PTU-20701-19622

2 vaccinations 6 coded responses 19 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 973 / OR
Registered: 2020-12-24

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2020-12-23
Dose 1 — Pfizer-BioNTech
2020-12-24
Registered in v-safe
2020-12-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2020-12-27
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Headache, Malaise, Pain — Feeling: Good

Free text: I felt symptoms (headache, malaise, aches, chills) on the night of the injection (13 hrs after), and the next day. Relieved by Tylenol 1000 mg.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-01
Survey response — day 7, dose 1
MedDRA: Flushing, Hyperhidrosis, Pyrexia — Feeling: Fair · Fever

Free text: Flushing and sweating, feeling like fever breaking

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Dose 2 — Pfizer-BioNTech
2021-01-13
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Chills, Fatigue, Myalgia, Pain — Feeling: Good · Site: Pain · Be unable to do your normal daily activities

Free text: I had chills, joint pains, muscle aches, body aches, fatigue all day yesterday, 01/12/2021. I received 2nd dose on 01/11/2021. Today, 01/13/2021, I feel much better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-08
Survey response — day 28, dose 2
MedDRA: Eye irritation, Lacrimation increased, Paranasal sinus discomfort, Throat irritation, Upper-airway cough syndrome — Feeling: Fair

Free text: I usually don't have allergies but have heen having burning watery eyes, post nasal drip, sinus pressure, throat itchiness, etc. I know allergies can develop any time, and it's probably just coincidence, but figured I should mention since it's new.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-12
Survey response — 3 months, dose 2
MedDRA: Menstruation delayed, Oral herpes — Feeling: Good

Free text: I had a minor cold sore outbreak on my upper in lip. I have never had a cold sore prior. I also skipped a period and was not pregnant. I usually never miss/skip periods, and typically bleed too long/frequently rather than scarcely.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-11
Survey response — 12 months, dose 2
MedDRA: Ectopic pregnancy — Feeling: Good · 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: Ectopic pregnancy after receiving COVID booster immunization (Pfeizer).

MedDRA releases: 2024-11 · check-in free text available
2022-01-11
Report sent to call center — 12 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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-01-12
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-23	Pfizer-BioNTech
2	2021-01-11	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-01-13	priority 2/3
2022-01-11	Successful 2022-01-12	Participant prefers to complete VAERS report online

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-27

Systemic reaction (other): I felt symptoms (headache, malaise, aches, chills) on the night of the injection (13 hrs after), and the next day. Relieved by Tylenol 1000 mg.

Release 1 — day 7, dose 1

2021-01-01

Systemic reaction (other): Flushing and sweating, feeling like fever breaking

Release 1 — days 1–6 daily, dose 2

2021-01-13

Systemic reaction (other): I had chills, joint pains, muscle aches, body aches, fatigue all day yesterday, 01/12/2021. I received 2nd dose on 01/11/2021. Today, 01/13/2021, I feel much better.

Release 3 — day 28, dose 2

2021-02-08

Symptoms: I usually don't have allergies but have heen having burning watery eyes, post nasal drip, sinus pressure, throat itchiness, etc. I know allergies can develop any time, and it's probably just coincidence, but figured I should mention since it's new. cut off by CDC

Release 7 — 3 months, dose 2

2021-04-12

Symptoms: I had a minor cold sore outbreak on my upper in lip. I have never had a cold sore prior. I also skipped a period and was not pregnant. I usually never miss/skip periods, and typically bleed too long/frequently rather than scarcely.

Release 10 — 12 months, dose 2

2022-01-11

Symptoms: Ectopic pregnancy after receiving COVID booster immunization (Pfeizer).

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	Ectopic pregnancy	·	·	✓
SD	Eye irritation	✓	✓	✓
SD	Lacrimation increased	✓	✓	✓
SD	Menstruation delayed	✓	✓	✓
SD	Oral herpes	✓	✓	✓
SD	Paranasal sinus discomfort	✓	✓	✓
SD	Throat irritation	✓	✓	✓
SD	Upper-airway cough syndrome	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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