8XB-15625-19917

3 vaccinations 6 coded responses 20 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 981 / WA
Registered: 2021-05-14

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

2021-05-14
Registered in v-safe
2021-05-14
Dose 1 — Pfizer-BioNTech
2021-05-14
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-05-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-28
Survey response — day 14, dose 1
MedDRA: Headache — Feeling: Fair

Free text: Head aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-06
Dose 2 — Pfizer-BioNTech
2021-06-06
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-06-07
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-06-08
Survey response — days 1–6 daily, dose 2
MedDRA: Menstrual disorder — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Abdominal pain

Free text: Started my period ten days early.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains, Abdominal pain

Adult check-in
2021-06-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-06-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-12-10
Dose 3 — Moderna
2021-12-28
Survey response — day 14, dose 3
MedDRA: Cough, Headache, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: Poor · Be unable to work or attend school

Free text: Positive covid test. Fever headache congestion throat, sore throat, chest cough

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Survey response — day 21, dose 3
MedDRA: Cough, Throat irritation — Feeling: Poor · Be unable to work or attend school

Free text: Raw throat from coughing

MedDRA releases: 2024-11 · check-in free text available
2022-01-07
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-01-21
Survey response — day 42, dose 3
MedDRA: Anxiety, Depression — 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 · Telehealth, virtual health, or email health consultation

Free text: Depression and anxiety

MedDRA releases: 2024-11 · check-in free text available
2022-01-21
Report sent to call center — day 42, 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-26
Call successful
Participant prefers to complete VAERS report online
2022-06-12
Survey response — 6 months, dose 3
MedDRA: Brain fog, COVID-19, Confusional state, Coordination abnormal, Depression, Fatigue, Speech disorder developmental — 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 · Telehealth, virtual health, or email health consultation

Free text: Covid again, brain fog depression decline in coordination Delayed speech Easily confused Exhausted

MedDRA releases: 2024-11 · check-in free text available
2022-06-12
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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-06-13
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-14	Pfizer-BioNTech
2	2021-06-06	Pfizer-BioNTech
3	2021-12-10	Moderna	No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 8 — day 14, dose 1

2021-05-28

Symptoms: Head aches

Release 8 — days 1–6 daily, dose 2

2021-06-08

Systemic reaction (other): Started my period ten days early.

Release 10 — day 14, dose 3

2021-12-28

Symptoms: Positive covid test. Fever headache congestion throat, sore throat, chest cough

Release 10 — day 21, dose 3

2021-12-31

Symptoms: Raw throat from coughing

Release 11 — day 42, dose 3

2022-01-21

Symptoms: Depression and anxiety

Release 12 — 6 months, dose 3

2022-06-12

Symptoms: Covid again, brain fog depression decline in coordination Delayed speech Easily confused Exhausted

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	Anxiety	·	·	✓
SD	Brain fog	·	·	✓
SD	Confusional state	·	·	✓
SD	Coordination abnormal	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Depression	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Speech disorder developmental	·	·	✓
SD	Throat irritation	·	·	✓
SRO	Menstrual disorder	✓	✓	✓

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