G3F-29869-93788

3 vaccinations 5 coded responses 27 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 112 / NY
Registered: 2021-04-12

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-21
Dose 1 — Pfizer-BioNTech
2021-04-12
Registered in v-safe
2021-04-12
Survey response — day 21, dose 1
MedDRA: Fatigue, Injection site pain, Limb discomfort, Muscular weakness, Neck pain, Pain, Pain in extremity, Poor quality sleep — Feeling: Good · Be unable to do your normal daily activities

Free text: After receiving first dose, 2nd to 4th day I felt some fatigue. Left arm where shot was made, it felt tender & sore but also arm felt heavy & weak..into night I felt major neck and pain shooting down arm and during day. Didn't sleep well due to pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Dose 2 — Pfizer-BioNTech
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia, Limb discomfort, Paraesthesia — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Arm felt heavy, yesterday (during first 12 hrs after shot) felt some numbness/tingly down to fingers

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-04-25
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-05-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-18
Survey response — 6 months, dose 2
MedDRA: Alopecia, Benign neoplasm of skin, Eczema, Office visit, Pain in extremity, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: More extreme hair loss on daily basis Eczema flareups seem to be triggered more easily Had new benign fybroid growth btwn left armpit and left breast area (recently had fine needle aspiration biopsy preformed). Next followup in 6 months.Right arm pai · Healthcare visit (other): Saw Neurologist, ran emg tests. Pending appointment with rheumatologist

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-22
Call 1 — Left Voicemail
2021-12-20
Dose 3 — Moderna
2021-12-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-12-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

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

Adult check-in
2021-12-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

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

Adult check-in
2021-12-29
Health check-in — day 7, dose 3
Feeling: Good · None

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

Adult check-in
2022-01-17
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-24
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
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: Anxiety, Arthralgia, Depression, Muscular weakness, Neck pain, Pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Depression, anxiety and intermittent ongoing chronic pain in right upoer shoulder/neck and weakness in elbow right arm/hand (could be from previous injury/accident but noticeable pain)

MedDRA releases: 2024-11 · check-in free text available
2022-06-22
Survey response — 6 months, dose 3
MedDRA: Brain fog, COVID-19, Depression, Dyspnoea, Ear pain, Eczema, Epistaxis, Fatigue, Lethargy, Neuralgia, Occupational therapy, Office visit, Pain in extremity, Physiotherapy, Pre-existing disease — Feeling: Good · 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: Symptoms: Severe Depression *currently on meds*, chronic eczema flareups, Severe Fatigue/lethargy, brainfog, nerve pain ongoing and then disappeared, Covid in May and symptomes lasted more than 10 days. Earaches, nosebleeds in early AM, out of breath more · Healthcare visit (other): Neurologist from prwvious August pain ongoing, been seeing OT/PT for right arm pain which recently has been getting better

MedDRA releases: 2024-11 · check-in free text available
2022-06-22
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)
2022-06-23
Call successful
Participant prefers to complete VAERS report online
2022-12-20
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-21	Pfizer-BioNTech
2	2021-04-18	Pfizer-BioNTech
3	2021-12-20	Moderna	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 7 — day 21, dose 1

2021-04-12

Symptoms: After receiving first dose, 2nd to 4th day I felt some fatigue. Left arm where shot was made, it felt tender & sore but also arm felt heavy & weak..into night I felt major neck and pain shooting down arm and during day. Didn't sleep well due to pain. cut off by CDC

Release 7 — days 1–6 daily, dose 2

2021-04-19

Systemic reaction (other): Arm felt heavy, yesterday (during first 12 hrs after shot) felt some numbness/tingly down to fingers

Release 10 — 6 months, dose 2

2021-10-18

Symptoms: More extreme hair loss on daily basis Eczema flareups seem to be triggered more easily Had new benign fybroid growth btwn left armpit and left breast area (recently had fine needle aspiration biopsy preformed). Next followup in 6 months.Right arm pai cut off by CDC

Healthcare visit (other): Saw Neurologist, ran emg tests. Pending appointment with rheumatologist

Release 11 — 3 months, dose 3

2022-03-21

Symptoms: Depression, anxiety and intermittent ongoing chronic pain in right upoer shoulder/neck and weakness in elbow right arm/hand (could be from previous injury/accident but noticeable pain)

Release 12 — 6 months, dose 3

2022-06-22

Symptoms: Severe Depression *currently on meds*, chronic eczema flareups, Severe Fatigue/lethargy, brainfog, nerve pain ongoing and then disappeared, Covid in May and symptomes lasted more than 10 days. Earaches, nosebleeds in early AM, out of breath more

Healthcare visit (other): Neurologist from prwvious August pain ongoing, been seeing OT/PT for right arm pain which recently has been getting better

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	Occupational therapy	·	·	✓
HCVO	Office visit	·	·	✓
HCVO	Pain in extremity	·	·	✓
HCVO	Physiotherapy	·	·	✓
SD	Alopecia	·	·	✓
SD	Anxiety	·	·	✓
SD	Arthralgia	·	·	✓
SD	Benign neoplasm of skin	·	·	✓
SD	Brain fog	·	·	✓
SD	COVID-19	·	·	✓
SD	Depression	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Ear pain	·	·	✓
SD	Eczema	·	·	✓
SD	Epistaxis	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Lethargy	·	·	✓
SD	Limb discomfort	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Neuralgia	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Poor quality sleep	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓

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