6ND-32627-15356

3 vaccinations 11 coded responses 36 check-ins 11 free-text entries 4 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 376 / TN
Registered: 2021-03-20

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

2021-03-19
Dose 1 — Pfizer-BioNTech
2021-03-20
Registered in v-safe
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-09
Dose 2 — Pfizer-BioNTech
2021-04-09
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Blepharospasm — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Diarrhea · Be unable to work

Free text: Right eyelid twitching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Blepharospasm — Feeling: Good · Site: Pain · Nausea

Free text: Right eyelid twitching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Blepharospasm, Oropharyngeal pain — Feeling: Good · Diarrhea

Free text: Sore throat ,right eyelid twitching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Blepharospasm — Feeling: Good

Free text: Right eyelid twitching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-04-16
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-09
Survey response — 3 months, dose 2
MedDRA: Diarrhoea, Nausea, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Heavy vaginal bleeding I have already went through menopause, nausea and diarrhea daily · Healthcare visit (other): Gastroenterologist for nausea and diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-09
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-15
Call 1 — Left Voicemail
2021-10-08
Survey response — 6 months, dose 2
MedDRA: Fatigue, Office visit, Palpitations — 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

Free text: Symptoms: Heart palpitations fatigue · Healthcare visit (other): Heart specialist and PCP

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Report sent to call center — 6 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)
2021-10-11
Dose 3 — Pfizer-BioNTech
2021-10-12
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness · Headache

Adult check-in
2021-10-13
Call 1 — Left Voicemail
2021-10-14
Survey response — days 1–6 daily, dose 3
MedDRA: Erythema, Urticaria — Feeling: Poor · Site: Pain, Redness · Nausea, Diarrhea, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Welts and redness all over face chest both arms around the elbows both knees and top of thighs

MedDRA releases: 2024-11 · check-in free text available
2021-10-14
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-16
Survey response — days 1–6 daily, dose 3
MedDRA: Erythema, Feeling hot — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Face, ears elbows and knees turned very red and hot as lasted for about 15-20 minutes

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-19
Call 1 — Left Voicemail
2021-10-27
Survey response — day 14, dose 3
MedDRA: Feeling hot, Rash, Rash erythematous — Feeling: Good

Free text: Daily random red hot rash develops on my face elbows and knees last around 20 minutes

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Survey response — day 21, dose 3
MedDRA: Erythema, Feeling hot — Feeling: Good

Free text: Still have random hot red face

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-15
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-22
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-10
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-10-12
Survey response — 12 months, dose 3
MedDRA: COVID-19, Unevaluable event — 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

Free text: Had covid

MedDRA releases: 2024-11 · check-in free text available
2022-10-12
Report sent to call center — 12 months, 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

1 call case(s)
2022-10-13
Call successful
Participant prefers to complete VAERS report online
2022-10-13
Call successful
Participant prefers to complete VAERS report online
2022-10-13
Call successful
Participant prefers to complete VAERS report online
2022-10-13
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Pfizer-BioNTech
2	2021-04-09	Pfizer-BioNTech
3	2021-10-11	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 2

2021-04-11

Systemic reaction (other): Right eyelid twitching

2021-04-12

Systemic reaction (other): Right eyelid twitching

2021-04-13

Systemic reaction (other): Sore throat ,right eyelid twitching

2021-04-14

Systemic reaction (other): Right eyelid twitching

Release 9 — 3 months, dose 2

2021-07-09

Symptoms: Heavy vaginal bleeding I have already went through menopause, nausea and diarrhea daily

Healthcare visit (other): Gastroenterologist for nausea and diarrhea

Release 10 — 6 months, dose 2

2021-10-08

Symptoms: Heart palpitations fatigue

Healthcare visit (other): Heart specialist and PCP

Release 10 — days 1–6 daily, dose 3

2021-10-14

Systemic reaction (other): Welts and redness all over face chest both arms around the elbows both knees and top of thighs

2021-10-16

Systemic reaction (other): Face, ears elbows and knees turned very red and hot as lasted for about 15-20 minutes

Release 10 — day 14, dose 3

2021-10-27

Symptoms: Daily random red hot rash develops on my face elbows and knees last around 20 minutes

Release 10 — day 21, dose 3

2021-11-01

Symptoms: Still have random hot red face

Release 12 — 12 months, dose 3

2022-10-12

Symptoms: Had covid

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	✓	✓	✓
HCVO	Unevaluable event	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Erythema	·	·	✓
SD	Fatigue	·	·	✓
SD	Feeling hot	·	·	✓
SD	Nausea	✓	✓	✓
SD	Palpitations	·	·	✓
SD	Rash	·	·	✓
SD	Rash erythematous	·	·	✓
SRO	Blepharospasm	✓	✓	✓
SRO	Erythema	·	·	✓
SRO	Feeling hot	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Urticaria	·	·	✓

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