65L-17900-29213

2 vaccinations 13 coded responses 25 check-ins 13 free-text entries 7 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 974 / OR
Registered: 2021-03-17

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

2021-03-16
Dose 1 — Pfizer-BioNTech
2021-03-17
Registered in v-safe
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Lymph node pain, Pyrexia — Feeling: Fair · Chills, Headache, Fatigue or tiredness, Nausea

Free text: Sore gland and mild chills and low grade fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Good · Headache

Free text: Have had headaches since the beginning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — day 7, dose 1
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-06
Survey response — day 21, dose 1
MedDRA: Headache — Feeling: Fair

Free text: Headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Dose 2 — Pfizer-BioNTech
2021-04-13
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Ringing of my ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Itching · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Urticaria — Feeling: Fair · Site: Pain, Redness, Itching · Fever · Headache, Joint pains, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site

Free text: Hives

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site urticaria — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Free text: Hives on same arm but 3 inches away from injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — day 7, dose 2
MedDRA: Rash macular, Vomiting — Feeling: Poor · Site: Redness, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: My normal temp is 96. Have large red Bloch on arm feel like throwing up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-27
Survey response — day 14, dose 2
MedDRA: Chills, Diarrhoea, Fatigue, Headache, Nausea, Pyrexia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Diarrhea, headache, nauseous, very tired, mild fever,chills,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-04
Survey response — day 21, dose 2
MedDRA: Blood glucose increased, Fatigue, Headache, Hypersomnia, Hypertension, Nausea — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Hi blood pressure, high blood sugar. Headache, tired sleeping a lot. Nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-11
Survey response — day 28, dose 2
MedDRA: Asthma, Brain fog, Chest pain, Dizziness, Hunger, Insomnia, Migraine, Nausea, Pain in jaw — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Chest pain,no heart attack. Migraine since april 12th. Asthma attacks daily. Need to sleep. Appetite. Hungry then felt like throwing up. chills . Pain in jaw. Lightheaded. Foggy brain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-18
Survey response — day 35, dose 2
MedDRA: Asthma, Headache — 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: Hi blood pressure headache asthma

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-25
Survey response — day 42, dose 2
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Headache is worse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-12
Survey response — 6 months, dose 2
MedDRA: Rash, Rash erythematous, Rash pruritic — 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, Emergency room or emergency department visit

Free text: Cluster of bumps painful and itchy red and inflamed on my chin, back, neck, shoulders and chest

MedDRA releases: 2024-11 · check-in free text available
2021-10-12
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
2021-10-13
Call successful
Participant prefers to complete VAERS report online
2022-04-13
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Pfizer-BioNTech
2	2021-04-13	Pfizer-BioNTech

Call center

7 call center cases

7 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-18

Systemic reaction (other): Sore gland and mild chills and low grade fever

Release 6 — days 1–6 daily, dose 1

2021-03-22

Systemic reaction (other): Have had headaches since the beginning

Release 7 — day 21, dose 1

2021-04-06

Symptoms: Headache

Release 7 — days 1–6 daily, dose 2

2021-04-14

Systemic reaction (other): Ringing of my ears

2021-04-18

Systemic reaction (other): Hives

2021-04-19

Systemic reaction (other): Hives on same arm but 3 inches away from injection

Release 7 — day 7, dose 2

2021-04-20

Systemic reaction (other): My normal temp is 96. Have large red Bloch on arm feel like throwing up

Release 8 — day 14, dose 2

2021-04-27

Symptoms: Diarrhea, headache, nauseous, very tired, mild fever,chills,

Release 8 — day 21, dose 2

2021-05-04

Symptoms: Hi blood pressure, high blood sugar. Headache, tired sleeping a lot. Nausea

Release 8 — day 28, dose 2

2021-05-11

Symptoms: Chest pain,no heart attack. Migraine since april 12th. Asthma attacks daily. Need to sleep. Appetite. Hungry then felt like throwing up. chills . Pain in jaw. Lightheaded. Foggy brain.

Release 8 — day 35, dose 2

2021-05-18

Symptoms: Hi blood pressure headache asthma

Release 8 — day 42, dose 2

2021-05-25

Symptoms: Headache is worse

Release 10 — 6 months, dose 2

2021-10-12

Symptoms: Cluster of bumps painful and itchy red and inflamed on my chin, back, neck, shoulders and chest

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	Asthma	✓	✓	✓
SD	Blood glucose increased	✓	✓	✓
SD	Brain fog	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hunger	✓	✓	✓
SD	Hypersomnia	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain in jaw	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Rash	·	·	✓
SD	Rash erythematous	·	·	✓
SD	Rash pruritic	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site urticaria	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Rash macular	✓	✓	✓
SRO	Tinnitus	✓	✓	✓
SRO	Urticaria	✓	✓	✓
SRO	Vomiting	✓	✓	✓

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