01

Systemic reaction (other): Pain in left armpit and pectoral area.

Release 11 — day 21, dose 3

2022-02-18

Symptoms: Consistent headache

Release 11 — day 35, dose 3

2022-03-04

Symptoms: Weekly migraines

Release 11 — day 42, dose 3

2022-03-11

Symptoms: Migraines 3-4 times a week

Release 11 — 3 months, dose 3

2022-04-29

Symptoms: Not new but continued migraines that have progressively gotten worse.

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	Anxiety	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Hand-foot-and-mouth disease	·	·	✓
SD	Headache	✓	✓	✓
SD	Migraine	·	·	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Vomiting	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Axillary pain	·	·	✓
SRO	Irritability	✓	✓	✓
SRO	Musculoskeletal pain	·	·	✓
SRO	Myalgia	·	·	✓
SRO	Neck pain	·	·	✓
SRO	Poor feeding infant	✓	✓	✓
SRO	Spinal pain	·	·	✓

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