XWN-20581-38396

2 vaccinations 7 coded responses 23 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 034 / NH
Registered: 2021-04-06

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

2021-04-05
Dose 1 — Pfizer-BioNTech
2021-04-06
Registered in v-safe
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Palpitations, Paraesthesia — Feeling: Fair · Site: Pain, Redness, Swelling · 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
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-12
Health check-in — 7 day, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-19
Health check-in — 14 day, dose 1
Feeling: Fair

Adult check-in
2021-04-26
Dose 2 — Pfizer-BioNTech
2021-04-26
Health check-in — 0 day, dose 2
Feeling: Poor · Site: Pain, Redness · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-03
Health check-in — 7 day, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-10
Survey response — 14 day, dose 2
MedDRA: Headache, Heavy menstrual bleeding, Hyperhidrosis, Neck pain — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-17
Health check-in — 21 day, dose 2
Feeling: Fair

Adult check-in
2021-05-24
Health check-in — 28 day, dose 2
Feeling: Fair

Adult check-in
2021-05-31
Survey response — 35 day, dose 2
MedDRA: Dizziness, Myalgia, Nausea, Vision blurred — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-06-07
Survey response — 42 day, dose 2
MedDRA: Fatigue, Headache, Nasopharyngitis, Pain, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test — Feeling: Poor · Be unable to work, Get care from a doctor or other healthcare professional

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-06-07
Report sent to call center — 42 day, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-26
Survey response — 3 month, dose 2
MedDRA: Bone pain, Fatigue, Headache, Menstrual disorder, Myalgia — Feeling: Fair

MedDRA releases: 2021-09,2024-11 · check-in answers available
2021-09-05
Call 1 — Left Voicemail
2021-10-25
Survey response — 6 month, dose 2
MedDRA: Fatigue, Headache, Heavy menstrual bleeding — 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

MedDRA releases: 2024-11 · check-in answers available
2021-10-25
Report sent to call center — 6 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 · 1 call case(s)
2021-10-27
Call 1 — Left Voicemail
2022-04-26
Survey response — 12 month, dose 2
MedDRA: Back pain, Headache, Heavy menstrual bleeding, Nasal congestion, Neck pain, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11 · check-in answers available
2022-04-26
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 · 1 call case(s)
2022-04-27
Call successful
Participant prefers to complete VAERS report online
2022-04-27
Call successful
Participant prefers to complete VAERS report online
2022-04-27
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-05	Pfizer-BioNTech
2	2021-04-26	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-06-07	Successful 2022-04-27	Participant prefers to complete VAERS report online
2021-10-25	Successful 2022-04-27	Participant prefers to complete VAERS report online
2022-04-26	Successful 2022-04-27	Participant prefers to complete VAERS report online

Free text

Release 7

Systemic reaction (other): A minute After i received my 1st shot it felt like my heart was racing and i felt a tingle feeling down my legs and felt a little faint that went away as fast as it came on.

Release 8

Symptoms: Headache neck pain sweating alot heavy menstrual cycle.

Symptoms: Blurry eyes dizzy nauseous sore muscles

Symptoms: Headache, chest congestion, low grade fever 100.5, nasal discharge, body aches, tired, cold symptoms

Healthcare visit (other): I had a covid 19 test done today because of my symptoms

Release 9

Symptoms: Headaches everyday tired muscles bones ache my menstrual cycle is out of wack

Release 10

Symptoms: Headaches tired heavy menstrual bleeding

Release 11

Symptoms: Headache sore throat back and neck pain nasal congestion and still having heavy menstrual bleeding.

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
HCVO	SARS-CoV-2 test	✓	✓	✓
SD	Back pain	·	·	✓
SD	Bone pain	✓	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Hyperhidrosis	✓	✓	✓
SD	Menstrual disorder	✓	·	✓
SD	Myalgia	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Vision blurred	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓

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