GR6-36055-54166

3 vaccinations 18 coded responses 34 check-ins 18 free-text entries 5 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 782 / TX
Registered: 2021-04-23

Relationship: Self
Race: American Indian or Alaska Native
Ethnicity: Hispanic or Latino

Timeline

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

2021-04-22
Dose 1 — Pfizer-BioNTech
2021-04-23
Registered in v-safe
2021-04-23
Survey response — days 1–6 daily, dose 1
MedDRA: Burning sensation, Hypoaesthesia, Paraesthesia — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Burning/Numbness/Pins & Needles (paresthesia?) in the left side of my body from injection site up to my face.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction, Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Free text: I have chronic pain issues. So, I believe the symptoms I reported today are unrelated to the shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: The symptoms I am having today are from conditions unrelated to the shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction, Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: These symptoms are from pre-existing conditions unrelated to the shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — days 1–6 daily, dose 1
MedDRA: Office visit, Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): These symptoms are due to pre-existing unrelated conditions. · Healthcare visit (other): Doctor visit with primary care physician...

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-29
Survey response — day 7, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: These symptoms are due to pre-existing conditions unrelated to the shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 14, dose 1
MedDRA: Taste disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Change in sense of taste. Coffee tastes AWFUL now. It just started a few days ago. It's like rancid-tasting, no matter what kind I drink or if I make it myself or buy it. :(

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Dose 2 — Pfizer-BioNTech
2021-05-13
Survey response — day 0, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Symptoms listed are due to unrelated chronic conditions...

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: The symptoms I checked off are from unrelated chronic illnesses.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-17
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: These symptoms are related to unrelated pre-existing chronic illness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: These symptoms are due to unrelated pre-existing chronic illness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Survey response — day 7, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: These symptoms are due to unrelated pre-existing chronic illness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-06-07
Survey response — day 21, dose 2
MedDRA: Back pain, Musculoskeletal chest pain, Neck pain, Pyrexia, Unevaluable event — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Rib pain. Back pain. Neck pain. Low-grade fever. · Healthcare visit (other): Going in a few hours to PCP. May end up going to ER, pending advice from PCP.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-10
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-25
Survey response — day 42, dose 2
MedDRA: Pre-existing disease — 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, Emergency room or emergency department visit

Free text: Gallbladder issues, nerve pain, bulging disc pain--all issues prior to vaccination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
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)
2021-06-28
Call 1 — Left Voicemail
2021-08-14
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-11-11
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-13
Dose 3 — Pfizer-BioNTech
2021-11-13
Health check-in — day 0, dose 3
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Headache, 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

Adult check-in
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-16
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fever · Headache, Joint pains · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-17
Survey response — days 1–6 daily, dose 3
MedDRA: Palpitations — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Heart palpitations

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-20
Health check-in — day 7, dose 3
Feeling: Fair · Joint pains, Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-04
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-12
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-20
Survey response — day 35, dose 3
MedDRA: Unevaluable event — 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 · Outpatient clinic or urgent care clinic visit

Free text: Possible pancreatitis--still being investigated.

MedDRA releases: 2024-11 · check-in free text available
2021-12-20
Report sent to call center — day 35, 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-21
Call 1 — Left Voicemail
2021-12-25
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-14
Survey response — 3 months, dose 3
MedDRA: SARS-CoV-2 test positive — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Positive Rapid Antigen Test For COVID-19 February 6th, 2022

MedDRA releases: 2024-11 · check-in free text available
2022-05-15
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-11-13
Survey response — 12 months, dose 3
MedDRA: Pancreatitis chronic, Postural orthostatic tachycardia syndrome — 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, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Diagnosed with Postural Orthostatic Tachycardia Syndrome and Chronic Pancreatitis

MedDRA releases: 2024-11 · check-in free text available
2022-11-13
Report sent to call center — 12 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 · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-11-14
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-14
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-14
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-14
Call successful
Participant prefers to complete VAERS report online
2022-11-14
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-22	Pfizer-BioNTech
2	2021-05-13	Pfizer-BioNTech
3	2021-11-13	Pfizer-BioNTech	No

Call center

5 call center cases

5 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-23

Systemic reaction (other): Burning/Numbness/Pins & Needles (paresthesia?) in the left side of my body from injection site up to my face.

2021-04-25

Systemic reaction (other): I have chronic pain issues. So, I believe the symptoms I reported today are unrelated to the shot.

Release 8 — days 1–6 daily, dose 1

2021-04-26

Systemic reaction (other): The symptoms I am having today are from conditions unrelated to the shot.

2021-04-27

Systemic reaction (other): These symptoms are from pre-existing conditions unrelated to the shot.

2021-04-28

Systemic reaction (other): These symptoms are due to pre-existing unrelated conditions.

Healthcare visit (other): Doctor visit with primary care physician...

Release 8 — day 7, dose 1

2021-04-29

Systemic reaction (other): These symptoms are due to pre-existing conditions unrelated to the shot.

Release 8 — day 14, dose 1

2021-05-06

Symptoms: Change in sense of taste. Coffee tastes AWFUL now. It just started a few days ago. It's like rancid-tasting, no matter what kind I drink or if I make it myself or buy it. :(

Release 8 — day 0, dose 2

2021-05-13

Systemic reaction (other): Symptoms listed are due to unrelated chronic conditions...

Release 8 — days 1–6 daily, dose 2

2021-05-14

Systemic reaction (other): The symptoms I checked off are from unrelated chronic illnesses.

2021-05-17

Systemic reaction (other): These symptoms are related to unrelated pre-existing chronic illness.

2021-05-18

Systemic reaction (other): These symptoms are due to unrelated pre-existing chronic illness.

Release 8 — day 7, dose 2

2021-05-22

Systemic reaction (other): These symptoms are due to unrelated pre-existing chronic illness.

Release 8 — day 21, dose 2

2021-06-07

Symptoms: Rib pain. Back pain. Neck pain. Low-grade fever.

Healthcare visit (other): Going in a few hours to PCP. May end up going to ER, pending advice from PCP.

Release 9 — day 42, dose 2

2021-06-25

Symptoms: Gallbladder issues, nerve pain, bulging disc pain--all issues prior to vaccination.

Release 10 — days 1–6 daily, dose 3

2021-11-17

Systemic reaction (other): Heart palpitations

Release 10 — day 35, dose 3

2021-12-20

Symptoms: Possible pancreatitis--still being investigated.

Release 11 — 3 months, dose 3

2022-02-14

Symptoms: Positive Rapid Antigen Test For COVID-19 February 6th, 2022

Release 12 — 12 months, dose 3

2022-11-13

Symptoms: Diagnosed with Postural Orthostatic Tachycardia Syndrome and Chronic Pancreatitis

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	Unevaluable event	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Musculoskeletal chest pain	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Pancreatitis chronic	·	·	✓
SD	Postural orthostatic tachycardia syndrome	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Taste disorder	✓	✓	✓
SD	Unevaluable event	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Burning sensation	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Palpitations	·	·	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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