665-15826-52542

4 vaccinations 12 coded responses 36 check-ins 12 free-text entries 5 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 220 / VA
Registered: 2021-03-07

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

Registered dependents

LXZ-33007-31537 Child or adolescent in my care · Female · 2021-11-22

Timeline

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

2021-03-06
Dose 1 — Pfizer-BioNTech
2021-03-07
Registered in v-safe
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Abdominal pain

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

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Abdominal pain

Adult check-in
2021-03-13
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness

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
Health check-in — day 0, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Acne, Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Joint pains, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site

Free text: Major acne outbreak on my face around the left side of my mouth (I got my shot in my left arm)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Acne, Sleep disorder — Feeling: Poor · Site: Pain, Swelling · Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site

Free text: Major acne breakout on my face, sleep disturbances

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Pruritus, Rash, Rash erythematous, Rash pruritic — Feeling: Fair · Headache, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site

Free text: Face rash is getting worse, redder and itchier

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Headache, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-03
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

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

Adult check-in
2021-04-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-02
Survey response — day 35, dose 2
MedDRA: Abdominal discomfort, Abdominal distension, Abdominal pain, Faeces soft, Flatulence, Muscle spasms, Nausea — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Gastrointestinal distress: gas, bloating, soft stools, cramps, upset stomach, nausea, abdominal pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — day 42, dose 2
MedDRA: Atrial fibrillation — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I was just diagnosed with atrial fibrillation.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-26
Survey response — 3 months, dose 2
MedDRA: Sinusitis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Severe, sudden onset sinus infection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-25
Survey response — 6 months, dose 2
MedDRA: Arrhythmia, Cryotherapy — Feeling: Good · Be unable to do your normal daily activities

Free text: I have a serious and worsening heart arrythmia for which I am having cardiac cryoablation on October 8th.

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-11-22
Survey response — day 7, dose 3
MedDRA: Epistaxis, Laryngitis, Rhinorrhoea — Feeling: Poor · Headache, Fatigue or tiredness, Nausea, Abdominal pain · 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: Runny nose, nosebleed, laryngitis

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Report sent to call center — day 7, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-23
Call 1 — Left Voicemail
2021-11-26
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-05
Survey response — day 21, dose 3
MedDRA: Headache, Nasal congestion, Respiratory tract congestion, Rhinorrhoea, Sinusitis — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Runny nose, headache, nasal and chest congestion, sinus infection.

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-07
Call successful
Participant prefers to complete VAERS report online
2021-12-10
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-17
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-25
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-11
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-05-13
Survey response — 6 months, dose 3
MedDRA: Asthenia, Depressed mood, Hypersensitivity, Insomnia, Pre-existing disease, Productive cough, Psoriasis, Rhinorrhoea, Stress — Feeling: Good · 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: I've had worsening psoriasis, insomnia, horrendous allergies, a constant runny nose, and coughing up phlegm for about 4 weeks. My energy levels are low, I'm depressed, and my stress levels are high.

MedDRA releases: 2024-11 · check-in free text available
2022-05-13
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-05-16
Call 1 — Left Voicemail
2022-05-25
Call successful
Participant prefers to complete VAERS report online
2022-09-13
Dose 4 — Pfizer-BioNTech
2022-09-23
Health check-in — day 7, dose 4
Feeling: Fair · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-09-29
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-11
Survey response — day 28, dose 4
MedDRA: Abdominal distension, Abdominal pain, Faeces soft, Flatulence, Insomnia, Palpitations — Feeling: Fair · Be unable to work or attend school

Free text: Abdominal pain, gas, bloating, heart palpitations, insomnia, soft stools, flatulence

MedDRA releases: 2024-11 · check-in free text available
2022-10-19
Survey response — day 35, dose 4
MedDRA: Ear pain, Fatigue, Headache, Influenza, Nasal congestion, Nausea, Oropharyngeal pain, Rhinorrhoea, Sneezing, Upper-airway cough syndrome — 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: I have the flu. The first day was brutal with intense headache, sore throat, earache, nausea, nasal congestion, sneezing, postnasal drip, runny nose, and fatigue. Today, day 2, I feel so much better.

MedDRA releases: 2024-11 · check-in free text available
2022-10-19
Report sent to call center — day 35, dose 4
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)
2022-10-20
Call 1 — Left Voicemail
2022-10-26
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-12-13
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-14
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-06	Pfizer-BioNTech
2	2021-03-27	Pfizer-BioNTech
3	2021-11-12	Pfizer-BioNTech	Flu
4	2022-09-13	Pfizer-BioNTech	No

Call center

5 call center cases

4 successful · 1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-28

Systemic reaction (other): Major acne outbreak on my face around the left side of my mouth (I got my shot in my left arm)

2021-03-29

Systemic reaction (other): Major acne breakout on my face, sleep disturbances

2021-03-31

Systemic reaction (other): Face rash is getting worse, redder and itchier

Release 8 — day 35, dose 2

2021-05-02

Symptoms: Gastrointestinal distress: gas, bloating, soft stools, cramps, upset stomach, nausea, abdominal pain

Release 8 — day 42, dose 2

2021-05-08

Symptoms: I was just diagnosed with atrial fibrillation.

Release 9 — 3 months, dose 2

2021-06-26

Symptoms: Severe, sudden onset sinus infection.

Release 9 — 6 months, dose 2

2021-09-25

Symptoms: I have a serious and worsening heart arrythmia for which I am having cardiac cryoablation on October 8th.

Release 10 — day 7, dose 3

2021-11-22

Systemic reaction (other): Runny nose, nosebleed, laryngitis

Release 10 — day 21, dose 3

2021-12-05

Symptoms: Runny nose, headache, nasal and chest congestion, sinus infection.

Release 11 — 6 months, dose 3

2022-05-13

Symptoms: I've had worsening psoriasis, insomnia, horrendous allergies, a constant runny nose, and coughing up phlegm for about 4 weeks. My energy levels are low, I'm depressed, and my stress levels are high.

Release 12 — day 28, dose 4

2022-10-11

Symptoms: Abdominal pain, gas, bloating, heart palpitations, insomnia, soft stools, flatulence

Release 12 — day 35, dose 4

2022-10-19

Symptoms: I have the flu. The first day was brutal with intense headache, sore throat, earache, nausea, nasal congestion, sneezing, postnasal drip, runny nose, and fatigue. Today, day 2, I feel so much better.

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 distension	✓	✓	✓
SD	Abdominal pain	✓	✓	✓
SD	Arrhythmia	·	·	✓
SD	Asthenia	·	·	✓
SD	Atrial fibrillation	✓	✓	✓
SD	Cryotherapy	·	·	✓
SD	Depressed mood	·	·	✓
SD	Ear pain	·	·	✓
SD	Faeces soft	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Flatulence	✓	✓	✓
SD	Headache	·	·	✓
SD	Hypersensitivity	·	·	✓
SD	Influenza	·	·	✓
SD	Insomnia	·	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Palpitations	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Productive cough	·	·	✓
SD	Psoriasis	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinusitis	✓	✓	✓
SD	Sneezing	·	·	✓
SD	Stress	·	·	✓
SD	Upper-airway cough syndrome	·	·	✓
SRO	Acne	✓	✓	✓
SRO	Epistaxis	·	·	✓
SRO	Erythema	✓	✓	○
SRO	Laryngitis	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	○
SRO	Rash	✓	✓	✓
SRO	Rash erythematous	·	·	✓
SRO	Rash pruritic	·	·	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Sleep disorder	✓	✓	✓

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