63T-66158-00160

3 vaccinations 11 coded responses 39 check-ins 11 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 940 / CA
Registered: 2021-04-08

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-04-08
Registered in v-safe
2021-04-08
Dose 1 — Pfizer-BioNTech
2021-04-08
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-29
Survey response — day 21, dose 1
MedDRA: Diarrhoea — Feeling: Fair

Free text: Diarrhea for the past few days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Dose 2 — Pfizer-BioNTech
2021-05-06
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-05-10
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches

Free text: Lump or swollen lymph node in collarbone

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

Adult check-in
2021-05-12
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Swollen lymph node in left collarbone. Same side as injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Fatigue or tiredness

Free text: Swollen lymph node in left collarbone. Same side as injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-10
Survey response — day 35, dose 2
MedDRA: Vision blurred — Feeling: Good

Free text: New symptom. Blurred vision

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Survey response — day 42, dose 2
MedDRA: Diarrhoea, Muscle spasms — Feeling: Fair

Free text: Diarrhea and cramping

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-05
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-06
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Periarthritis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Frozen left shoulder and shoulder pain on vaccinated arm for the past 3 months.

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
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 · 1 call case(s)
2021-11-09
Call 1 — Left Voicemail
2021-11-12
Call successful
Participant prefers to complete VAERS report online
2021-11-21
Dose 3 — Moderna
2021-11-21
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · None

Adult check-in
2021-11-22
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache

Adult check-in
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-11-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-28
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-12-05
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-12
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-19
Survey response — day 28, dose 3
MedDRA: Headache — Feeling: Good

Free text: Headache for 2 days

MedDRA releases: 2024-11 · check-in free text available
2021-12-26
Survey response — day 35, dose 3
MedDRA: Cough, Diarrhoea, Fatigue, Headache, Pain, Respiratory tract congestion, SARS-CoV-2 test — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cough, congestion, body aches,fatigue, headache, diarrhea. Did a covid test today. Turnaround time for results is 24-48 hours.

MedDRA releases: 2024-11 · check-in free text available
2022-01-02
Survey response — day 42, dose 3
MedDRA: Ageusia, Anosmia, Cough, Diarrhoea, Dyspnoea, Fatigue, Migraine, Pain, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Migraines, coughing attacks, congestion, body aches, shortness of breath, extreme fatigue, loss of taste and smell, diarrhea.

MedDRA releases: 2024-11 · check-in free text available
2022-01-02
Report sent to call center — day 42, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-05
Call 1 — Left Voicemail
2022-01-05
Call successful
Participant prefers to complete VAERS report online
2022-02-20
Survey response — 3 months, dose 3
MedDRA: Glucose tolerance impaired — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Pre-diabetes

MedDRA releases: 2024-11 · check-in free text available
2022-02-20
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)
2022-02-21
Call 1 — Left Voicemail
2022-05-22
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-08	Pfizer-BioNTech
2	2021-05-06	Pfizer-BioNTech
3	2021-11-21	Moderna	No

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 8 — day 21, dose 1

2021-04-29

Symptoms: Diarrhea for the past few days.

Release 8 — days 1–6 daily, dose 2

2021-05-10

Systemic reaction (other): Lump or swollen lymph node in collarbone

2021-05-12

Systemic reaction (other): Swollen lymph node in left collarbone. Same side as injection.

Release 8 — day 7, dose 2

2021-05-13

Systemic reaction (other): Swollen lymph node in left collarbone. Same side as injection site

Release 9 — day 35, dose 2

2021-06-10

Symptoms: New symptom. Blurred vision

Release 9 — day 42, dose 2

2021-06-17

Symptoms: Diarrhea and cramping

Release 10 — 6 months, dose 2

2021-11-06

Symptoms: Frozen left shoulder and shoulder pain on vaccinated arm for the past 3 months.

Release 10 — day 28, dose 3

2021-12-19

Symptoms: Headache for 2 days

Release 10 — day 35, dose 3

2021-12-26

Symptoms: Cough, congestion, body aches,fatigue, headache, diarrhea. Did a covid test today. Turnaround time for results is 24-48 hours.

Release 10 — day 42, dose 3

2022-01-02

Symptoms: Migraines, coughing attacks, congestion, body aches, shortness of breath, extreme fatigue, loss of taste and smell, diarrhea.

Release 11 — 3 months, dose 3

2022-02-20

Symptoms: Pre-diabetes

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	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Arthralgia	·	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Glucose tolerance impaired	·	·	✓
SD	Headache	·	·	✓
SD	Migraine	·	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Pain	·	·	✓
SD	Periarthritis	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test	·	·	✓
SD	Vision blurred	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓

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