6PF-18344-66471

3 vaccinations 6 coded responses 25 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 902 / CA
Registered: 2021-04-15

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

Registered dependents

JTV-14616-66389 Child or adolescent in my care · Female · 2022-01-10

P5S-30526-54197 Child or adolescent in my care · Male · 2022-01-10

Timeline

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

2021-04-15
Registered in v-safe
2021-04-15
Dose 1 — Pfizer-BioNTech
2021-04-15
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Abdominal pain

Adult check-in
2021-04-16
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Poor · 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

Free text: Light headedness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-29
Survey response — day 14, dose 1
MedDRA: Abdominal pain upper, Fatigue — Feeling: Good

Free text: Occasional off and on upper stomach pains throughout the day. Nothing unbearable , its just a sharp pain here and there for the last 4-5 days. I am also still tired, almost like an exhausted feeling.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Dose 2 — Pfizer-BioNTech
2021-05-06
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-07
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, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-14
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-20
Survey response — day 14, dose 2
MedDRA: Headache — Feeling: Good · Be unable to work

Free text: Headaches. Every day for the last week or so.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Survey response — day 21, dose 2
MedDRA: Headache — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Still non stop headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-11
Survey response — day 35, dose 2
MedDRA: Headache, Muscle spasms — Feeling: Good

Free text: I've been getting leg cramps off and on but nothing unbearable and the headaches seem to have gone away.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-04
Survey response — 6 months, dose 2
MedDRA: Office visit, Vaginal haemorrhage — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Hospitalization

Free text: Symptoms: I have the IUD so typically you dont gey periods (i had my 3rd one put in in Aug. 2020) In May I spotted everyday for 2 week's. In June I spotted everyday for 3 weeks and in July i spotted everyday day for 3 weeks and 2 days. · Healthcare visit (other): Office visit with ob no urgent care but was an out patient

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
2021-11-05
Call 1 — Left Voicemail
2021-11-10
Call successful
Participant prefers to complete VAERS report online
2021-12-17
Dose 3 — Pfizer-BioNTech
2022-06-17
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-19
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-15	Pfizer-BioNTech
2	2021-05-06	Pfizer-BioNTech
3	2021-12-17	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-16

Systemic reaction (other): Light headedness

Release 8 — day 14, dose 1

2021-04-29

Symptoms: Occasional off and on upper stomach pains throughout the day. Nothing unbearable , its just a sharp pain here and there for the last 4-5 days. I am also still tired, almost like an exhausted feeling.

Release 8 — day 14, dose 2

2021-05-20

Symptoms: Headaches. Every day for the last week or so.

Release 8 — day 21, dose 2

2021-05-28

Symptoms: Still non stop headaches

Release 9 — day 35, dose 2

2021-06-11

Symptoms: I've been getting leg cramps off and on but nothing unbearable and the headaches seem to have gone away.

Release 10 — 6 months, dose 2

2021-11-04

Symptoms: I have the IUD so typically you dont gey periods (i had my 3rd one put in in Aug. 2020) In May I spotted everyday for 2 week's. In June I spotted everyday for 3 weeks and in July i spotted everyday day for 3 weeks and 2 days.

Healthcare visit (other): Office visit with ob no urgent care but was an out patient

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	Abdominal pain upper	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Vaginal haemorrhage	·	·	✓
SRO	Dizziness	✓	✓	✓

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