6QN-19359-46444

6 vaccinations 10 coded responses 37 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 641 / MO
Registered: 2021-02-25

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-25
Registered in v-safe
2021-02-25
Dose 1 — Pfizer-BioNTech
2021-02-25
Health check-in — day 0, dose 1
Feeling: Fair · Chills, Fatigue or tiredness

Adult check-in
2021-02-26
Survey response — days 1–6 daily, dose 1
MedDRA: Ocular hyperaemia — Feeling: Good · Chills

Free text: Blood shot eye

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 1
MedDRA: Neck pain — Feeling: Poor · Site: Pain · Muscle or body aches

Free text: Pain in my neck on the right side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain — Feeling: Fair · Muscle or body aches

Free text: Soreness in my left armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain — Feeling: Fair · Fatigue or tiredness

Free text: Pressure in armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-04
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-18
Dose 2 — Pfizer-BioNTech
2021-03-18
Health check-in — day 0, dose 2
Feeling: Good · Fever · Chills

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Oedema peripheral — Feeling: Good · Site: Swelling

Free text: My under arm pits were swelled

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-15
Survey response — day 28, dose 2
MedDRA: Cough, Dysgeusia, Dyspnoea, Headache — Feeling: Fair

Free text: Experienced pressure in breathing and an odd taste in my mouth along with a dry cough but it didn't last too long. This morning I woke up with a mild head ache which also didn't last long.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 35, dose 2
MedDRA: Arrhythmia, Heart sounds abnormal, Hospitalisation — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Heart rhythm off, hospitalized.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
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)
2021-04-29
Survey response — day 42, dose 2
MedDRA: Cardiac disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Heart problems

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Survey response — 3 months, dose 2
MedDRA: Atrial fibrillation — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: A-Fib. I'm taking medication for it but I have a doctor's appointment at the end of the month to determine if I need a Pace Maker.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-21
Call 1 — Left Voicemail
2021-09-23
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-12
Dose 3 — Pfizer-BioNTech
2021-12-15
Call 2 — Could Not Reach Participant
2021-12-21
Call 3 — Could Not Reach Participant
2022-03-18
Survey response — 12 months, dose 2
MedDRA: Atrial fibrillation — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Atrial Fibrillation

MedDRA releases: 2024-11 · check-in free text available
2022-03-18
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-03-21
Call 1 — Could Not Reach Participant
2022-03-24
Call successful
Participant prefers to complete VAERS report online
2022-04-04
Dose 4 — Pfizer-BioNTech
2022-04-22
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-25
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-02
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-09
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-16
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-04
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-12
Dose 5 — Pfizer-BioNTech
2022-10-03
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-03-13
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in
2023-05-10
Dose 6 — Pfizer-BioNTech
2023-05-10
Health check-in — day 0, dose 6
Feeling: Good · None

Adult check-in
2023-05-15
Health check-in — days 1–6 daily, dose 6
Feeling: Good · None

Adult check-in
2023-05-16
Health check-in — days 1–6 daily, dose 6
Feeling: Good · None

Adult check-in
2023-05-24
Health check-in — day 14, dose 6
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-25	Pfizer-BioNTech
2	2021-03-18	Pfizer-BioNTech
3	2021-10-12	Pfizer-BioNTech	No
4	2022-04-04	Pfizer-BioNTech	No
5	2022-09-12	Pfizer-BioNTech	No
6	2023-05-10	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-26

Systemic reaction (other): Blood shot eye

2021-02-27

Systemic reaction (other): Pain in my neck on the right side

2021-02-28

Systemic reaction (other): Soreness in my left armpit

2021-03-01

Systemic reaction (other): Pressure in armpit

Release 6 — days 1–6 daily, dose 2

2021-03-22

Systemic reaction (other): My under arm pits were swelled

Release 7 — day 28, dose 2

2021-04-15

Symptoms: Experienced pressure in breathing and an odd taste in my mouth along with a dry cough but it didn't last too long. This morning I woke up with a mild head ache which also didn't last long.

Release 7 — day 35, dose 2

2021-04-22

Symptoms: Heart rhythm off, hospitalized.

Release 8 — day 42, dose 2

2021-04-29

Symptoms: Heart problems

Release 9 — 3 months, dose 2

2021-06-17

Symptoms: A-Fib. I'm taking medication for it but I have a doctor's appointment at the end of the month to determine if I need a Pace Maker.

Release 11 — 12 months, dose 2

2022-03-18

Symptoms: Atrial Fibrillation

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
SD	Arrhythmia	✓	·	✓
SD	Atrial fibrillation	✓	✓	✓
SD	Cardiac disorder	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dysgeusia	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heart sounds abnormal	○	✓	○
SD	Hospitalisation	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Ocular hyperaemia	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓

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