6FX-29993-37544

3 vaccinations 10 coded responses 35 check-ins 10 free-text entries 4 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 103 / NY
Registered: 2021-04-12

Relationship: Self
Race: Other
Ethnicity: N/A

Timeline

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

2021-04-09
Dose 1 — Pfizer-BioNTech
2021-04-12
Registered in v-safe
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Good · Site: Pain · Chills, Joint pains, Fatigue or tiredness

Free text: Pain on the same side of my body as where I had the shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 1
MedDRA: Memory impairment, Mental impairment — Feeling: Good · Site: Pain · Joint pains

Free text: I had a very hard time thinking for the first three days since I got my shot, and I kept forgetting to report it. I'm not having as hard a time thinking now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-16
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-23
Survey response — day 14, dose 1
MedDRA: Vaginal haemorrhage — Feeling: Good

Free text: I have been spotting.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Dose 2 — Pfizer-BioNTech
2021-04-30
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Joint pains, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Joint pains

Adult check-in
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-05-07
Health check-in — day 7, dose 2
Feeling: Good · Nausea, Abdominal pain

Adult check-in
2021-05-14
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-05
Survey response — day 35, dose 2
MedDRA: Fatigue, Headache, Heavy menstrual bleeding, Oropharyngeal discomfort — Feeling: Good · 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: Throat discomfort, tired, headache, heavy period.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
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)
2021-06-11
Survey response — day 42, dose 2
MedDRA: Cough, Decreased appetite, Headache, Oropharyngeal pain, Pain, Rhinorrhoea, Sneezing, Upper-airway cough syndrome — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Cough, runny nose, sneezing, headache, body aches, post nasal drip, sore throat, low appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-21
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-07-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Survey response — 6 months, dose 2
MedDRA: Gastritis, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Gastritis · Healthcare visit (other): Endoscopy

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-01
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-21
Dose 3 — Pfizer-BioNTech
2021-11-21
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-11-22
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-27
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain — Feeling: Fair · Fever

Free text: Throat pain

MedDRA releases: 2024-11 · check-in free text available
2021-11-28
Survey response — day 7, dose 3
MedDRA: Oropharyngeal pain, Upper-airway cough syndrome — Feeling: Fair · Fever

Free text: Throat pain, post nassl drip

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Survey response — day 14, dose 3
MedDRA: Chest pain — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Chest pain

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Report sent to call center — day 14, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-09
Call successful
Participant prefers to complete VAERS report online
2021-12-14
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-28
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-06
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-20
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-23
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-23
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-09	Pfizer-BioNTech
2	2021-04-30	Pfizer-BioNTech
3	2021-11-21	Pfizer-BioNTech	No

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-12

Systemic reaction (other): Pain on the same side of my body as where I had the shot.

2021-04-14

Systemic reaction (other): I had a very hard time thinking for the first three days since I got my shot, and I kept forgetting to report it. I'm not having as hard a time thinking now.

Release 7 — day 14, dose 1

2021-04-23

Symptoms: I have been spotting.

Release 8 — day 35, dose 2

2021-06-05

Symptoms: Throat discomfort, tired, headache, heavy period.

Release 9 — day 42, dose 2

2021-06-11

Symptoms: Cough, runny nose, sneezing, headache, body aches, post nasal drip, sore throat, low appetite

Release 10 — 6 months, dose 2

2021-10-29

Symptoms: Gastritis

Healthcare visit (other): Endoscopy

Release 10 — days 1–6 daily, dose 3

2021-11-22

Systemic reaction (other): Dizziness

2021-11-27

Systemic reaction (other): Throat pain

Release 10 — day 7, dose 3

2021-11-28

Systemic reaction (other): Throat pain, post nassl drip

Release 10 — day 14, dose 3

2021-12-08

Symptoms: Chest pain

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	Chest pain	·	·	✓
SD	Cough	✓	✓	✓
SD	Decreased appetite	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastritis	·	·	✓
SD	Headache	✓	✓	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Oropharyngeal discomfort	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sneezing	✓	✓	✓
SD	Upper-airway cough syndrome	✓	✓	✓
SD	Vaginal haemorrhage	✓	✓	✓
SRO	Dizziness	·	·	✓
SRO	Memory impairment	✓	✓	✓
SRO	Mental impairment	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Upper-airway cough syndrome	·	·	✓

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