7J9-97000-08466

3 vaccinations 12 coded responses 36 check-ins 12 free-text entries 5 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 482 / MI
Registered: 2021-01-06

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

2021-01-06
Registered in v-safe
2021-01-06
Dose 1 — Pfizer-BioNTech
2021-01-06
Survey response — day 0, dose 1
MedDRA: Sinus pain — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Nausea

Free text: Sinus pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Muscle or body aches

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-27
Dose 2 — Pfizer-BioNTech
2021-01-27
Survey response — day 0, dose 2
MedDRA: Paranasal sinus discomfort — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Sinus pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Lack of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Arrhythmia — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Arrhythmia- heart rate over 120 while laying down for approximately 5 minutes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

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

Adult check-in
2021-02-03
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-10
Survey response — day 14, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-03
Survey response — day 35, dose 2
MedDRA: Heavy menstrual bleeding, Menstruation irregular — Feeling: Good

Free text: Early, heavy period. Have dr appointment for tomorrow.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-28
Survey response — 3 months, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Possible urinary tract infection. Have dr Appt later today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-28
Survey response — 6 months, dose 2
MedDRA: Autoimmune thyroiditis, Heavy menstrual bleeding, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Heavy periods and diagnosed with Hashimotos. · Healthcare visit (other): Doctors visits and tests

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-28
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-04
Call 1 — Left Voicemail
2021-11-30
Dose 3 — Pfizer-BioNTech
2021-12-02
Survey response — days 1–6 daily, dose 3
MedDRA: Rhinorrhoea — Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness

Free text: Sniffles

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-07
Health check-in — day 7, dose 3
Feeling: Good · Joint pains

Adult check-in
2021-12-14
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-21
Survey response — day 21, dose 3
MedDRA: Office visit, Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: UTI · Healthcare visit (other): Dr Visit

MedDRA releases: 2024-11 · check-in free text available
2021-12-21
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-22
Call 1 — Left Voicemail
2021-12-28
Survey response — day 28, dose 3
MedDRA: Oropharyngeal pain — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-12-28
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-29
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-12-29
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-12-29
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-12-29
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-04
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-11
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-01
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-31
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-30
Survey response — 12 months, dose 3
MedDRA: Abdominal discomfort, Autoimmune thyroiditis, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Hashimotos Abdominal discomfort · Healthcare visit (other): Drs visit

MedDRA releases: 2024-11 · check-in free text available
2022-11-30
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-12-01
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Pfizer-BioNTech
2	2021-01-27	Pfizer-BioNTech
3	2021-11-30	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-28	Successful 2021-12-29	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-07-28	Successful 2021-12-29	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-12-21	Successful 2021-12-29	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-12-28	Successful 2021-12-29	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-11-30	Unsuccessful

Free text

Release 1 — day 0, dose 1

2021-01-06

Systemic reaction (other): Sinus pain

Release 2 — day 0, dose 2

2021-01-27

Systemic reaction (other): Sinus pressure

Release 2 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): Lack of appetite

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Arrhythmia- heart rate over 120 while laying down for approximately 5 minutes

Release 4 — day 14, dose 2

2021-02-10

Symptoms: Tired

Release 4 — day 35, dose 2

2021-03-03

Symptoms: Early, heavy period. Have dr appointment for tomorrow.

Release 8 — 3 months, dose 2

2021-04-28

Symptoms: Possible urinary tract infection. Have dr Appt later today.

Release 9 — 6 months, dose 2

2021-07-28

Symptoms: Heavy periods and diagnosed with Hashimotos.

Healthcare visit (other): Doctors visits and tests

Release 10 — days 1–6 daily, dose 3

2021-12-02

Systemic reaction (other): Sniffles

Release 10 — day 21, dose 3

2021-12-21

Symptoms: UTI

Healthcare visit (other): Dr Visit

Release 10 — day 28, dose 3

2021-12-28

Symptoms: Sore throat

Release 12 — 12 months, dose 3

2022-11-30

Symptoms: Hashimotos Abdominal discomfort

Healthcare visit (other): Drs visit

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	Office visit	✓	·	✓
SD	Abdominal discomfort	·	·	✓
SD	Autoimmune thyroiditis	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Menstruation irregular	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Unevaluable event	✓	✓	✓
SD	Urinary tract infection	·	·	✓
SRO	Arrhythmia	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Paranasal sinus discomfort	✓	✓	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Sinus pain	✓	✓	✓

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