6S5-79485-43777

2 vaccinations 7 coded responses 24 check-ins 7 free-text entries 5 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 988 / WA
Registered: 2020-12-29

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

2020-12-29
Registered in v-safe
2020-12-29
Dose 1 — Pfizer-BioNTech
2020-12-29
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-05
Survey response — day 7, dose 1
MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore throat and nasal congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-12
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-01-19
Dose 2 — Pfizer-BioNTech
2021-01-19
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-20
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-25
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Dyspnoea — Feeling: Fair

Free text: Chest pain and SOB

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — day 7, dose 2
MedDRA: Herpes zoster — Feeling: Poor · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Shingles s/sx started on day 4 post second Covid 19 vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-23
Survey response — day 35, dose 2
MedDRA: Aphthous ulcer, Glossodynia, Herpes simplex, Herpes zoster, Influenza like illness, Sinusitis — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: After the 2nd vaccine had the sings n symptoms of a flu like illness, then got shingles, then got herpes simplex and later I had canker along the sides of my tongue that went down my throat and my allergies became sinusitis, my immune system got beat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Report sent to call center — day 35, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-20
Survey response — 3 months, dose 2
MedDRA: Chest pain, Dyspnoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Chest pain and SOB

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-08
Call 1 — Left Voicemail
2021-06-08
Call 1 — Left Voicemail
2021-07-20
Survey response — 6 months, dose 2
MedDRA: Gastrointestinal disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Stomach issues

MedDRA releases: 2024-11 · check-in free text available
2021-07-20
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-27
Call 1 — Left Voicemail
2021-07-27
Call successful
Participant prefers to complete VAERS report online
2022-01-19
Survey response — 12 months, dose 2
MedDRA: COVID-19, Fatigue, Feeling abnormal, Impaired work ability, Malaise, Somnolence — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: I got Covid in September when I booster was ready for medical personnel. I was so sick of 3 weeks and 3 more weeks to return to work. I still don't feel the same. I am tired and close briefly my eyes and just fall sleep.

MedDRA releases: 2024-11 · check-in free text available
2022-01-19
Report sent to call center — 12 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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-01-20
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Pfizer-BioNTech
2	2021-01-19	Pfizer-BioNTech

Call center

5 call center cases

4 successful · 1 priority 2/3 (triaged and no follow up)

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — day 7, dose 1

2021-01-05

Systemic reaction (other): Sore throat and nasal congestion

Release 2 — days 1–6 daily, dose 2

2021-01-25

Systemic reaction (other): Chest pain and SOB

Release 2 — day 7, dose 2

2021-01-26

Systemic reaction (other): Shingles s/sx started on day 4 post second Covid 19 vaccine

Release 4 — day 35, dose 2

2021-02-23

Symptoms: After the 2nd vaccine had the sings n symptoms of a flu like illness, then got shingles, then got herpes simplex and later I had canker along the sides of my tongue that went down my throat and my allergies became sinusitis, my immune system got beat cut off by CDC

Release 7 — 3 months, dose 2

2021-04-20

Symptoms: Chest pain and SOB

Release 9 — 6 months, dose 2

2021-07-20

Symptoms: Stomach issues

Release 10 — 12 months, dose 2

2022-01-19

Symptoms: I got Covid in September when I booster was ready for medical personnel. I was so sick of 3 weeks and 3 more weeks to return to work. I still don't feel the same. I am tired and close briefly my eyes and just fall sleep.

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	Aphthous ulcer	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Feeling abnormal	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Glossodynia	✓	✓	✓
SD	Herpes simplex	✓	✓	✓
SD	Herpes zoster	✓	✓	✓
SD	Impaired work ability	·	·	✓
SD	Influenza like illness	✓	✓	✓
SD	Malaise	·	·	✓
SD	Sinusitis	✓	✓	✓
SD	Somnolence	·	·	✓
SRO	Chest pain	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Herpes zoster	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓

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