64V-10281-02219

2 vaccinations 8 coded responses 23 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 088 / NJ
Registered: 2021-03-06

Relationship: Self
Race: N/A
Ethnicity: Hispanic or Latino

Timeline

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

2021-03-06
Registered in v-safe
2021-03-06
Dose 1 — Pfizer-BioNTech
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Throat irritation — Feeling: Fair

Free text: Throat pain and burning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-27
Dose 2 — Pfizer-BioNTech
2021-03-27
Survey response — day 0, dose 2
MedDRA: Chest discomfort, Feeling abnormal — Feeling: Fair · Chills, Headache

Free text: Chest tightness, just felt weird like I felt medication travel in body up to my head stopped after 45 minutes. started 10 minutes after vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort — Feeling: Good · Chills, Headache, Muscle or body aches

Free text: Chest pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Chest pain — Feeling: Good

Free text: Pain underarm and left side of chest next to underarm on side of injection arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Diarrhea

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-04-03
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-17
Survey response — day 21, dose 2
MedDRA: Fatigue, Muscle spasms — Feeling: Good

Free text: Tiredness, feet spasms when wake up.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — day 28, dose 2
MedDRA: Arthralgia, Cystitis, Fatigue, Mobility decreased, Pain, Pain in extremity — Feeling: Fair · Be unable to work, 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: Right and shoulder & Arm pain not able to left high do to pain. Bladder infection and tiredness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Report sent to call center — day 28, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-27
Survey response — 6 months, dose 2
MedDRA: Balance disorder, Central nervous system lesion, Cystitis, Ear disorder, Magnetic resonance imaging head abnormal, White matter lesion — Feeling: Fair · Be unable to work or attend school

Free text: Balance problem, lesion on brain mri and white matter, ear issues, bladder infection.

MedDRA releases: 2024-11 · check-in free text available
2022-03-27
Survey response — 12 months, dose 2
MedDRA: Central nervous system lesion, Electric shock sensation, Headache, Magnetic resonance imaging head abnormal, Magnetic resonance imaging spinal abnormal, Office visit, Tinnitus, Trigeminal neuralgia — 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

Free text: Symptoms: Lesions in my brain mri and Thoracic and cervical spine mri. Heartbeat sound on my left ear tinnitus. Trigeminal neuralgia, Electric spontaneous feeling on the left side of my face when I chew and then stops. Woke up with a headache today. · Healthcare visit (other): Seen my neurologist and other doctors in person.

MedDRA releases: 2024-11 · check-in free text available
2022-03-27
Report sent to call center — 12 months, dose 2
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)
2022-03-28
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-06	Pfizer-BioNTech
2	2021-03-27	Pfizer-BioNTech

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-08

Systemic reaction (other): Throat pain and burning

Release 6 — day 0, dose 2

2021-03-27

Systemic reaction (other): Chest tightness, just felt weird like I felt medication travel in body up to my head stopped after 45 minutes. started 10 minutes after vaccine

Release 6 — days 1–6 daily, dose 2

2021-03-29

Systemic reaction (other): Chest pressure

2021-03-30

Systemic reaction (other): Pain underarm and left side of chest next to underarm on side of injection arm

Release 7 — day 21, dose 2

2021-04-17

Symptoms: Tiredness, feet spasms when wake up.

Release 7 — day 28, dose 2

2021-04-24

Symptoms: Right and shoulder & Arm pain not able to left high do to pain. Bladder infection and tiredness.

Release 9 — 6 months, dose 2

2021-09-27

Symptoms: Balance problem, lesion on brain mri and white matter, ear issues, bladder infection.

Release 11 — 12 months, dose 2

2022-03-27

Symptoms: Lesions in my brain mri and Thoracic and cervical spine mri. Heartbeat sound on my left ear tinnitus. Trigeminal neuralgia, Electric spontaneous feeling on the left side of my face when I chew and then stops. Woke up with a headache today.

Healthcare visit (other): Seen my neurologist and other doctors in person.

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
HCVO	Office visit	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Balance disorder	·	·	✓
SD	Central nervous system lesion	·	·	✓
SD	Cystitis	✓	✓	✓
SD	Ear disorder	·	·	✓
SD	Electric shock sensation	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Magnetic resonance imaging head abnormal	·	·	✓
SD	Magnetic resonance imaging spinal abnormal	·	·	✓
SD	Mobility decreased	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Tinnitus	·	·	✓
SD	Trigeminal neuralgia	·	·	✓
SD	White matter lesion	·	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Throat irritation	✓	✓	✓

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