MBG-19965-51604

3 vaccinations 4 coded responses 39 check-ins 4 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 238 / VA
Registered: 2021-03-24

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

2021-03-24
Registered in v-safe
2021-03-24
Dose 1 — Pfizer-BioNTech
2021-03-24
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None · Be unable to do your normal daily activities

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-21
Dose 2 — Pfizer-BioNTech
2021-04-21
Health check-in — day 0, dose 2
Feeling: Poor · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-28
Health check-in — day 7, dose 2
Feeling: Good · None

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

Adult check-in
2021-05-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-21
Health check-in — 6 months, dose 2
Feeling: Good

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

Adult check-in
2021-12-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-12-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-12-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-12-19
Survey response — day 7, dose 3
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: From a tetanus vaccine yesterday same side as Covid vaccine

MedDRA releases: 2024-11 · check-in free text available
2021-12-26
Survey response — day 14, dose 3
MedDRA: Abdominal pain upper, Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Stomach pains and diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-01-02
Survey response — day 21, dose 3
MedDRA: Fatigue, Headache, Nasal congestion, Oropharyngeal pain, Vision blurred — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue, sore throat, nasal congestion, headache, blurry vision

MedDRA releases: 2024-11 · check-in free text available
2022-01-09
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-16
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-23
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-13
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-12
Survey response — 6 months, dose 3
MedDRA: Office visit, Temporomandibular pain and dysfunction syndrome — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Diagnosed with TMD. · Healthcare visit (other): Primary care in office visit

MedDRA releases: 2024-11 · check-in free text available
2022-06-12
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-06-13
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Pfizer-BioNTech
2	2021-04-21	Pfizer-BioNTech
3	2021-12-12	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 10 — day 7, dose 3

2021-12-19

Systemic reaction (other): From a tetanus vaccine yesterday same side as Covid vaccine

Release 10 — day 14, dose 3

2021-12-26

Symptoms: Stomach pains and diarrhea

Release 10 — day 21, dose 3

2022-01-02

Symptoms: Fatigue, sore throat, nasal congestion, headache, blurry vision

Release 12 — 6 months, dose 3

2022-06-12

Symptoms: Diagnosed with TMD.

Healthcare visit (other): Primary care in office visit

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	·	·	✓
SD	Abdominal pain upper	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Temporomandibular pain and dysfunction syndrome	·	·	✓
SD	Vision blurred	·	·	✓
SRO	Unevaluable event	·	·	✓

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