HPD-23658-16963

3 vaccinations 8 coded responses 37 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 983 / WA
Registered: 2021-04-30

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

2021-04-30
Registered in v-safe
2021-04-30
Dose 1 — Pfizer-BioNTech
2021-04-30
Survey response — day 0, dose 1
MedDRA: Feeling hot, Nausea — Feeling: Fair · Site: Pain · Fever · Be unable to do your normal daily activities

Free text: I felt heat and a bit nauseous- almost like I was slightly carsick

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-04
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspepsia — Feeling: Good

Free text: Heartburn like on the first day

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

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-07
Health check-in — day 7, dose 1
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-05-14
Survey response — day 14, dose 1
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen lymph nodes in neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-24
Dose 2 — Pfizer-BioNTech
2021-05-24
Survey response — day 0, dose 2
MedDRA: Dizziness, Immediate post-injection reaction, Pain in extremity — Feeling: Good · Site: Pain

Free text: Pain down entire arm mostly forearm and slight dizziness 20-30 min after shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-27
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Fatigue, Headache — Feeling: Good · Site: Pain · Fever · Chills, Headache

Free text: Slight headache, tiredness, slight chills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fever · Chills, Joint pains

Adult check-in
2021-05-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

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

Adult check-in
2021-05-31
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-14
Dose 3 — Pfizer-BioNTech
2021-12-14
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-12-15
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-16
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, 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
2021-12-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-12-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-12-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Abdominal pain

Adult check-in
2021-12-21
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-12-28
Survey response — day 14, dose 3
MedDRA: Lacrimation increased, Sneezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sneezing, watery eyes

MedDRA releases: 2024-11 · check-in free text available
2022-01-06
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-11
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-18
Survey response — day 35, dose 3
MedDRA: Gastrointestinal pain — Feeling: Fair

Free text: Gastrointestinal pain

MedDRA releases: 2024-11 · check-in free text available
2022-01-25
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-03-17
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-14
Survey response — 6 months, dose 3
MedDRA: COVID-19, Chest discomfort, Cough, Headache, Respiratory tract congestion — 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 · Telehealth, virtual health, or email health consultation

Free text: COVID infection- congestion, cough, chest tightness, headache

MedDRA releases: 2024-11 · check-in free text available
2022-06-14
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)
2022-06-15
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-30	Pfizer-BioNTech
2	2021-05-24	Pfizer-BioNTech
3	2021-12-14	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 8 — day 0, dose 1

2021-04-30

Systemic reaction (other): I felt heat and a bit nauseous- almost like I was slightly carsick

Release 8 — days 1–6 daily, dose 1

2021-05-04

Systemic reaction (other): Heartburn like on the first day

Release 8 — day 14, dose 1

2021-05-14

Symptoms: Swollen lymph nodes in neck

Release 8 — day 0, dose 2

2021-05-24

Systemic reaction (other): Pain down entire arm mostly forearm and slight dizziness 20-30 min after shot

Release 8 — days 1–6 daily, dose 2

2021-05-27

Systemic reaction (other): Slight headache, tiredness, slight chills

Release 10 — day 14, dose 3

2021-12-28

Symptoms: Sneezing, watery eyes

Release 10 — day 35, dose 3

2022-01-18

Symptoms: Gastrointestinal pain

Release 12 — 6 months, dose 3

2022-06-14

Symptoms: COVID infection- congestion, cough, chest tightness, headache

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	Chest discomfort	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Gastrointestinal pain	·	·	✓
SD	Headache	·	·	✓
SD	Lacrimation increased	·	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sneezing	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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