K3C-13462-65787

2 vaccinations 12 coded responses 21 check-ins 12 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 775 / TX
Registered: 2021-03-04

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

2021-03-04
Registered in v-safe
2021-03-04
Dose 1 — Pfizer-BioNTech
2021-03-04
Survey response — day 0, dose 1
MedDRA: Lymph node pain — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Arm pit/ lymph node pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Paraesthesia — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Nerve tingling on one side of face/ mouth. Since day 1

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Paraesthesia oral — Feeling: Fair · Fever · Chills, Headache

Free text: Nerve tingling in lips/face left side. Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Paraesthesia, Paraesthesia oral — Feeling: Good

Free text: Continued tingling left side face/mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia, Hypoaesthesia oral, Menstruation delayed, Paraesthesia, Paraesthesia oral — Feeling: Good

Free text: Period was delayed 4 days. Continued numbness/ tingling left side mouth/face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Survey response — day 7, dose 1
MedDRA: Hypoaesthesia oral, Paraesthesia oral — Feeling: Good

Free text: Nerve tingling/numbness left side of mouth/lips

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-25
Dose 2 — Pfizer-BioNTech
2021-03-25
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-26
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia oral, Paraesthesia oral, Tremor — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Tingling & numbness in lips. Uncontrollable body shaking (severe)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema — Feeling: Good · Fever · Joint pains, Muscle or body aches

Free text: Intermittent redness in ear/neck/face on left side (injection side)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Survey response — day 21, dose 2
MedDRA: Arthralgia, Fatigue, Headache — Feeling: Poor · Be unable to work, 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: Headache. Severe fatigue. Joint pain all over

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
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)
2021-04-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-06
Survey response — day 42, dose 2
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sharp increase in joint pain with no known cause. Right Wrist & both ankles. Left hip.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Survey response — 3 months, dose 2
MedDRA: Colitis ulcerative, Pre-existing disease — 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, Emergency room or emergency department visit

Free text: Ulcerative colitis-

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Report sent to call center — 3 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)
2021-06-26
Call 1 — Left Voicemail
2021-09-23
Survey response — 6 months, dose 2
MedDRA: Biopsy colon abnormal, Colitis ulcerative — 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

Free text: Ulcerative Colitis started April 2021 a few weeks after the 2nd shot. Officially biopsied and diagnosed in June 2021

MedDRA releases: 2024-11 · check-in free text available
2021-09-23
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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2021-09-27
Call successful
Participant prefers to complete VAERS report online
2022-03-30
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Pfizer-BioNTech
2	2021-03-25	Pfizer-BioNTech

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-04

Systemic reaction (other): Arm pit/ lymph node pain

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): Nerve tingling on one side of face/ mouth. Since day 1

2021-03-07

Systemic reaction (other): Nerve tingling in lips/face left side. Dizziness

2021-03-08

Systemic reaction (other): Continued tingling left side face/mouth

2021-03-09

Systemic reaction (other): Period was delayed 4 days. Continued numbness/ tingling left side mouth/face

Release 5 — day 7, dose 1

2021-03-14

Systemic reaction (other): Nerve tingling/numbness left side of mouth/lips

Release 6 — days 1–6 daily, dose 2

2021-03-26

Systemic reaction (other): Tingling & numbness in lips. Uncontrollable body shaking (severe)

2021-03-29

Systemic reaction (other): Intermittent redness in ear/neck/face on left side (injection side)

Release 7 — day 21, dose 2

2021-04-15

Symptoms: Headache. Severe fatigue. Joint pain all over

Release 8 — day 42, dose 2

2021-05-06

Symptoms: Sharp increase in joint pain with no known cause. Right Wrist & both ankles. Left hip.

Release 9 — 3 months, dose 2

2021-06-24

Symptoms: Ulcerative colitis-

Release 9 — 6 months, dose 2

2021-09-23

Symptoms: Ulcerative Colitis started April 2021 a few weeks after the 2nd shot. Officially biopsied and diagnosed in June 2021

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	Arthralgia	✓	✓	✓
SD	Biopsy colon abnormal	·	·	✓
SD	Colitis ulcerative	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Pre-existing disease	✓	✓	○
SRO	Dizziness	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Hypoaesthesia oral	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Menstruation delayed	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Tremor	✓	✓	✓

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