XV4-64780-88539

3 vaccinations 12 coded responses 37 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 970 / OR
Registered: 2021-04-22

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

2021-04-21
Dose 1 — Pfizer-BioNTech
2021-04-22
Registered in v-safe
2021-04-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-28
Survey response — 7 day, dose 1
MedDRA: Axillary pain — Feeling: Good · Muscle or body aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-05
Health check-in — 14 day, dose 1
Feeling: Good

Adult check-in
2021-05-12
Dose 2 — Pfizer-BioNTech
2021-05-12
Survey response — 0 day, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-13
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-14
Survey response — days 1–6 daily, dose 2
MedDRA: Oedema peripheral — Feeling: Poor · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-05-16
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-19
Health check-in — 7 day, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-26
Health check-in — 14 day, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — 21 day, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — 28 day, dose 2
Feeling: Good

Adult check-in
2021-06-16
Health check-in — 35 day, dose 2
Feeling: Good

Adult check-in
2021-06-23
Health check-in — 42 day, dose 2
Feeling: Good

Adult check-in
2021-08-11
Health check-in — 3 month, dose 2
Feeling: Good

Adult check-in
2021-11-10
Dose 3 — Pfizer-BioNTech
2021-11-10
Survey response — 6 month, dose 2
MedDRA: Discomfort, Disturbance in attention, Dizziness, Headache — Feeling: Fair · Be unable to work or attend school

MedDRA releases: 2024-11 · check-in answers available
2021-11-12
Survey response — days 1–6 daily, dose 3
MedDRA: Back pain, Lymph node pain, Lymphadenopathy — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2021-11-13
Survey response — days 1–6 daily, dose 3
MedDRA: Joint stiffness, Lymphadenopathy — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

MedDRA releases: 2024-11 · check-in answers available
2021-11-14
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy, Pelvic pain — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

MedDRA releases: 2024-11 · check-in answers available
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Nausea, Abdominal pain

Adult check-in
2021-11-17
Health check-in — 7 day, dose 3
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-11-24
Health check-in — 14 day, dose 3
Feeling: Good

Adult check-in
2021-12-01
Health check-in — 21 day, dose 3
Feeling: Good

Adult check-in
2021-12-08
Health check-in — 28 day, dose 3
Feeling: Good

Adult check-in
2021-12-15
Health check-in — 35 day, dose 3
Feeling: Good

Adult check-in
2021-12-22
Health check-in — 42 day, dose 3
Feeling: Good

Adult check-in
2022-02-09
Survey response — 3 month, dose 3
MedDRA: Abdominal discomfort, Anxiety, Irritable bowel syndrome, Migraine, Pre-existing disease — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-05-11
Health check-in — 6 month, dose 3
Feeling: Good

Adult check-in
2022-11-10
Survey response — 12 month, dose 3
MedDRA: Foot operation — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11 · check-in answers available
2022-11-10
Report sent to call center — 12 month, 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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-11
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-21	Pfizer-BioNTech
2	2021-05-12	Pfizer-BioNTech
3	2021-11-10	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-11-10	Unsuccessful

Free text

Release 7

Systemic reaction (other): Very Slightly soreness at injection site

Release 8

Systemic reaction (other): Armpit pain

Systemic reaction (other): Dizziness

Systemic reaction (other): Bad Back ache

Systemic reaction (other): Armpit swelling

Systemic reaction (other): backache

Release 10

Symptoms: Very bad headache, slight dizziness, trouble concentrating, body feeling heavy

Systemic reaction (other): Lymph node swelling and pain, backache

Systemic reaction (other): Swollen Lymph nodes in armpit, stiff joints

Systemic reaction (other): Swollen lymph nodes in armpit, pelvis pain

Release 11

Symptoms: Upset stomach/IBS flare up, anxiety, migraine headache

Release 12

Symptoms: I had foot surgery, so this has nothing to do with my vaccine.

Free-text releases are not linked to a specific 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 discomfort	·	·	✓
SD	Anxiety	·	·	✓
SD	Discomfort	·	·	✓
SD	Disturbance in attention	·	·	✓
SD	Dizziness	·	·	✓
SD	Foot operation	·	·	✓
SD	Headache	·	·	✓
SD	Irritable bowel syndrome	·	·	✓
SD	Migraine	·	·	✓
SD	Pre-existing disease	·	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Joint stiffness	·	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Pelvic pain	·	·	✓

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