6K4-88829-65208

4 vaccinations 10 coded responses 50 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 857 / AZ
Registered: 2021-02-12

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

2021-02-10
Dose 1 — Pfizer-BioNTech
2021-02-12
Registered in v-safe
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-03
Dose 2 — Pfizer-BioNTech
2021-03-03
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Headache, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Redness, Swelling · Fever · Headache, Nausea · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Redness, Itching · Headache, Nausea · Be unable to do your normal daily activities

Free text: dizzy, mildly

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Nausea

Adult check-in
2021-03-10
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-30
Dose 3 — Pfizer-BioNTech
2021-09-30
Survey response — day 0, dose 3
MedDRA: Unevaluable event — Feeling: Good

Free text: I just got the shot 2 hours ago so not sure about these questions

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: dizziness

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain — Feeling: Fair · Site: Pain, Redness, Swelling · Nausea · Be unable to do your normal daily activities

Free text: underarm pain in injection arm

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Good · Site: Pain, Redness, Swelling · Be unable to do your normal daily activities

Free text: Dizzy

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain — Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: pain in armpit of vaccination arm, getting milder though

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-14
Survey response — day 14, dose 3
MedDRA: Fatigue, Nausea, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Nauseous about 40-50% of the time, Really tired during the day. · Healthcare visit (other): Had annual checkup with doctor. Talked it over with her. She hears patients complaining about symptoms for 3-4 weeks.

MedDRA releases: 2024-11 · check-in free text available
2021-10-14
Report sent to call center — day 14, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-21
Call successful
Participant prefers to complete VAERS report online
2021-10-22
Survey response — day 21, dose 3
MedDRA: Dizziness, Fatigue, Nausea — Feeling: Fair

Free text: daily nauseousness, some dizziness, fatigue it's been 3 weeks???

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-04
Health check-in — day 35, dose 3
Feeling: Good

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

Adult check-in
2021-12-31
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-31
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-10
Dose 4 — Moderna
2022-10-11
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-12
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2022-10-13
Survey response — days 1–6 daily, dose 4
MedDRA: Insomnia — Feeling: Fair · Fatigue or tiredness

Free text: insomnia

MedDRA releases: 2024-11 · check-in free text available
2022-10-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-15
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-17
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-24
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-31
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-07
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-14
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-21
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-09
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-12
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-10	Pfizer-BioNTech
2	2021-03-03	Pfizer-BioNTech
3	2021-09-30	Pfizer-BioNTech	No
4	2022-10-10	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-06

Systemic reaction (other): Dizziness

2021-03-07

Systemic reaction (other): dizzy, mildly

Release 9 — day 0, dose 3

2021-09-30

Systemic reaction (other): I just got the shot 2 hours ago so not sure about these questions

Release 9 — days 1–6 daily, dose 3

2021-10-03

Systemic reaction (other): dizziness

2021-10-04

Systemic reaction (other): underarm pain in injection arm

Release 10 — days 1–6 daily, dose 3

2021-10-05

Systemic reaction (other): Dizzy

2021-10-06

Systemic reaction (other): pain in armpit of vaccination arm, getting milder though

Release 10 — day 14, dose 3

2021-10-14

Symptoms: Nauseous about 40-50% of the time, Really tired during the day.

Healthcare visit (other): Had annual checkup with doctor. Talked it over with her. She hears patients complaining about symptoms for 3-4 weeks.

Release 10 — day 21, dose 3

2021-10-22

Symptoms: daily nauseousness, some dizziness, fatigue it's been 3 weeks???

Release 12 — days 1–6 daily, dose 4

2022-10-13

Systemic reaction (other): insomnia

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	Dizziness	·	·	✓
SD	Fatigue	·	·	✓
SD	Nausea	·	·	✓
SRO	Axillary pain	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Insomnia	·	·	✓
SRO	Unevaluable event	·	·	✓

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