7HH-11242-42844

3 vaccinations 6 coded responses 32 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 108 / NY
Registered: 2020-12-29

Relationship: Self
Race: N/A
Ethnicity: Not 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: Fair · Site: Pain · None

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache

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

Adult check-in
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain — Feeling: Fair · Muscle or body aches

Free text: Minimal back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain — Feeling: Fair · Muscle or body aches

Free text: Minimal back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-05
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-20
Dose 2 — Pfizer-BioNTech
2021-01-22
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Chest pain, Chills, Decreased appetite, Fatigue, Headache, Hyperhidrosis, Nausea — Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to work

Free text: I had my vaccine two days ago and had headache, chills, sweats, back pain, chest pain, decreased appetite, nausea, tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-27
Health check-in — day 7, dose 2
Feeling: Fair · Headache

Adult check-in
2021-02-03
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-10
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-02-17
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-02-25
Health check-in — day 35, dose 2
Feeling: Fair

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

Adult check-in
2021-07-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-01
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-10-01
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Nausea

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain — Feeling: Fair · Site: Pain

Free text: Armpit pain on the same side of injection

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain — Feeling: Fair · Site: Pain

Free text: Axillary pain on the same side injection was administered

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-08
Health check-in — day 7, dose 3
Feeling: Fair · None

Adult check-in
2021-10-21
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-22
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-29
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-05
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-14
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-04-03
Survey response — 6 months, dose 3
MedDRA: Pregnancy — 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

Free text: Pregnancy

MedDRA releases: 2024-11 · check-in free text available
2022-04-03
Report sent to call center — 6 months, dose 3
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 · 1 call case(s)
2022-04-12
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	2021-01-20	Pfizer-BioNTech
3	2021-10-01	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2022-04-03	Successful 2022-04-12	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-01

Systemic reaction (other): Minimal back pain

2021-01-02

Systemic reaction (other): Minimal back pain

Release 2 — days 1–6 daily, dose 2

2021-01-22

Systemic reaction (other): I had my vaccine two days ago and had headache, chills, sweats, back pain, chest pain, decreased appetite, nausea, tiredness

Release 9 — days 1–6 daily, dose 3

2021-10-03

Systemic reaction (other): Armpit pain on the same side of injection

Release 10 — days 1–6 daily, dose 3

2021-10-04

Systemic reaction (other): Axillary pain on the same side injection was administered

Release 11 — 6 months, dose 3

2022-04-03

Symptoms: Pregnancy

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	Pregnancy	·	·	✓
SRO	Axillary pain	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Nausea	✓	✓	✓

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