RU6-10572-34721

2 vaccinations 8 coded responses 24 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 112 / NY
Registered: 2021-12-20

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

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

2021-12-20
Registered in v-safe
2021-12-20
Dose 1 — Pfizer-BioNTech
2021-12-20
Health check-in — day 0, dose 1
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-12-22
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Lethargy — Feeling: Fair · Site: Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Dizziness, lethargic

MedDRA releases: 2024-11 · check-in free text available
2021-12-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-24
Survey response — days 1–6 daily, dose 1
MedDRA: Sinus congestion — Feeling: Fair · Site: Swelling · Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Sinus congestion

MedDRA releases: 2024-11 · check-in free text available
2021-12-25
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Sinus congestion — Feeling: Poor · Site: Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sinus congestion, dry cough

MedDRA releases: 2024-11 · check-in free text available
2021-12-26
Survey response — days 1–6 daily, dose 1
MedDRA: Migraine, Neck pain, Sinus congestion — Feeling: Poor · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Neck pain, migraine and sinus congestion

MedDRA releases: 2024-11 · check-in free text available
2021-12-27
Survey response — day 7, dose 1
MedDRA: Chest pain — Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Mild Chest pain

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Survey response — day 14, dose 1
MedDRA: Cough, Dermatitis, Dyspnoea, Lichen planus, Pre-existing disease — Feeling: Fair · Be unable to work or attend school

Free text: Dry cough, inflammation of previous Lichen Planus, shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2022-01-10
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2022-01-19
Survey response — day 28, dose 1
MedDRA: Breast pain, Lethargy — Feeling: Fair

Free text: Still feeling somewhat lethargic. I am also experiencing pain in my left breast.

MedDRA releases: 2024-11 · check-in free text available
2022-01-31
Health check-in — day 42, dose 1
Feeling: Fair

Adult check-in
2022-02-03
Dose 2 — Pfizer-BioNTech
2022-02-03
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Adult check-in
2022-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-02-10
Health check-in — day 7, dose 2
Feeling: Fair · Site: Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-02-17
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2022-02-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2022-03-03
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2022-03-19
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2022-08-06
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2023-02-03
Survey response — 12 months, dose 2
MedDRA: Adenomyosis, Cardiovascular disorder, Hepatomegaly, Unevaluable event, Vaginal haemorrhage — Feeling: Poor · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-02-03
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2023-02-06
Call 1 — Left Voicemail
2023-02-06
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-12-20	Pfizer-BioNTech	No
2	2022-02-03	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 1

2021-12-22

Systemic reaction (other): Dizziness, lethargic

2021-12-24

Systemic reaction (other): Sinus congestion

2021-12-25

Systemic reaction (other): Sinus congestion, dry cough

2021-12-26

Systemic reaction (other): Neck pain, migraine and sinus congestion

Release 10 — day 7, dose 1

2021-12-27

Systemic reaction (other): Mild Chest pain

Release 10 — day 14, dose 1

2022-01-03

Symptoms: Dry cough, inflammation of previous Lichen Planus, shortness of breath

Release 10 — day 28, dose 1

2022-01-19

Symptoms: Still feeling somewhat lethargic. I am also experiencing pain in my left breast.

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	Unevaluable event	·	·	✓
SD	Adenomyosis	·	·	✓
SD	Breast pain	·	·	✓
SD	Cardiovascular disorder	·	·	✓
SD	Cough	·	·	✓
SD	Dermatitis	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Hepatomegaly	·	·	✓
SD	Lethargy	·	·	✓
SD	Lichen planus	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Vaginal haemorrhage	·	·	✓
SRO	Chest pain	·	·	✓
SRO	Cough	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Lethargy	·	·	✓
SRO	Migraine	·	·	✓
SRO	Neck pain	·	·	✓
SRO	Sinus congestion	·	·	✓

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