XWA-31431-11870

2 vaccinations 13 coded responses 19 check-ins 13 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 067 / CT
Registered: 2021-05-02

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

2021-04-30
Dose 1 — Pfizer-BioNTech
2021-05-02
Registered in v-safe
2021-05-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-03
Survey response — days 1–6 daily, dose 1
MedDRA: Disorientation, Dizziness, Migraine — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-04
Survey response — days 1–6 daily, dose 1
MedDRA: Balance disorder, Dizziness — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-05
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling cold — Feeling: Fair · Site: Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-06
Survey response — days 1–6 daily, dose 1
MedDRA: Dry mouth, Hyperhidrosis — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness, Abdominal pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-07
Health check-in — 7 day, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-05-14
Health check-in — 14 day, dose 1
Feeling: Fair

Adult check-in
2021-05-21
Survey response — 21 day, dose 1
MedDRA: Migraine — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-25
Dose 2 — Pfizer-BioNTech
2021-05-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-31
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Fair · Site: Pain, Itching · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-06-01
Survey response — 7 day, dose 2
MedDRA: Feeling cold — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-06-08
Health check-in — 14 day, dose 2
Feeling: Good

Adult check-in
2021-06-15
Survey response — 21 day, dose 2
MedDRA: Insomnia — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-06-22
Survey response — 28 day, dose 2
MedDRA: Insomnia, Migraine, Pain in extremity — Feeling: Good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-07-01
Survey response — 35 day, dose 2
MedDRA: Pain in extremity — Feeling: Good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-07-06
Survey response — 42 day, dose 2
MedDRA: Pain in extremity — Feeling: Good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-08-24
Survey response — 3 month, dose 2
MedDRA: Cerebrovascular accident, Chest pain, Fatigue, Insomnia, Pain, Pain in extremity — 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 · Emergency room or emergency department visit, Hospitalization

MedDRA releases: 2021-09,2024-11 · check-in answers available
2021-08-24
Report sent to call center — 3 month, 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)
2021-08-31
Call 2 — Left Voicemail
2022-05-25
Survey response — 12 month, dose 2
MedDRA: Hypoaesthesia, Pain in extremity — 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, Emergency room or emergency department visit, Hospitalization

MedDRA releases: 2024-11 · check-in answers available
2022-05-25
Report sent to call center — 12 month, dose 2
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 · Hospitalization · 1 call case(s)
2022-05-26
Call 1 — Left Voicemail
2022-05-26
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-30	Pfizer-BioNTech
2	2021-05-25	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-08-24	Unsuccessful
2022-05-25	Unsuccessful

Free text

Release 8

Systemic reaction (other): Light headed , migraine and disoriented

Systemic reaction (other): Light headed and a little off balance

Systemic reaction (other): Feeling cold

Systemic reaction (other): Sweats and dry mouth

Symptoms: Sever migraines sharp pains on the right side .

Systemic reaction (other): Loss of sleep . Its going on a week that Im unable to sleep

Systemic reaction (other): Feeling cold all the time

Release 9

Symptoms: I can not sleep since my 2nd vaccine .

Symptoms: Still barely any sleep , achy arm and migraines

Symptoms: Left arm pain to the tip of the fingers , where I received my vaccine

Symptoms: Left arm still hurts .

Symptoms: Silent stroke , shooting pain down my right arm where I got the shot . Sharp chest pains , fatigue and loss off sleep ..

Release 11

Symptoms: Left arm pain and numbness in left hand fingers

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	Cerebrovascular accident	✓	·	✓
SD	Chest pain	✓	·	✓
SD	Fatigue	✓	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Insomnia	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Pain	✓	·	✓
SD	Pain in extremity	✓	✓	✓
SRO	Balance disorder	✓	✓	✓
SRO	Disorientation	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dry mouth	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Migraine	✓	✓	✓

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