6T8-16007-75802

3 vaccinations 17 coded responses 38 check-ins 17 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 945 / CA
Registered: 2021-02-25

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

2021-02-25
Registered in v-safe
2021-02-25
Dose 1 — Pfizer-BioNTech
2021-02-25
Survey response — day 0, dose 1
MedDRA: Paraesthesia — Feeling: Good

Free text: Slight tingling in the upper arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-27
Survey response — days 1–6 daily, dose 1
MedDRA: Diarrhoea — Feeling: Good · Diarrhea

Free text: The diarrhea was yesterday after this survey. I cant think of anything else that may have caused it.

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: Arthralgia — Feeling: Good · Joint pains

Free text: Yesterday joint pain in Left shoulder

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: Arthralgia, Back pain, Neck pain — Feeling: Good · Joint pains, Muscle or body aches

Free text: The other day I was having joint/ muscle pain in the left shoulder. It is diminishing in the joint but is now in my left upper back/neck/shoulder area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Back pain — Feeling: Good · Joint pains, Muscle or body aches

Free text: Left shoulder/ upper back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Joint pains, Muscle or body aches

Free text: Left posterior shoulder/ upper back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — day 7, dose 1
MedDRA: Arthralgia, Back pain — Feeling: Good · Joint pains, Muscle or body aches

Free text: Left shoulder/ upper back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Good · Site: Pain

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain — Feeling: Fair · Headache

Free text: Ive had not really a headache, but pain behind my eyes, Like maybe a sinus headache since the day after the injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Sinus headache — Feeling: Good · Headache

Free text: Behind my eyes like a sinus headache

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

Free text: Behind my eyes, headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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
Survey response — day 14, dose 2
MedDRA: Arthralgia, Back pain, Paraesthesia — Feeling: Good · Be unable to do your normal daily activities

Free text: After I got the first shot, I experienced some pain in my left shoulder /upper back. It never went away and is getting worse my left arm/ shoulder is tingling also.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-22
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-16
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: Tremor — Feeling: Good

Free text: Hand Tremors

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Survey response — days 1–6 daily, dose 3
MedDRA: Tremor — Feeling: Good · Site: Pain

Free text: Hand tremors

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Tremor — Feeling: Good · Site: Pain

Free text: Hand tremors

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-10-06
Survey response — days 1–6 daily, dose 3
MedDRA: Tremor — Feeling: Fair · Site: Pain · Joint pains, Abdominal pain · Be unable to do your normal daily activities

Free text: Hand tremors

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain · Joint pains, Abdominal pain

Adult check-in
2021-10-14
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-21
Survey response — day 21, dose 3
MedDRA: Vitreous detachment — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Vitreous Detachment

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Report sent to call center — day 21, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-25
Call successful
Participant prefers to complete VAERS report online
2021-10-28
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-06
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
2021-12-30
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
2022-10-02
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-25	Pfizer-BioNTech
2	2021-03-18	Pfizer-BioNTech
3	2021-09-30	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-25

Systemic reaction (other): Slight tingling in the upper arm

Release 4 — days 1–6 daily, dose 1

2021-02-27

Systemic reaction (other): The diarrhea was yesterday after this survey. I cant think of anything else that may have caused it.

2021-02-28

Systemic reaction (other): Yesterday joint pain in Left shoulder

2021-03-01

Systemic reaction (other): The other day I was having joint/ muscle pain in the left shoulder. It is diminishing in the joint but is now in my left upper back/neck/shoulder area.

2021-03-02

Systemic reaction (other): Left shoulder/ upper back pain

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): Left posterior shoulder/ upper back

Release 5 — day 7, dose 1

2021-03-04

Systemic reaction (other): Left shoulder/ upper back pain

Release 5 — day 0, dose 2

2021-03-18

Systemic reaction (other): No

Release 6 — days 1–6 daily, dose 2

2021-03-21

Systemic reaction (other): Ive had not really a headache, but pain behind my eyes, Like maybe a sinus headache since the day after the injection.

2021-03-22

Systemic reaction (other): Behind my eyes like a sinus headache

2021-03-23

Systemic reaction (other): Behind my eyes, headache

Release 6 — day 14, dose 2

2021-04-01

Symptoms: After I got the first shot, I experienced some pain in my left shoulder /upper back. It never went away and is getting worse my left arm/ shoulder is tingling also.

Release 9 — day 0, dose 3

2021-09-30

Systemic reaction (other): Hand Tremors

Release 9 — days 1–6 daily, dose 3

2021-10-01

Systemic reaction (other): Hand tremors

2021-10-02

Systemic reaction (other): Hand tremors

Release 10 — days 1–6 daily, dose 3

2021-10-06

Systemic reaction (other): Hand tremors

Release 10 — day 21, dose 3

2021-10-21

Symptoms: Vitreous Detachment

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	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Vitreous detachment	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Sinus headache	✓	✓	✓
SRO	Tremor	·	·	✓
SRO	Unevaluable event	✓	✓	✓

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