6JU-31856-25712

2 vaccinations 9 coded responses 16 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 337 / FL
Registered: 2021-04-16

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-04-13
Dose 1 — Pfizer-BioNTech
2021-04-16
Registered in v-safe
2021-04-17
Survey response — days 1–6 daily, dose 1
MedDRA: Asthma, Respiratory tract congestion — Feeling: Good · Chills, Fatigue or tiredness

Free text: I had an episode of chest congestion and moderate asthma on Thursday, which was 2 days after the vaccination. I had to use my inhaler once, and the nebulizer once. But, I've been feeling just fine since.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — day 7, dose 1
Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-04
Dose 2 — Pfizer-BioNTech
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Exhaustion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Rash in the center of my chest.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-05-09
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Light-headedness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-05-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-01
Survey response — day 28, dose 2
MedDRA: Brain fog, Chest discomfort, Dizziness, Fatigue, Headache, Pain, Sciatica, Thrombosis — Feeling: Poor · Be unable to do your normal daily activities

Free text: Unusual extreme fatigue and exhaustion, mental fog, unusual body aches, heavy chest, persistent head pain especially on right side of head, light-headedness, dizziness, sciatic nerve pain, they are blood clot at the bottom of my right foot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Survey response — day 42, dose 2
MedDRA: Headache — Feeling: Poor · 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: Chronic headaches and they're only getting worse.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-25
Call 2 — Left Voicemail
2021-08-03
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-11-05
Survey response — 6 months, dose 2
MedDRA: Dizziness, Fatigue, Headache — Feeling: Poor · Be unable to do your normal daily activities

Free text: Constant horrible headaches and excessive exhaustion, as well as dizziness.

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Survey response — 12 months, dose 2
MedDRA: Asthenia, Balance disorder, Condition aggravated, Dizziness, Fatigue, Office visit, Pre-existing disease, Rash — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Extreme tiredness and exhaustion. Dizziness, weakness, and imbalance. Skin flare ups and rashes. · Healthcare visit (other): My physician

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-09
Call 1 — Could Not Reach Participant
2022-05-13
Call 1 — Left Voicemail
2022-05-13
Call 2 — Left Voicemail
2022-05-13
Call successful
Participant prefers to complete VAERS report online
2022-05-13
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-13	Pfizer-BioNTech
2	2021-05-04	Pfizer-BioNTech

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-17

Systemic reaction (other): I had an episode of chest congestion and moderate asthma on Thursday, which was 2 days after the vaccination. I had to use my inhaler once, and the nebulizer once. But, I've been feeling just fine since.

Release 8 — days 1–6 daily, dose 2

2021-05-05

Systemic reaction (other): Exhaustion

2021-05-07

Systemic reaction (other): Rash in the center of my chest.

2021-05-09

Systemic reaction (other): No

2021-05-10

Systemic reaction (other): Light-headedness

Release 8 — day 28, dose 2

2021-06-01

Symptoms: Unusual extreme fatigue and exhaustion, mental fog, unusual body aches, heavy chest, persistent head pain especially on right side of head, light-headedness, dizziness, sciatic nerve pain, they are blood clot at the bottom of my right foot.

Release 9 — day 42, dose 2

2021-06-17

Symptoms: Chronic headaches and they're only getting worse.

Release 10 — 6 months, dose 2

2021-11-05

Symptoms: Constant horrible headaches and excessive exhaustion, as well as dizziness.

Release 11 — 12 months, dose 2

2022-05-06

Symptoms: Extreme tiredness and exhaustion. Dizziness, weakness, and imbalance. Skin flare ups and rashes.

Healthcare visit (other): My physician

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	Office visit	·	·	✓
SD	Asthenia	·	·	✓
SD	Balance disorder	·	·	✓
SD	Brain fog	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Condition aggravated	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Rash	·	·	✓
SD	Sciatica	✓	✓	✓
SD	Thrombosis	✓	✓	✓
SRO	Asthma	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓

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