LV3-51898-77989

3 vaccinations 9 coded responses 31 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 871 / NM
Registered: 2021-03-10

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

2021-03-10
Registered in v-safe
2021-03-10
Dose 1 — Pfizer-BioNTech
2021-03-10
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Renal pain — Feeling: Good

Free text: My kidney area has been increasingly sore since the shot. I thought it was a back ache, but when you knock the kidney area it's isolated to that area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Renal pain — Feeling: Good

Free text: Kidney soreness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Renal pain — Feeling: Good

Free text: kidney soreness, getting better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-31
Dose 2 — Pfizer-BioNTech
2021-03-31
Health check-in — day 0, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Renal pain — Feeling: Good · Site: Pain

Free text: Kidneys a little sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — day 7, dose 2
Feeling: Good · None

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

Adult check-in
2021-04-21
Survey response — day 21, dose 2
MedDRA: Headache, Nausea — Feeling: Good

Free text: nausea that might also be related to an antibiotic taken recently.some headaches behind my eyes that don't seem to have a particular other cause.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — day 28, dose 2
MedDRA: Stomatitis — Feeling: Good

Free text: Both my husband and I started getting mouth sores under the tongue and inside cheeks about a week after our second shot. We didn't think anything of it until we both had them and hadn't been eating anything acidic like tomatoes that normally cause it

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — day 35, dose 2
MedDRA: Hypothyroidism, Oral pain — Feeling: Good

Free text: Diagnosed with hypothyroidism after years of testing normal, sores in mouth continuing to come and go, which was not normal pre vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-10
Dose 3 — Pfizer-BioNTech
2021-10-27
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-31
Survey response — day 21, dose 3
MedDRA: Muscle spasms, Pregnancy, Vaginal haemorrhage — Feeling: Fair · Be unable to do your normal daily activities

Free text: cramping and spotting with pregnancy in 12th and 13th week (got booster shot at 9.5 weeks of pregnancy). Unsure if this is related.

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-14
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-21
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-09
Survey response — 3 months, dose 3
MedDRA: Dandy-Walker syndrome, Foetal disorder, Hospitalisation, Pregnancy — 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 · Hospitalization

Free text: Got booster at 9 wk pregnant, baby developed dandy Walker malformation, brain, heart, liver, and skeletal defects that were found at 21 weeks. Have been in hospital for 1 week.

MedDRA releases: 2024-11 · check-in free text available
2022-01-09
Report sent to call center — 3 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

Hospitalization · 1 call case(s)
2022-01-11
Call successful
Participant prefers to complete VAERS report online
2022-04-12
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-10
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Pfizer-BioNTech
2	2021-03-31	Pfizer-BioNTech
3	2021-10-10	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-14

Systemic reaction (other): My kidney area has been increasingly sore since the shot. I thought it was a back ache, but when you knock the kidney area it's isolated to that area

2021-03-15

Systemic reaction (other): Kidney soreness

2021-03-16

Systemic reaction (other): kidney soreness, getting better

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): Kidneys a little sore

Release 7 — day 21, dose 2

2021-04-21

Symptoms: nausea that might also be related to an antibiotic taken recently.some headaches behind my eyes that don't seem to have a particular other cause.

Release 8 — day 28, dose 2

2021-04-28

Symptoms: Both my husband and I started getting mouth sores under the tongue and inside cheeks about a week after our second shot. We didn't think anything of it until we both had them and hadn't been eating anything acidic like tomatoes that normally cause it cut off by CDC

Release 8 — day 35, dose 2

2021-05-05

Symptoms: Diagnosed with hypothyroidism after years of testing normal, sores in mouth continuing to come and go, which was not normal pre vaccine.

Release 10 — day 21, dose 3

2021-10-31

Symptoms: cramping and spotting with pregnancy in 12th and 13th week (got booster shot at 9.5 weeks of pregnancy). Unsure if this is related.

Release 10 — 3 months, dose 3

2022-01-09

Symptoms: Got booster at 9 wk pregnant, baby developed dandy Walker malformation, brain, heart, liver, and skeletal defects that were found at 21 weeks. Have been in hospital for 1 week.

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	Dandy-Walker syndrome	·	·	✓
SD	Foetal disorder	·	·	✓
SD	Headache	✓	✓	✓
SD	Hospitalisation	·	·	✓
SD	Hypothyroidism	✓	✓	✓
SD	Muscle spasms	·	·	✓
SD	Nausea	✓	✓	✓
SD	Oral pain	✓	✓	✓
SD	Pregnancy	·	·	✓
SD	Stomatitis	✓	✓	✓
SD	Vaginal haemorrhage	·	·	✓
SRO	Renal pain	✓	✓	✓

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