DW5-33657-64923

3 vaccinations 14 coded responses 38 check-ins 14 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 551 / MN
Registered: 2021-05-04

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

2021-05-04
Registered in v-safe
2021-05-04
Dose 1 — Pfizer-BioNTech
2021-05-04
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-05
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site reaction, Nerve compression, Paraesthesia — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Pinching feeling in tricep on arm where shot given; numbness and intense tingling in both arms from elbows to fingertips (lasted about 20 min 19 hrs post injection)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — days 1–6 daily, dose 1
MedDRA: Myalgia, Nerve compression — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: still pinching feeling in my triceps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle discomfort — Feeling: Good · Site: Pain · Fever

Free text: still pinching feeling in triceps but less intense

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Diarrhea, Abdominal pain

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-11
Survey response — day 7, dose 1
MedDRA: Heavy menstrual bleeding, Office visit — Feeling: Good · Headache · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Very heavy and long menstruation · Healthcare visit (other): Primary HCP appt tomorrow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-25
Dose 2 — Pfizer-BioNTech
2021-05-25
Survey response — day 0, dose 2
MedDRA: Paraesthesia — Feeling: Good · Site: Pain

Free text: both arms from elbows to hands are tingling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — days 1–6 daily, dose 2
MedDRA: Hot flush — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Hot flashes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — days 1–6 daily, dose 2
MedDRA: Hot flush — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Hot flashes in left foot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-01
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-06
Survey response — day 42, dose 2
MedDRA: Biopsy, Menstrual disorder, Office visit, Surgery, Uterine dilation and curettage, Uterine polyp — 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, Hospitalization

Free text: Symptoms: Abnormal periods led to multiple appts, polyps found in uterus, and DNC with biopsy today · Healthcare visit (other): Outpatient surgery

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-06
Report sent to call center — day 42, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-07-08
Call successful
Does not wish to fill out VAERS report
2021-07-08
Call successful
Does not wish to fill out VAERS report
2021-08-24
Survey response — 3 months, dose 2
MedDRA: Feeling hot — Feeling: Good

Free text: Occasional heat spots on legs

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-23
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-20
Dose 3 — Pfizer-BioNTech
2021-12-20
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · None

Adult check-in
2021-12-21
Survey response — days 1–6 daily, dose 3
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Numb tingling hands and fingers

MedDRA releases: 2024-11 · check-in free text available
2021-12-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-12-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-12-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-12-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-12-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-27
Health check-in — day 7, dose 3
Feeling: Fair · Headache

Adult check-in
2022-01-03
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-01-10
Survey response — day 21, dose 3
MedDRA: Fatigue, Headache — Feeling: Good · Be unable to do your normal daily activities

Free text: Headaches, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-01-17
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-24
Survey response — day 35, dose 3
MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: Good

Free text: Congestion, sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-01-31
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-21
Survey response — 3 months, dose 3
MedDRA: Ear pain, Fatigue, Headache, Malaise, Pyrexia, Respiratory tract congestion, Rhinitis, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Covid-like symptoms but tested negative (fever, congestion, rhinitis, earache, body aches, headache, & fatigue that lasted 3 weeks)

MedDRA releases: 2024-11 · check-in free text available
2022-06-20
Survey response — 6 months, dose 3
MedDRA: Hypertension, Palpitations — Feeling: Fair · 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: Racing heart, high blood pressure

MedDRA releases: 2024-11 · check-in free text available
2022-06-20
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-21
Call successful
Does not wish to fill out VAERS report
2022-12-20
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-04	Pfizer-BioNTech
2	2021-05-25	Pfizer-BioNTech
3	2021-12-20	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-11	Successful 2021-07-08	Does not wish to fill out VAERS report
2021-07-06	Successful 2021-07-08	Does not wish to fill out VAERS report
2022-06-20	Successful 2022-06-21	Does not wish to fill out VAERS report

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-05

Systemic reaction (other): Pinching feeling in tricep on arm where shot given; numbness and intense tingling in both arms from elbows to fingertips (lasted about 20 min 19 hrs post injection)

2021-05-06

Systemic reaction (other): still pinching feeling in my triceps

2021-05-07

Systemic reaction (other): still pinching feeling in triceps but less intense

Release 8 — day 7, dose 1

2021-05-11

Systemic reaction (other): Very heavy and long menstruation

Healthcare visit (other): Primary HCP appt tomorrow

Release 8 — day 0, dose 2

2021-05-25

Systemic reaction (other): both arms from elbows to hands are tingling

Release 8 — days 1–6 daily, dose 2

2021-05-26

Systemic reaction (other): Hot flashes

2021-05-27

Systemic reaction (other): Hot flashes in left foot

Release 9 — day 42, dose 2

2021-07-06

Symptoms: Abnormal periods led to multiple appts, polyps found in uterus, and DNC with biopsy today

Healthcare visit (other): Outpatient surgery

Release 9 — 3 months, dose 2

2021-08-24

Symptoms: Occasional heat spots on legs

Release 10 — days 1–6 daily, dose 3

2021-12-21

Systemic reaction (other): Numb tingling hands and fingers

Release 10 — day 21, dose 3

2022-01-10

Symptoms: Headaches, fatigue

Release 11 — day 35, dose 3

2022-01-24

Symptoms: Congestion, sore throat

Release 11 — 3 months, dose 3

2022-03-21

Symptoms: Covid-like symptoms but tested negative (fever, congestion, rhinitis, earache, body aches, headache, & fatigue that lasted 3 weeks)

Release 12 — 6 months, dose 3

2022-06-20

Symptoms: Racing heart, high blood pressure

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	✓	✓	✓
HCVO	Surgery	✓	✓	✓
SD	Biopsy	✓	✓	✓
SD	Ear pain	·	·	✓
SD	Fatigue	·	·	✓
SD	Feeling hot	✓	·	✓
SD	Headache	·	·	✓
SD	Hypertension	·	·	✓
SD	Malaise	·	·	✓
SD	Menstrual disorder	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Palpitations	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinitis	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Uterine dilation and curettage	✓	✓	✓
SD	Uterine polyp	✓	✓	✓
SRO	Heavy menstrual bleeding	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Hypoaesthesia	·	·	✓
SRO	Injection site reaction	✓	✓	✓
SRO	Muscle discomfort	✓	✓	✓
SRO	Myalgia	·	·	✓
SRO	Nerve compression	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓

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