66B-11935-59852

5 vaccinations 15 coded responses 45 check-ins 14 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 436 / OH
Registered: 2021-02-13

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

2021-02-13
Registered in v-safe
2021-02-13
Dose 1 — Pfizer-BioNTech
2021-02-13
Survey response — day 0, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — days 1–6 daily, dose 1
MedDRA: Respiratory tract congestion — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-28
Survey response — day 14, dose 1
MedDRA: Diplopia, Unevaluable event — 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: Symptoms: Double vision in my left eye. · Healthcare visit (other): I am seeing my ophthalmologist on Tiesday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-06
Dose 2 — Pfizer-BioNTech
2021-03-06
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Nasal congestion, Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Runny nose, nasal and chest congestion, cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Congestion and cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-03-13
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-28
Health check-in — day 21, dose 2
Feeling: Good

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

Adult check-in
2021-04-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-05
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-29
Dose 3 — Pfizer-BioNTech
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Breast pain, Ear congestion, Nasal congestion — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Stuffy nose. Fullness in both ears. Painful left breast (vaccinated in left arm).

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Ear discomfort, Nasal congestion, Rhinorrhoea — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Runny, stuffy nose. Fullness in ears

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-05
Survey response — days 1–6 daily, dose 3
MedDRA: Ear discomfort, Nasal congestion, Rhinorrhoea — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Runny & stuffy nose; Fullness in ears

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Survey response — day 7, dose 3
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: I received a flu vaccine yesterday. My symptoms worsened

MedDRA releases: 2024-11 · check-in free text available
2021-10-13
Survey response — day 14, dose 3
MedDRA: Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Watery diarrhea

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Survey response — day 21, dose 3
MedDRA: Arthralgia, Musculoskeletal stiffness, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscule stiffness and pain. Muscle and joint pain.

MedDRA releases: 2024-11 · check-in free text available
2021-10-27
Survey response — day 28, dose 3
MedDRA: Arthralgia, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscle and joint pain.

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-14
Call successful
Does not wish to fill out VAERS report
2021-12-29
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-30
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-28
Dose 4 — Moderna
2022-05-16
Survey response — day 14, dose 4
MedDRA: Headache, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches, runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-05-28
Survey response — day 28, dose 4
MedDRA: Headache, Loss of personal independence in daily activities — Feeling: Fair · Be unable to do your normal daily activities

Free text: Daily headaches: I wake up with a headache. Sometimes it subsides as the progresses. Most often it persists such that I have difficulty doing my normal activities.

MedDRA releases: 2024-11 · check-in free text available
2022-06-02
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-10
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-30
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-10-10
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-27
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2022-10-27
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-10-31
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-07
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-11-15
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-21
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-12
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-10
Survey response — 6 months, dose 5
MedDRA: COVID-19 — 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, Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-10
Report sent to call center — 6 months, dose 5
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 · 1 call case(s)
2023-04-11
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-13	Pfizer-BioNTech
2	2021-03-06	Pfizer-BioNTech
3	2021-09-29	Pfizer-BioNTech	No
4	2022-04-28	Moderna	No
5	2022-10-10	Pfizer-BioNTech	Flu

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-13

Systemic reaction (other): sore throat

Release 4 — days 1–6 daily, dose 1

2021-02-14

Systemic reaction (other): Congestion

Release 4 — day 14, dose 1

2021-02-28

Symptoms: Double vision in my left eye.

Healthcare visit (other): I am seeing my ophthalmologist on Tiesday.

Release 5 — days 1–6 daily, dose 2

2021-03-07

Systemic reaction (other): Runny nose, nasal and chest congestion, cough

2021-03-08

Systemic reaction (other): Congestion and cough

Release 9 — days 1–6 daily, dose 3

2021-10-02

Systemic reaction (other): Stuffy nose. Fullness in both ears. Painful left breast (vaccinated in left arm).

2021-10-03

Systemic reaction (other): Runny, stuffy nose. Fullness in ears

Release 10 — days 1–6 daily, dose 3

2021-10-05

Systemic reaction (other): Runny & stuffy nose; Fullness in ears

Release 10 — day 7, dose 3

2021-10-07

Systemic reaction (other): I received a flu vaccine yesterday. My symptoms worsened

Release 10 — day 14, dose 3

2021-10-13

Symptoms: Watery diarrhea

Release 10 — day 21, dose 3

2021-10-21

Symptoms: Muscule stiffness and pain. Muscle and joint pain.

Release 10 — day 28, dose 3

2021-10-27

Symptoms: Muscle and joint pain.

Release 11 — day 14, dose 4

2022-05-16

Symptoms: Headaches, runny nose

Release 11 — day 28, dose 4

2022-05-28

Symptoms: Daily headaches: I wake up with a headache. Sometimes it subsides as the progresses. Most often it persists such that I have difficulty doing my normal activities.

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	Unevaluable event	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Diplopia	✓	✓	✓
SD	Headache	·	·	✓
SD	Loss of personal independence in daily activities	·	·	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Myalgia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Adverse reaction	·	·	✓
SRO	Breast pain	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Ear congestion	·	·	✓
SRO	Ear discomfort	·	·	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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