6BY-17880-12627

4 vaccinations 8 coded responses 39 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 581 / ND
Registered: 2021-02-26

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

Registered dependents

LEP-25964-17145 Child or adolescent in my care · Male · 2021-06-24

CKV-32644-69881 Child or adolescent in my care · Female · 2021-11-20

Timeline

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

2021-02-25
Dose 1 — Pfizer-BioNTech
2021-02-26
Registered in v-safe
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

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

Adult check-in
2021-03-04
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-18
Dose 2 — Pfizer-BioNTech
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

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

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-25
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-01
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-08
Survey response — day 21, dose 2
MedDRA: Back pain, Incontinence, Renal pain, Unevaluable event — Feeling: Fair · Be unable to work or attend school, 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: In continence, back / kidney pain. · Healthcare visit (other): Labs, could not get in to see a doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-15
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-22
Survey response — day 35, dose 2
MedDRA: Acupuncture, Cough, Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Cough, headaches, fatigue · Healthcare visit (other): Acupuncture

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
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)
2021-04-29
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-17
Survey response — 3 months, dose 2
MedDRA: Diarrhoea, Hypoaesthesia, Vision blurred — Feeling: Fair · Be unable to work or attend school, 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

Free text: Blurry visionDiarrhea Numbness in arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-06-21
Call 1 — Left Voicemail
2021-09-16
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-17
Dose 3 — Pfizer-BioNTech
Co-administered: Other
2021-11-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-21
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-24
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-12-01
Survey response — day 14, dose 3
MedDRA: Myasthenia gravis — Feeling: Good · Be unable to work or attend school, 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: Forgot to say earlier but I developed Myesthenia gravis after the second shot.

MedDRA releases: 2024-11 · check-in free text available
2021-12-01
Report sent to call center — day 14, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-02
Call 1 — Left Voicemail
2021-12-07
Call 2 — Left Voicemail
2021-12-08
Survey response — day 21, dose 3
MedDRA: Dyspnoea, Throat tightness — Feeling: Good · Be unable to do your normal daily activities

Free text: Trouble breathing, felt like her throat was closing down.

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-15
Call successful
Participant prefers to complete VAERS report online
2021-12-22
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-29
Survey response — day 42, dose 3
MedDRA: Abdominal pain upper, Fatigue, Headache, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Stomach pain, body aches, fatigue, headaches

MedDRA releases: 2024-11 · check-in free text available
2022-02-16
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-09
Dose 4 — Pfizer-BioNTech
2022-05-18
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-06-03
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-06-06
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-06-13
Survey response — day 35, dose 4
MedDRA: Myasthenia gravis, Pre-existing disease — Feeling: Good

Free text: My Myesthenia gravis has been worse.

MedDRA releases: 2024-11 · check-in free text available
2022-06-20
Survey response — day 42, dose 4
MedDRA: Asthenia, Diarrhoea, Dizziness, Food poisoning, Pain, Pyrexia, Vomiting — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I think it was food poisoning maybe - diarrhea, vomiting, dizziness, fever, weakness, aches. In bed for three days.

MedDRA releases: 2024-11 · check-in free text available
2022-08-08
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-08
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-25	Pfizer-BioNTech
2	2021-03-18	Pfizer-BioNTech
3	2021-11-17	Pfizer-BioNTech	Other
4	2022-05-09	Pfizer-BioNTech	No

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 7 — day 21, dose 2

2021-04-08

Symptoms: In continence, back / kidney pain.

Healthcare visit (other): Labs, could not get in to see a doctor

Release 7 — day 35, dose 2

2021-04-22

Symptoms: Cough, headaches, fatigue

Healthcare visit (other): Acupuncture

Release 9 — 3 months, dose 2

2021-06-17

Symptoms: Blurry visionDiarrhea Numbness in arm

Release 10 — day 14, dose 3

2021-12-01

Symptoms: Forgot to say earlier but I developed Myesthenia gravis after the second shot.

Release 10 — day 21, dose 3

2021-12-08

Symptoms: Trouble breathing, felt like her throat was closing down.

Release 10 — day 42, dose 3

2021-12-29

Symptoms: Stomach pain, body aches, fatigue, headaches

Release 12 — day 35, dose 4

2022-06-13

Symptoms: My Myesthenia gravis has been worse.

Release 12 — day 42, dose 4

2022-06-20

Symptoms: I think it was food poisoning maybe - diarrhea, vomiting, dizziness, fever, weakness, aches. In bed for three days.

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	Acupuncture	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Abdominal pain upper	·	·	✓
SD	Asthenia	·	·	✓
SD	Back pain	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Food poisoning	·	·	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Incontinence	✓	✓	✓
SD	Myasthenia gravis	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	·	·	✓
SD	Renal pain	✓	✓	✓
SD	Throat tightness	·	·	✓
SD	Vision blurred	✓	✓	✓
SD	Vomiting	·	·	✓

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