S9U-27855-95168

4 vaccinations 9 coded responses 37 check-ins 8 free-text entries 5 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 432 / OH
Registered: 2020-12-24

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

2020-12-24
Registered in v-safe
2020-12-24
Dose 1 — Pfizer-BioNTech
2020-12-24
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Redness · Headache

Adult check-in
2020-12-25
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Fair · Site: Pain, Redness · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Generalized feeling of itchiness all over my body

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-25
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-26
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Good · Site: Pain

Free text: Very mildly itchy all over but no rash

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea, Diarrhea

Adult check-in
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · None

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

Adult check-in
2020-12-30
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Good

Free text: Generalized itchiness without a rash or redness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Survey response — day 7, dose 1
MedDRA: Pruritus — Feeling: Good · Site: Itching

Free text: Generalized itchiness all over body, no visible rash or redness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-14
Dose 2 — Pfizer-BioNTech
2021-01-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-15
Survey response — 6 months, dose 2
MedDRA: Mastitis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Mastitis

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-15
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-19
Call 1 — Left Voicemail
2021-09-29
Dose 3 — Pfizer-BioNTech
2021-09-29
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, Vomiting · Be unable to do your normal daily activities

Adult check-in
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fever · None

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fever · None

Adult check-in
2021-10-06
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-13
Survey response — day 14, dose 3
MedDRA: Nasopharyngitis — Feeling: Fair

Free text: A head cold

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-03
Survey response — day 35, dose 3
MedDRA: Condition aggravated, Pre-existing disease, Viral upper respiratory tract infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: An old issue I used to have with my heart rate became an issue again slowly over time after I got the third Pfizer shot, and then I got a viral upper respiratory infection, and then I got my flu shot.

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Report sent to call center — day 35, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-05
Call 1 — Left Voicemail
2021-11-05
Call successful
Participant prefers to complete VAERS report online
2021-11-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-29
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-30
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-16
Dose 4 — Moderna
2022-09-29
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2022-10-16
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-21
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-28
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-16
Survey response — 3 months, dose 4
MedDRA: Hepatomegaly — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Hepatomegaly

MedDRA releases: 2024-11 · check-in free text available
2022-12-16
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-20
Call 2 — Left Voicemail
2023-03-17
Survey response — 6 months, dose 4
MedDRA: Office visit, Pulmonary mass — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-03-17
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-03-20
Call 1 — Left Voicemail
2023-03-20
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-24	Pfizer-BioNTech
2	2021-01-14	Pfizer-BioNTech
3	2021-09-29	Pfizer-BioNTech	No
4	2022-09-16	Moderna	No

Call center

5 call center cases

2 successful · 2 unsuccessful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-25

Systemic reaction (other): Generalized feeling of itchiness all over my body

2020-12-26

Systemic reaction (other): Very mildly itchy all over but no rash

2020-12-30

Systemic reaction (other): Generalized itchiness without a rash or redness

Release 1 — day 7, dose 1

2020-12-31

Systemic reaction (other): Generalized itchiness all over body, no visible rash or redness

Release 9 — 6 months, dose 2

2021-07-15

Symptoms: Mastitis

Release 10 — day 14, dose 3

2021-10-13

Symptoms: A head cold

Release 10 — day 35, dose 3

2021-11-03

Symptoms: An old issue I used to have with my heart rate became an issue again slowly over time after I got the third Pfizer shot, and then I got a viral upper respiratory infection, and then I got my flu shot.

Release 12 — 3 months, dose 4

2022-12-16

Symptoms: Hepatomegaly

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	Condition aggravated	·	·	✓
SD	Hepatomegaly	·	·	✓
SD	Mastitis	✓	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pulmonary mass	·	·	✓
SD	Viral upper respiratory tract infection	·	·	✓
SRO	Pruritus	✓	✓	✓

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