T82-13152-27991

3 vaccinations 6 coded responses 26 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 727 / AR
Registered: 2021-04-10

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

2021-04-10
Registered in v-safe
2021-04-10
Dose 1 — Pfizer-BioNTech
2021-04-10
Health check-in — day 0, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling, Itching · None

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling, Itching · None

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-19
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-24
Survey response — day 14, dose 1
MedDRA: Fatigue, Somnolence — Feeling: Fair · Be unable to do your normal daily activities

Free text: Very fatigue. Want to sleep all the time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Dose 2 — Pfizer-BioNTech
2021-05-01
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Ear discomfort, Eye pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Eye pain and pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-22
Survey response — day 21, dose 2
MedDRA: Skin lesion, Skin swelling — Feeling: Good

Free text: I have new flat, brown skin lesions around where I received the 1st and 2nd vaccinations and one raised, brown skin lesion at the injection site of my 2nd vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-05
Survey response — day 35, dose 2
MedDRA: Dyspnoea, Fatigue — Feeling: Poor · Be unable to do your normal daily activities

Free text: SOB and fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-11-02
Survey response — 6 months, dose 2
MedDRA: Office visit, Skin lesion — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Multiple raised skin lesions that I am having to have a dermatologist look at. · Healthcare visit (other): Dermatology appt

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-05
Call successful
Participant prefers to complete VAERS report online
2022-04-05
Dose 3 — Pfizer-BioNTech
2022-05-01
Survey response — day 21, dose 3
MedDRA: Headache, Pain, Pyrexia — Feeling: Good · Be unable to work or attend school

Free text: 12 hrs after booster I had a fever of 101.9, severe body aches and headache

MedDRA releases: 2024-11 · check-in free text available
2022-05-03
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-05-12
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-05-17
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-07-07
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-10-06
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-10	Pfizer-BioNTech
2	2021-05-01	Pfizer-BioNTech
3	2022-04-05	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — day 14, dose 1

2021-04-24

Symptoms: Very fatigue. Want to sleep all the time.

Release 8 — days 1–6 daily, dose 2

2021-05-02

Systemic reaction (other): Eye pain and pressure

Release 8 — day 21, dose 2

2021-05-22

Symptoms: I have new flat, brown skin lesions around where I received the 1st and 2nd vaccinations and one raised, brown skin lesion at the injection site of my 2nd vaccine.

Release 8 — day 35, dose 2

2021-06-05

Symptoms: SOB and fatigue.

Release 10 — 6 months, dose 2

2021-11-02

Symptoms: Multiple raised skin lesions that I am having to have a dermatologist look at.

Healthcare visit (other): Dermatology appt

Release 11 — day 21, dose 3

2022-05-01

Symptoms: 12 hrs after booster I had a fever of 101.9, severe body aches and headache

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	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Skin lesion	✓	✓	✓
SD	Skin swelling	✓	✓	✓
SD	Somnolence	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Eye pain	✓	✓	✓

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