VE2-28087-24981

4 vaccinations 10 coded responses 39 check-ins 10 free-text entries 5 call cases

Sex: —
Age at first dose: 31-35
ZIP prefix: 972 / OR
Registered: 2021-02-06

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

2021-02-05
Dose 1 — Pfizer-BioNTech
2021-02-06
Registered in v-safe
2021-02-06
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair

Free text: Sometimes thought I felt a little light headed but maybe I'm imagining it I'm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: Migraine, Vertigo — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Migraine. Vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — days 1–6 daily, dose 1
MedDRA: Migraine, Nausea, Vertigo — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · 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: I'm coming out of a migraine that included vertigo and nausea. Not normal for me, but probably not vaccine related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Report sent to call center — days 1–6 daily, 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)
2021-02-12
Survey response — day 7, dose 1
MedDRA: Asthenopia, Migraine, Vertigo — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Strange visual strain, mild vertigo sensations probable remnant of migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — day 14, dose 1
MedDRA: Migraine — Feeling: Fair · 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: I experienced a migraine. That was out of character for me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
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)
2021-02-26
Dose 2 — Pfizer-BioNTech
2021-02-26
Health check-in — day 0, dose 2
Feeling: Fair · Headache

Adult check-in
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia, Vaccine positive rechallenge — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Had some tingling/pins and needles in my arm about 3hrs after injection. Had it on the first dose too but forgot to mention.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-03-05
Health check-in — day 7, dose 2
Feeling: Fair · Headache

Adult check-in
2021-03-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-19
Survey response — day 21, dose 2
MedDRA: Arthralgia, Back pain, Musculoskeletal stiffness, Neck pain, Paraesthesia — Feeling: Poor · Be unable to work, 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: Neck, shoulder, back pain, stiffness, tingling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Report sent to call center — day 21, 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)
2021-03-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-09
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-28
Call 1 — Left Voicemail
2021-08-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-09
Dose 3 — Pfizer-BioNTech
2021-10-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-10-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-16
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-23
Survey response — day 14, dose 3
MedDRA: Dizziness, Fatigue, Headache, Nasal pruritus, Upper-airway cough syndrome — Feeling: Poor · Be unable to do your normal daily activities

Free text: Fatigue, dizziness, itchy sinuses, post-nasal drip, headache

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-06
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-13
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-20
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-08
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-09
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-09-15
Dose 4 — Pfizer-BioNTech
2022-09-30
Survey response — day 14, dose 4
MedDRA: COVID-19 — 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 · Telehealth, virtual health, or email health consultation

Free text: I contracted Covid 19 for the first time. I became symptomatic on 9/25/2022.

MedDRA releases: 2024-11 · check-in free text available
2022-09-30
Report sent to call center — day 14, dose 4
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)
2022-10-04
Call successful
Participant prefers to complete VAERS report online
2022-10-04
Call successful
Participant prefers to complete VAERS report online
2022-10-04
Call successful
Participant prefers to complete VAERS report online
2022-10-04
Call successful
Participant prefers to complete VAERS report online
2022-10-06
Health check-in — day 21, dose 4
Feeling: Poor

Adult check-in
2022-10-14
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-10-20
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-10-29
Survey response — day 42, dose 4
MedDRA: Abdominal pain — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Abdominal pain

MedDRA releases: 2024-11 · check-in free text available
2022-10-29
Report sent to call center — day 42, dose 4
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-31
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-05	Pfizer-BioNTech
2	2021-02-26	Pfizer-BioNTech
3	2021-10-09	Pfizer-BioNTech	No
4	2022-09-15	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-02-11	Successful 2022-10-04	Participant prefers to complete VAERS report online
2021-02-19	Successful 2022-10-04	Participant prefers to complete VAERS report online
2021-03-19	Successful 2022-10-04	Participant prefers to complete VAERS report online
2022-09-30	Successful 2022-10-04	Participant prefers to complete VAERS report online
2022-10-29	Unsuccessful

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-06

Systemic reaction (other): Sometimes thought I felt a little light headed but maybe I'm imagining it I'm

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): Migraine. Vertigo

2021-02-11

Systemic reaction (other): I'm coming out of a migraine that included vertigo and nausea. Not normal for me, but probably not vaccine related.

Release 4 — day 7, dose 1

2021-02-12

Systemic reaction (other): Strange visual strain, mild vertigo sensations probable remnant of migraine

Release 4 — day 14, dose 1

2021-02-19

Symptoms: I experienced a migraine. That was out of character for me.

Release 4 — days 1–6 daily, dose 2

2021-02-27

Systemic reaction (other): Had some tingling/pins and needles in my arm about 3hrs after injection. Had it on the first dose too but forgot to mention.

Release 5 — day 21, dose 2

2021-03-19

Symptoms: Neck, shoulder, back pain, stiffness, tingling

Release 10 — day 14, dose 3

2021-10-23

Symptoms: Fatigue, dizziness, itchy sinuses, post-nasal drip, headache

Release 12 — day 14, dose 4

2022-09-30

Symptoms: I contracted Covid 19 for the first time. I became symptomatic on 9/25/2022.

Release 12 — day 42, dose 4

2022-10-29

Symptoms: Abdominal pain

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	Abdominal pain	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dizziness	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Migraine	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Nasal pruritus	·	·	✓
SD	Neck pain	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Upper-airway cough syndrome	·	·	✓
SRO	Asthenopia	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Vaccine positive rechallenge	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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