69H-28803-38582

2 vaccinations 9 coded responses 18 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 982 / WA
Registered: 2021-04-29

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

2021-04-29
Registered in v-safe
2021-04-29
Dose 1 — Pfizer-BioNTech
2021-04-29
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-30
Survey response — days 1–6 daily, dose 1
MedDRA: Menstruation irregular — Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Started menstruating during peripmenopauseaftee 48 days today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-04
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain upper — Feeling: Fair · Fever · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Stomach cramps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain, Back pain, Medical counselling, Pain, SARS-CoV-2 test — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · 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: Systemic reaction (other): My abdominal pain is acute, mostly in my lower back. · Healthcare visit (other): The doctor recommended a Covid test, which I got last night. t

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-06
Survey response — day 7, dose 1
MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I tested for Covid two nights ago, came back positive

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — day 14, dose 1
MedDRA: Fatigue — 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

Free text: Since getting Covid last Tuesday, I have been very tired off and on.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
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)
2021-05-20
Dose 2 — Pfizer-BioNTech
2021-05-27
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-06-03
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-06-10
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-17
Survey response — day 28, dose 2
MedDRA: Bradyphrenia, Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Having trouble thinking clearly when life gets busy. Maybe I'm just still tired.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Survey response — day 35, dose 2
MedDRA: Carpal tunnel syndrome — Feeling: Good

Free text: Carpel tunnel when I play the piano too much. Maybe tendentis.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-19
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-18
Survey response — 6 months, dose 2
MedDRA: Adverse reaction — Feeling: Good

Free text: Carole tunnel-like feelings in my wrists, arms, and shoulders.

MedDRA releases: 2024-11 · check-in free text available
2022-04-15
Call 1 — Could Not Reach Participant
2022-04-20
Call 2 — Left Voicemail
2022-04-22
Call successful
Participant prefers to complete VAERS report online
2022-05-20
Survey response — 12 months, dose 2
MedDRA: Brain fog — Feeling: Good · Be unable to do your normal daily activities

Free text: I got Moderna booster, and after that I had serious brain fog for a week or more

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-29	Pfizer-BioNTech
2	2021-05-20	Pfizer-BioNTech

Call center

2 call center cases

2 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-04-30

Systemic reaction (other): Started menstruating during peripmenopauseaftee 48 days today

2021-05-04

Systemic reaction (other): Stomach cramps

2021-05-05

Systemic reaction (other): My abdominal pain is acute, mostly in my lower back.

Healthcare visit (other): The doctor recommended a Covid test, which I got last night. t

Release 8 — day 7, dose 1

2021-05-06

Systemic reaction (other): I tested for Covid two nights ago, came back positive

Release 8 — day 14, dose 1

2021-05-13

Symptoms: Since getting Covid last Tuesday, I have been very tired off and on.

Release 9 — day 28, dose 2

2021-06-17

Symptoms: Having trouble thinking clearly when life gets busy. Maybe I'm just still tired.

Release 9 — day 35, dose 2

2021-06-24

Symptoms: Carpel tunnel when I play the piano too much. Maybe tendentis.

Release 10 — 6 months, dose 2

2021-11-18

Symptoms: Carole tunnel-like feelings in my wrists, arms, and shoulders.

Release 11 — 12 months, dose 2

2022-05-20

Symptoms: I got Moderna booster, and after that I had serious brain fog for a week or more

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	Medical counselling	✓	✓	✓
HCVO	SARS-CoV-2 test	✓	✓	✓
SD	Adverse reaction	·	·	✓
SD	Bradyphrenia	✓	✓	✓
SD	Brain fog	·	·	✓
SD	Carpal tunnel syndrome	✓	✓	✓
SD	Fatigue	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Menstruation irregular	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	SARS-CoV-2 test positive	✓	✓	✓

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