V7C-13279-05354

2 vaccinations 8 coded responses 24 check-ins 8 free-text entries 9 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 471 / IN
Registered: 2020-12-16

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

2020-12-16
Registered in v-safe
2020-12-16
Dose 1 — Pfizer-BioNTech
2020-12-16
Survey response — day 0, dose 1
MedDRA: Headache — Feeling: Good · Site: Pain · Headache

Free text: Mild headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2020-12-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2020-12-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site

Adult check-in
2020-12-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2020-12-20
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site

Adult check-in
2020-12-25
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2020-12-25
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-30
Survey response — day 14, dose 1
MedDRA: Nausea, Vomiting — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Nausea and vomiting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-06
Dose 2 — Pfizer-BioNTech
2021-01-06
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-07
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Fatigue or tiredness, Nausea

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-12
Survey response — days 1–6 daily, dose 2
MedDRA: Disturbance in attention — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Just can't focus on anything that long

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-13
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-20
Call 1 — Could Not Reach Participant
2021-01-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-01-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-03
Survey response — day 28, dose 2
MedDRA: Disturbance in attention, Dizziness, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Just more tired and exhausted. Somewhat a little trouble with concentration and some dizziness but not too much.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-02-17
Survey response — day 42, dose 2
MedDRA: Arthralgia, Fatigue — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Very fatigued and shoulders hurt

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-02
Call 2 — Left Voicemail
2021-04-09
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Feeling abnormal, Otorrhoea, Swelling, Unevaluable event, Weight increased — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Weight gain and access earwax coming from my left ear. Same side as I received both vaccines on. Also my left shoulder feels like I have to put it back in socket because it hurts so bad since receiving my first vaccine. Swelling all over.Foggy thinkn · Healthcare visit (other): Will see a dentist soon since Im not able to adjust my dentures anymore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Report sent to call center — 3 months, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-21
Call 1 — Left Voicemail
2021-07-07
Survey response — 6 months, dose 2
MedDRA: Emergency care, Malaise — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I feel horrible and sick · Healthcare visit (other): Im going to go to the emergency room

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-07
Report sent to call center — 6 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

1 call case(s)
2021-07-13
Call 1 — Left Voicemail
2022-01-06
Survey response — 12 months, dose 2
MedDRA: Asthenia, Dizziness, Nausea, Office visit — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Nausea and dizziness and weakness · Healthcare visit (other): Regular family doctor visits

MedDRA releases: 2024-11 · check-in free text available
2022-01-06
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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-07
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-16	Pfizer-BioNTech
2	2021-01-06	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2020-12-20	Unsuccessful
2020-12-25	Unsuccessful
2020-12-30	Unsuccessful
2021-01-07	Unsuccessful
2021-01-12	Unsuccessful
2021-02-17	Unsuccessful
2021-04-09	Unsuccessful
2021-07-07	Unsuccessful
2022-01-06	Unsuccessful

Free text

Release 1 — day 0, dose 1

2020-12-16

Systemic reaction (other): Mild headache

Release 1 — day 14, dose 1

2020-12-30

Symptoms: Nausea and vomiting

Release 1 — days 1–6 daily, dose 2

2021-01-12

Systemic reaction (other): Just can't focus on anything that long

Release 3 — day 28, dose 2

2021-02-03

Symptoms: Just more tired and exhausted. Somewhat a little trouble with concentration and some dizziness but not too much.

Release 4 — day 42, dose 2

2021-02-17

Symptoms: Very fatigued and shoulders hurt

Release 7 — 3 months, dose 2

2021-04-09

Symptoms: Weight gain and access earwax coming from my left ear. Same side as I received both vaccines on. Also my left shoulder feels like I have to put it back in socket because it hurts so bad since receiving my first vaccine. Swelling all over.Foggy thinkn cut off by CDC

Healthcare visit (other): Will see a dentist soon since Im not able to adjust my dentures anymore

Release 9 — 6 months, dose 2

2021-07-07

Symptoms: I feel horrible and sick

Healthcare visit (other): Im going to go to the emergency room

Release 10 — 12 months, dose 2

2022-01-06

Symptoms: Nausea and dizziness and weakness

Healthcare visit (other): Regular family doctor visits

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	Emergency care	✓	✓	✓
HCVO	Office visit	·	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Asthenia	·	·	✓
SD	Disturbance in attention	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Otorrhoea	✓	✓	✓
SD	Swelling	✓	✓	✓
SD	Vomiting	✓	✓	✓
SD	Weight increased	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Headache	✓	✓	✓

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