6UL-16618-02537

3 vaccinations 11 coded responses 26 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 488 / MI
Registered: 2021-01-24

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

2021-01-11
Dose 1 — Pfizer-BioNTech
2021-01-24
Registered in v-safe
2021-01-24
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-02
Dose 2 — Pfizer-BioNTech
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Headache, Nausea, Palpitations, Pyrexia — Feeling: Good · Site: Pain · Abdominal pain · Be unable to do your normal daily activities

Free text: Within 24 hours after shot had chills fever headache heart palpitations and nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — day 7, dose 2
Feeling: Fair · Muscle or body aches, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-02
Survey response — day 28, dose 2
MedDRA: Chills, Pyrexia, Taste disorder — Feeling: Fair

Free text: Had chills and low fever one day. Noticed that my coffee has been tasting off the past few weeks. Smell and other tastes not effected .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-04
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Fatigue — Feeling: Fair

Free text: Joint aches especially knees feet and hips. I seem to get tired easier.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-03
Survey response — 6 months, dose 2
MedDRA: Apathy, Arthralgia, Asthenia — Feeling: Good · Be unable to do your normal daily activities

Free text: Lack of energy Lack of motivation Achy joints

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-28
Dose 3 — Pfizer-BioNTech
2021-09-30
Survey response — days 1–6 daily, dose 3
MedDRA: Headache, Palpitations — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Heart palpitations, headache

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Report sent to call center — days 1–6 daily, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-01
Survey response — days 1–6 daily, dose 3
MedDRA: Palpitations — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Free text: Heart palpitations

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Palpitations — Feeling: Fair · Headache

Free text: Heart palpitations

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-10-05
Call 1 — Left Voicemail
2021-10-06
Call successful
Participant prefers to complete VAERS report online
2021-10-07
Survey response — day 7, dose 3
MedDRA: Breast tenderness — Feeling: Fair · Headache

Free text: Tender left breast

MedDRA releases: 2024-11 · check-in free text available
2021-10-14
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-21
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-11
Survey response — day 42, dose 3
MedDRA: Muscle spasms — Feeling: Fair · Be unable to do your normal daily activities

Free text: Back spasms

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Survey response — 3 months, dose 3
MedDRA: Chills, Fatigue, Headache, Myalgia, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache , body ache, muscle ace, exhaustion, chills no fever

MedDRA releases: 2024-11 · check-in free text available
2022-03-29
Survey response — 6 months, dose 3
MedDRA: Extrasystoles, Palpitations — Feeling: Fair

Free text: More heart palpitations and sometimes heart races and skips a beat

MedDRA releases: 2024-11 · check-in free text available
2022-09-28
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-11	Pfizer-BioNTech
2	2021-02-02	Pfizer-BioNTech
3	2021-09-28	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-08

Systemic reaction (other): Within 24 hours after shot had chills fever headache heart palpitations and nausea

Release 4 — day 28, dose 2

2021-03-02

Symptoms: Had chills and low fever one day. Noticed that my coffee has been tasting off the past few weeks. Smell and other tastes not effected .

Release 8 — 3 months, dose 2

2021-05-04

Symptoms: Joint aches especially knees feet and hips. I seem to get tired easier.

Release 9 — 6 months, dose 2

2021-08-03

Symptoms: Lack of energy Lack of motivation Achy joints

Release 9 — days 1–6 daily, dose 3

2021-09-30

Systemic reaction (other): Heart palpitations, headache

2021-10-01

Systemic reaction (other): Heart palpitations

2021-10-03

Systemic reaction (other): Heart palpitations

Release 10 — day 7, dose 3

2021-10-07

Systemic reaction (other): Tender left breast

Release 10 — day 42, dose 3

2021-11-11

Symptoms: Back spasms

Release 10 — 3 months, dose 3

2021-12-30

Symptoms: Headache , body ache, muscle ace, exhaustion, chills no fever

Release 11 — 6 months, dose 3

2022-03-29

Symptoms: More heart palpitations and sometimes heart races and skips a beat

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	Apathy	✓	·	✓
SD	Arthralgia	✓	✓	✓
SD	Asthenia	✓	·	✓
SD	Chills	✓	✓	✓
SD	Extrasystoles	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Muscle spasms	·	·	✓
SD	Myalgia	·	·	✓
SD	Pain	·	·	✓
SD	Palpitations	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Taste disorder	✓	✓	✓
SRO	Breast tenderness	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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