6UW-39036-24288

3 vaccinations 9 coded responses 24 check-ins 9 free-text entries 6 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 287 / NC
Registered: 2021-01-15

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

2021-01-15
Registered in v-safe
2021-01-15
Dose 1 — Pfizer-BioNTech
2021-01-15
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-04
Dose 2 — Pfizer-BioNTech
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal stiffness, Rhinorrhoea, Salivary hypersecretion — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Very stiff neck and shoulders night and all day. One hour of runny nose and excess saliva for one hour in middle of night.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle tightness — Feeling: Fair · Site: Pain

Free text: Muscle from shoulder to neck to head still tight on left arm where i got shot. Tightness on back or right side of neck is not so tight anymore.or

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Head discomfort, Myalgia — Feeling: Fair · Muscle or body aches

Free text: Neck muscle into head aches, but no headache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-02-18
Survey response — day 14, dose 2
MedDRA: Helicobacter gastritis, Medical procedure — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: H Pyloriprobably not related to 2nd Pfizer shot · Healthcare visit (other): Biopsy via Endoscopy. Meds prescribes by telephone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-11
Survey response — day 35, dose 2
MedDRA: Emergency care, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: I am getting over h pylori. · Healthcare visit (other): Outpatient @ hospital for endoscopy due to my IPF

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-22
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-06
Survey response — 3 months, dose 2
MedDRA: Pre-existing disease, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: I had H. Pylori · Healthcare visit (other): Endoscopy and colonoscopy doe at hospital due to my lung condition

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-16
Call successful
Participant prefers to complete VAERS report online
2021-08-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-08-15
Dose 3 — Pfizer-BioNTech
2021-09-30
Survey response — day 42, dose 3
MedDRA: Idiopathic interstitial pneumonia, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: NSIP lung disease · Healthcare visit (other): 3 (GP, Hemologist, Pulmonologist)

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-01
Call successful
Not applicable - Accidental Reporting
2021-11-14
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-02-13
Survey response — 6 months, dose 3
MedDRA: Diarrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Diarrhea. HIDA test in two days

MedDRA releases: 2024-11 · check-in free text available
2022-02-13
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
2022-02-15
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-08-15
Survey response — 12 months, dose 3
MedDRA: Office visit, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Under care of Gastroenerologist. · Healthcare visit (other): Drs. Office

MedDRA releases: 2024-11 · check-in free text available
2022-08-15
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-08-16
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Pfizer-BioNTech
2	2021-02-04	Pfizer-BioNTech
3	2021-08-15	Pfizer-BioNTech	No

Call center

6 call center cases

6 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-05

Systemic reaction (other): Very stiff neck and shoulders night and all day. One hour of runny nose and excess saliva for one hour in middle of night.

2021-02-06

Systemic reaction (other): Muscle from shoulder to neck to head still tight on left arm where i got shot. Tightness on back or right side of neck is not so tight anymore.or

2021-02-07

Systemic reaction (other): Neck muscle into head aches, but no headache.

Release 4 — day 14, dose 2

2021-02-18

Symptoms: H Pyloriprobably not related to 2nd Pfizer shot

Healthcare visit (other): Biopsy via Endoscopy. Meds prescribes by telephone

Release 5 — day 35, dose 2

2021-03-11

Symptoms: I am getting over h pylori.

Healthcare visit (other): Outpatient @ hospital for endoscopy due to my IPF

Release 8 — 3 months, dose 2

2021-05-06

Symptoms: I had H. Pylori

Healthcare visit (other): Endoscopy and colonoscopy doe at hospital due to my lung condition

Release 9 — day 42, dose 3

2021-09-30

Symptoms: NSIP lung disease

Healthcare visit (other): 3 (GP, Hemologist, Pulmonologist)

Release 11 — 6 months, dose 3

2022-02-13

Symptoms: Diarrhea. HIDA test in two days

Release 12 — 12 months, dose 3

2022-08-15

Symptoms: Under care of Gastroenerologist.

Healthcare visit (other): Drs. Office

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	Emergency care	✓	✓	✓
HCVO	Medical procedure	✓	✓	✓
HCVO	Office visit	·	·	✓
HCVO	Pre-existing disease	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Helicobacter gastritis	✓	✓	✓
SD	Idiopathic interstitial pneumonia	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Unevaluable event	·	·	✓
SRO	Head discomfort	✓	✓	✓
SRO	Muscle tightness	✓	✓	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Salivary hypersecretion	✓	✓	✓

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