VJB-10552-99189

4 vaccinations 9 coded responses 47 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 076 / NJ
Registered: 2021-04-16

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

2021-04-12
Dose 1 — Pfizer-BioNTech
2021-04-16
Registered in v-safe
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-17
Survey response — days 1–6 daily, dose 1
MedDRA: Ocular hyperaemia — Feeling: Good · Fatigue or tiredness

Free text: Red eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Survey response — days 1–6 daily, dose 1
MedDRA: Ocular hyperaemia — Feeling: Good · Fatigue or tiredness

Free text: Red blood shot eye

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — day 7, dose 1
MedDRA: Ocular hyperaemia — Feeling: Good · Fatigue or tiredness

Free text: Red eye

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-03
Survey response — day 21, dose 1
MedDRA: Fatigue — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-09
Dose 2 — Pfizer-BioNTech
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-05-14
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
2021-05-16
Health check-in — day 7, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-23
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-07
Survey response — day 28, dose 2
MedDRA: Migraine — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-04
Call 2 — Could Not Reach Participant
2021-09-13
Call 3 — Left Voicemail
2021-11-07
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-12-15
Dose 3 — Pfizer-BioNTech
2021-12-15
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-12-16
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-17
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-12-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-12-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-22
Health check-in — day 7, dose 3
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-12-29
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-07
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-12
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-21
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-01-26
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-03-16
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-15
Survey response — 6 months, dose 3
MedDRA: Large intestine polyp, Vitamin D decreased — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Low Vitamin D levels, and colon polyps

MedDRA releases: 2024-11 · check-in free text available
2022-06-15
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-06-16
Call 1 — Left Voicemail
2022-06-16
Call 1 — Left Voicemail
2022-06-16
Call 1 — Left Voicemail
2022-12-14
Dose 4 — Pfizer-BioNTech
2022-12-14
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-12-15
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Redness · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-12-16
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-12-17
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-12-18
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-12-20
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-12-21
Health check-in — day 7, dose 4
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-12-28
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2023-01-04
Survey response — day 21, dose 4
MedDRA: Headache — Feeling: Fair

MedDRA releases: 2024-11
2023-01-12
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2023-01-18
Survey response — day 35, dose 4
MedDRA: Fatigue, Oropharyngeal pain — Feeling: Fair

MedDRA releases: 2024-11
2023-01-25
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-03-16
Survey response — 3 months, dose 4
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-06-15
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-12	Pfizer-BioNTech
2	2021-05-09	Pfizer-BioNTech
3	2021-12-15	Pfizer-BioNTech	No
4	2022-12-14	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-03	Unsuccessful
2021-06-07	Unsuccessful
2022-06-15	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-17

Systemic reaction (other): Red eyes

2021-04-18

Systemic reaction (other): Red blood shot eye

Release 7 — day 7, dose 1

2021-04-19

Systemic reaction (other): Red eye

Release 8 — day 21, dose 1

2021-05-03

Symptoms: Fatigue

Release 8 — day 28, dose 2

2021-06-07

Symptoms: Migraine

Release 12 — 6 months, dose 3

2022-06-15

Symptoms: Low Vitamin D levels, and colon polyps

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	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Large intestine polyp	·	·	✓
SD	Migraine	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Vitamin D decreased	·	·	✓
SRO	Ocular hyperaemia	✓	✓	✓

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