DX4-32970-78767

2 vaccinations 9 coded responses 22 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 806 / CO
Registered: 2021-07-31

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

2021-07-31
Registered in v-safe
2021-07-31
Dose 1 — Pfizer-BioNTech
2021-07-31
Survey response — day 0, dose 1
MedDRA: Hypoaesthesia, Immediate post-injection reaction, Injection site pain — Feeling: Good · Fatigue or tiredness

Free text: 20 mins after shot arm felt slightly numb on the arm that was injected. Burning sensation at injection site after vaccine administered.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-08-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2021-08-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-08-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-08-07
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-08-14
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-08-21
Dose 2 — Pfizer-BioNTech
2021-08-21
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-08-22
Survey response — days 1–6 daily, dose 2
MedDRA: Limb discomfort, Mobility decreased — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches

Free text: My legs feel very heavy and this morning when I woke up it felt like I weighed 800 pounds. It was hard to move.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-23
Survey response — days 1–6 daily, dose 2
MedDRA: Anxiety — Feeling: Good · Site: Pain, Redness, Swelling

Free text: Anxiety

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-25
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Neck pain, Pain in extremity — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Free text: On day 2 post vaccine, my right shoulder has been hurting from my neck down my arm. This is not the arm that was injected.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-08-27
Survey response — days 1–6 daily, dose 2
MedDRA: Malaise, Paranasal sinus discomfort — Feeling: Fair · Fever

Free text: Sinus pressure and feel unwell

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-28
Survey response — day 7, dose 2
MedDRA: Eye pain — Feeling: Good

Free text: Left eye pain, but doubt its related

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-04
Survey response — day 14, dose 2
MedDRA: Nasopharyngitis, Rash, Respiratory tract irritation — Feeling: Fair

Free text: I developed a rash coming down from my shoulder into my chest, it is mild and now going away. Today when I woke up I felt like I was getting a chest cold. My lungs felt kind of funny, now that I am up and moving around I seem to be feeling better.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-11
Survey response — day 21, dose 2
MedDRA: Ageusia, Asthenia, Body temperature increased, Myalgia, Respiratory tract congestion — Feeling: Poor

Free text: Congested, temp is rising but not a fever yet. Loss of taste, somewhat weak and some muscle pain.

MedDRA releases: 2024-11 · check-in free text available
2021-09-18
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-09-25
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-10-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-11-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-02-19
Survey response — 6 months, dose 2
MedDRA: COVID-19, Medical counselling — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Covid diagnosed 01/27/22 · Healthcare visit (other): Emailed my doctor and got a script

MedDRA releases: 2024-11 · check-in free text available
2022-02-19
Report sent to call center — 6 months, 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)
2022-02-24
Call successful
Participant prefers to complete VAERS report online
2022-08-21
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-07-31	Pfizer-BioNTech	No
2	2021-08-21	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 9 — day 0, dose 1

2021-07-31

Systemic reaction (other): 20 mins after shot arm felt slightly numb on the arm that was injected. Burning sensation at injection site after vaccine administered.

Release 9 — days 1–6 daily, dose 2

2021-08-22

Systemic reaction (other): My legs feel very heavy and this morning when I woke up it felt like I weighed 800 pounds. It was hard to move.

2021-08-23

Systemic reaction (other): Anxiety

2021-08-25

Systemic reaction (other): On day 2 post vaccine, my right shoulder has been hurting from my neck down my arm. This is not the arm that was injected.

2021-08-27

Systemic reaction (other): Sinus pressure and feel unwell

Release 9 — day 7, dose 2

2021-08-28

Systemic reaction (other): Left eye pain, but doubt its related

Release 9 — day 14, dose 2

2021-09-04

Symptoms: I developed a rash coming down from my shoulder into my chest, it is mild and now going away. Today when I woke up I felt like I was getting a chest cold. My lungs felt kind of funny, now that I am up and moving around I seem to be feeling better.

Release 9 — day 21, dose 2

2021-09-11

Symptoms: Congested, temp is rising but not a fever yet. Loss of taste, somewhat weak and some muscle pain.

Release 11 — 6 months, dose 2

2022-02-19

Symptoms: Covid diagnosed 01/27/22

Healthcare visit (other): Emailed my doctor and got a script

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	Medical counselling	·	·	✓
SD	Ageusia	·	·	✓
SD	Asthenia	·	·	✓
SD	Body temperature increased	·	·	✓
SD	COVID-19	·	·	✓
SD	Myalgia	·	·	✓
SD	Nasopharyngitis	✓	·	✓
SD	Rash	✓	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Respiratory tract irritation	✓	·	✓
SRO	Anxiety	✓	·	✓
SRO	Arthralgia	✓	·	✓
SRO	Eye pain	✓	·	✓
SRO	Hypoaesthesia	✓	·	✓
SRO	Immediate post-injection reaction	✓	·	✓
SRO	Injection site pain	✓	·	✓
SRO	Limb discomfort	✓	·	✓
SRO	Malaise	✓	·	✓
SRO	Mobility decreased	✓	·	✓
SRO	Neck pain	✓	·	✓
SRO	Pain in extremity	✓	·	✓
SRO	Paranasal sinus discomfort	✓	·	✓

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