63P-20254-96936

3 vaccinations 15 coded responses 33 check-ins 14 free-text entries 8 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 920 / CA
Registered: 2021-05-21

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

2021-05-20
Dose 1 — Pfizer-BioNTech
2021-05-21
Registered in v-safe
2021-05-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-05-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-05-24
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Swelling · Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-05-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-27
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-06-03
Survey response — day 14, dose 1
MedDRA: Heavy menstrual bleeding — Feeling: Fair

Free text: Really strange bleeding with period. In fact, I don't normally get periods at all, but I've had a very long and weird one.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Survey response — day 21, dose 1
MedDRA: Asthma, Pre-existing disease — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Worst asthma of my life.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Survey response — day 28, dose 1
MedDRA: Abdominal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Daily abdominal pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Survey response — day 35, dose 1
MedDRA: Hypoglycaemia — Feeling: Fair · 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: Hypoglycemia verified by glucose monitor. Also, free light chain ratio is off with too many free kappa chains.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Report sent to call center — day 35, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-30
Call 1 — Could Not Reach Participant
2021-07-01
Health check-in — day 42, dose 1
Feeling: Good

Adult check-in
2021-07-01
Call 2 — Left Voicemail
2021-08-19
Survey response — 3 months, dose 1
MedDRA: Nervous system disorder — Feeling: Fair · Be unable to work or attend school, 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: I am having brachial plexus issues in my entire arm.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-19
Report sent to call center — 3 months, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-26
Call successful
Participant prefers to complete VAERS report online
2021-08-26
Call successful
Participant prefers to complete VAERS report online
2021-09-16
Dose 2 — Pfizer-BioNTech
2021-09-27
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-09-30
Survey response — day 14, dose 2
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Joint pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Survey response — day 21, dose 2
MedDRA: Vaginal haemorrhage — Feeling: Fair

Free text: unusual vaginal bleeding

MedDRA releases: 2024-11 · check-in free text available
2021-10-15
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-10-21
Survey response — day 35, dose 2
MedDRA: Antiphospholipid antibodies positive, Red blood cell sedimentation rate increased — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Suddenly I have antiphospholipid antibodies and a high sedimentation rate.

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-27
Call successful
Participant prefers to complete VAERS report online
2021-10-28
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-12-16
Survey response — 3 months, dose 2
MedDRA: Blood homocysteine increased, Factor VIII activity increased, Hypergammaglobulinaemia benign monoclonal — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: MGUS, high homocysteine, high Factor viii activity.

MedDRA releases: 2024-11 · check-in free text available
2021-12-16
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-18
Call 1 — Left Voicemail
2022-03-17
Survey response — 6 months, dose 2
MedDRA: Undifferentiated connective tissue 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: Undifferentiated connective tissue disease

MedDRA releases: 2024-11 · check-in free text available
2022-03-17
Report sent to call center — 6 months, dose 2
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)
2022-03-23
Call 1 — Left Voicemail
2022-04-25
Dose 3 — Pfizer-BioNTech
2022-04-26
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Oedema peripheral, Paraesthesia — Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Pain and swelling in armpit and tingling down arm to fingers.

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Survey response — days 1–6 daily, dose 3
MedDRA: Burning sensation — Feeling: Poor · Site: Pain, Redness, Swelling · Muscle or body aches · Be unable to work or attend school

Free text: Burning pain on that arm

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Joint pains, Nausea

Adult check-in
2022-04-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Nausea, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-05-02
Health check-in — day 7, dose 3
Feeling: Fair · None

Adult check-in
2022-05-09
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-05-16
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-05-24
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-05-30
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-06-06
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-07-26
Survey response — 3 months, dose 3
MedDRA: Arthralgia — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Joint pain and soreness

MedDRA releases: 2024-11 · check-in free text available
2022-07-26
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-07-26
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-26
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-26
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-24
Survey response — 6 months, dose 3
MedDRA: Autoimmune disorder, Hypergammaglobulinaemia benign monoclonal — Feeling: Fair · Be unable to work or attend school, 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: I now have an autoimmune disease and MGUS.

MedDRA releases: 2024-11 · check-in free text available
2022-10-24
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-25
Call 2 — Left Voicemail
2023-04-30
Survey response — 12 months, dose 3
MedDRA: COVID-19 — Feeling: Fair · 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, Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-30
Report sent to call center — 12 months, dose 3
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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-05-01
Call 1 — Left Voicemail
2023-05-01
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-20	Pfizer-BioNTech
2	2021-09-16	Pfizer-BioNTech	No
3	2022-04-25	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-06-24	Successful 2021-08-26	Participant prefers to complete VAERS report online
2021-08-19	Successful 2021-08-26	Participant prefers to complete VAERS report online
2021-10-21	Successful 2021-10-27	Participant prefers to complete VAERS report online
2021-12-16	Successful 2022-07-26	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-03-17	Successful 2022-07-26	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-26	Successful 2022-07-26	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-24	Unsuccessful
2023-04-30	Unsuccessful

Free text

Release 8 — day 14, dose 1

2021-06-03

Symptoms: Really strange bleeding with period. In fact, I don't normally get periods at all, but I've had a very long and weird one.

Release 9 — day 21, dose 1

2021-06-10

Symptoms: Worst asthma of my life.

Release 9 — day 28, dose 1

2021-06-17

Symptoms: Daily abdominal pain

Release 9 — day 35, dose 1

2021-06-24

Symptoms: Hypoglycemia verified by glucose monitor. Also, free light chain ratio is off with too many free kappa chains.

Release 9 — 3 months, dose 1

2021-08-19

Symptoms: I am having brachial plexus issues in my entire arm.

Release 9 — day 14, dose 2

2021-09-30

Symptoms: Joint pain

Release 10 — day 21, dose 2

2021-10-07

Symptoms: unusual vaginal bleeding

Release 10 — day 35, dose 2

2021-10-21

Symptoms: Suddenly I have antiphospholipid antibodies and a high sedimentation rate.

Release 10 — 3 months, dose 2

2021-12-16

Symptoms: MGUS, high homocysteine, high Factor viii activity.

Release 11 — 6 months, dose 2

2022-03-17

Symptoms: Undifferentiated connective tissue disease

Release 11 — days 1–6 daily, dose 3

2022-04-26

Systemic reaction (other): Pain and swelling in armpit and tingling down arm to fingers.

2022-04-27

Systemic reaction (other): Burning pain on that arm

Release 12 — 3 months, dose 3

2022-07-26

Symptoms: Joint pain and soreness

Release 12 — 6 months, dose 3

2022-10-24

Symptoms: I now have an autoimmune disease and MGUS.

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	✓	✓	✓
SD	Antiphospholipid antibodies positive	·	·	✓
SD	Arthralgia	·	·	✓
SD	Asthma	✓	✓	✓
SD	Autoimmune disorder	·	·	✓
SD	Blood homocysteine increased	·	·	✓
SD	COVID-19	·	·	✓
SD	Factor VIII activity increased	·	·	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Hypergammaglobulinaemia benign monoclonal	·	·	✓
SD	Hypoglycaemia	✓	✓	✓
SD	Nervous system disorder	✓	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Red blood cell sedimentation rate increased	·	·	✓
SD	Undifferentiated connective tissue disease	·	·	✓
SD	Vaginal haemorrhage	·	·	✓
SRO	Axillary pain	·	·	✓
SRO	Burning sensation	·	·	✓
SRO	Oedema peripheral	·	·	✓
SRO	Paraesthesia	·	·	✓

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