65B-13754-89113

4 vaccinations 10 coded responses 31 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 949 / CA
Registered: 2021-03-15

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

2021-02-26
Dose 1 — Pfizer-BioNTech
2021-03-15
Registered in v-safe
2021-03-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-19
Dose 2 — Pfizer-BioNTech
2021-03-19
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia, Malaise — Feeling: Fair

Free text: felt unwell at bedtime last night and unusual difficulty sleeping

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Glossodynia — Feeling: Fair · Diarrhea

Free text: small sore spot on side of tongue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-26
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-30
Survey response — day 42, dose 2
MedDRA: Condition aggravated, Fatigue, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Tired, back issues flared up.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Survey response — 3 months, dose 2
MedDRA: Back pain, Dysstasia, Gait disturbance, Pain in extremity, Sleep disorder — Feeling: Fair · 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: pain, discomfort in mid back. gets worse when sleeping on my side. Sleeping on Left is worse than sleeping on right. Have pain on standing up and walking. Some on using arms. new and different. started 7 weeks ago and not much improvement if any.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-25
Call successful
Participant prefers to complete VAERS report online
2021-09-19
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-07
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2022-03-19
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-07
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-11
Dose 4 — Pfizer-BioNTech
2022-05-14
Survey response — days 1–6 daily, dose 4
MedDRA: Cough — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Chest cough - deep and moist

MedDRA releases: 2024-11 · check-in free text available
2022-05-15
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-05-16
Survey response — days 1–6 daily, dose 4
MedDRA: Cough — Feeling: Fair

Free text: Deep moist cough reappeared after stopping for more than a day

MedDRA releases: 2024-11 · check-in free text available
2022-05-17
Survey response — days 1–6 daily, dose 4
MedDRA: Cough — Feeling: Fair

Free text: Coughing during the night Seems to be getting better today

MedDRA releases: 2024-11 · check-in free text available
2022-05-18
Survey response — day 7, dose 4
MedDRA: Cough — Feeling: Fair · Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Less coughing 3rd negative antigen test

MedDRA releases: 2024-11 · check-in free text available
2022-05-25
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-02
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-08
Survey response — day 28, dose 4
MedDRA: Abdominal pain lower, Abdominal tenderness, Pain, Sleep disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: tenderness in lower left quadrant of abdomen, seems intestinal. Two nights ago was very painful when rolling over in bed. Interrupted sleep. seems to be resolving.

MedDRA releases: 2024-11 · check-in free text available
2022-06-15
Survey response — day 35, dose 4
MedDRA: Abdominal discomfort, Decreased appetite, Discomfort, Gastrointestinal pain — Feeling: Good

Free text: intestinal discomfort gradually decreased over the past week. Painful area gradually faded, loss of appetite and discomfort on eating gradually faded as well and feel pretty normal today.

MedDRA releases: 2024-11 · check-in free text available
2022-06-22
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-10
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-11-11
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-05-11
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Pfizer-BioNTech
2	2021-03-19	Pfizer-BioNTech
3	2021-10-07	Pfizer-BioNTech	Flu
4	2022-05-11	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-23

Systemic reaction (other): felt unwell at bedtime last night and unusual difficulty sleeping

2021-03-24

Systemic reaction (other): small sore spot on side of tongue

Release 8 — day 42, dose 2

2021-04-30

Symptoms: Tired, back issues flared up.

Release 9 — 3 months, dose 2

2021-06-18

Symptoms: pain, discomfort in mid back. gets worse when sleeping on my side. Sleeping on Left is worse than sleeping on right. Have pain on standing up and walking. Some on using arms. new and different. started 7 weeks ago and not much improvement if any.

Release 11 — days 1–6 daily, dose 4

2022-05-14

Systemic reaction (other): Chest cough - deep and moist

2022-05-16

Systemic reaction (other): Deep moist cough reappeared after stopping for more than a day

2022-05-17

Systemic reaction (other): Coughing during the night Seems to be getting better today

Release 11 — day 7, dose 4

2022-05-18

Systemic reaction (other): Less coughing 3rd negative antigen test

Release 11 — day 28, dose 4

2022-06-08

Symptoms: tenderness in lower left quadrant of abdomen, seems intestinal. Two nights ago was very painful when rolling over in bed. Interrupted sleep. seems to be resolving.

Release 12 — day 35, dose 4

2022-06-15

Symptoms: intestinal discomfort gradually decreased over the past week. Painful area gradually faded, loss of appetite and discomfort on eating gradually faded as well and feel pretty normal today.

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 discomfort	·	·	✓
SD	Abdominal pain lower	·	·	✓
SD	Abdominal tenderness	·	·	✓
SD	Back pain	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Decreased appetite	·	·	✓
SD	Discomfort	·	·	✓
SD	Dysstasia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gait disturbance	✓	✓	✓
SD	Gastrointestinal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Sleep disorder	✓	✓	✓
SRO	Cough	·	·	✓
SRO	Glossodynia	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Malaise	✓	✓	✓

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