U55-19052-61721

3 vaccinations 8 coded responses 25 check-ins 8 free-text entries 9 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 921 / CA
Registered: 2020-12-21

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

2020-12-21
Registered in v-safe
2020-12-21
Dose 1 — Pfizer-BioNTech
2020-12-21
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2020-12-28
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-11
Dose 2 — Pfizer-BioNTech
2021-01-11
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · 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
2021-01-13
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities

2 call case(s)
2021-01-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · None

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 · Headache

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: Arthralgia, Reaction to previous exposure to any vaccine, Self-medication, Sleep disorder — Feeling: Good

Free text: Joint pain in hands and feet - improving with ibuprofen - noticed and ignored after first dose. Worsened after second dose and began to wake me from sleep last week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
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
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-04
Dose 3 — Pfizer-BioNTech
2021-10-07
Survey response — days 1–6 daily, dose 3
MedDRA: Chest pain — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Chest pain worse with activity, laying flat or deep breathing

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Report sent to call center — days 1–6 daily, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
2021-10-08
Survey response — days 1–6 daily, dose 3
MedDRA: Chest pain, Pain, Self-medication — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Moderate Chest pain - improved with ibuprofen worse with activity

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-09
Survey response — days 1–6 daily, dose 3
MedDRA: Chest pain — Feeling: Fair · Joint pains · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Chest pain - moderate

MedDRA releases: 2024-11 · check-in free text available
2021-10-09
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-10
Survey response — days 1–6 daily, dose 3
MedDRA: Chest pain, Self-medication — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Chest pain - improved with Ibuprofen

MedDRA releases: 2024-11 · check-in free text available
2021-10-10
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-11
Survey response — day 7, dose 3
MedDRA: Chest pain, Pain — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Chest pain - persistent dull ache and occasional sharp pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-11
Report sent to call center — day 7, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-12
Call 1 — Left Voicemail
2021-10-13
Call 2 — Left Voicemail
2021-10-14
Call 3 — Left Voicemail
2021-10-18
Survey response — day 14, dose 3
MedDRA: Chest pain, Electrocardiogram abnormal — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Chest pain since 10/5. Abnormal EKG 10/11. STAT ECHO 10/12 - normal

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Report sent to call center — day 14, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-18
Call successful
Participant prefers to complete VAERS report online
2021-10-18
Call successful
Participant prefers to complete VAERS report online
2021-10-18
Call successful
Participant prefers to complete VAERS report online
2021-10-18
Call successful
Participant prefers to complete VAERS report online
2021-10-18
Call successful
Participant prefers to complete VAERS report online
2021-11-01
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-11
Call 2 — Left Voicemail
2021-11-15
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-20
Call 3 — Left Voicemail
2022-10-04
Survey response — 12 months, dose 3
MedDRA: COVID-19, Chest pain, Electrocardiogram abnormal — 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: Abnormal EKG and chest pain after COVID vaccine and worse after COVID infection

MedDRA releases: 2024-11 · check-in free text available
2022-10-04
Report sent to call center — 12 months, dose 3
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)
2022-10-05
Call 1 — Left Voicemail
2022-10-05
Call 1 — Left Voicemail
2022-10-05
Call successful
Does not wish to fill out VAERS report
2022-10-05
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-21	Pfizer-BioNTech
2	2021-01-11	Pfizer-BioNTech
3	2021-10-04	Pfizer-BioNTech	No

Call center

9 call center cases

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

See the call center timeline

Free text

Release 3 — day 28, dose 2

2021-02-08

Symptoms: Joint pain in hands and feet - improving with ibuprofen - noticed and ignored after first dose. Worsened after second dose and began to wake me from sleep last week.

Release 10 — days 1–6 daily, dose 3

2021-10-07

Systemic reaction (other): Chest pain worse with activity, laying flat or deep breathing

2021-10-08

Systemic reaction (other): Moderate Chest pain - improved with ibuprofen worse with activity

2021-10-09

Systemic reaction (other): Chest pain - moderate

2021-10-10

Systemic reaction (other): Chest pain - improved with Ibuprofen

Release 10 — day 7, dose 3

2021-10-11

Systemic reaction (other): Chest pain - persistent dull ache and occasional sharp pain

Release 10 — day 14, dose 3

2021-10-18

Symptoms: Chest pain since 10/5. Abnormal EKG 10/11. STAT ECHO 10/12 - normal

Release 12 — 12 months, dose 3

2022-10-04

Symptoms: Abnormal EKG and chest pain after COVID vaccine and worse after COVID infection

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	Arthralgia	✓	✓	✓
SD	Chest pain	·	·	✓
SD	COVID-19	·	·	✓
SD	Electrocardiogram abnormal	·	·	✓
SD	Immunisation	○	○	○
SD	Reaction to previous exposure to any vaccine	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Sleep disorder	✓	✓	✓
SRO	Chest pain	·	·	✓
SRO	Pain	·	·	✓
SRO	Self-medication	·	·	✓

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