XWY-88256-44517

5 vaccinations 18 coded responses 42 check-ins 17 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 953 / CA
Registered: 2021-12-23

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

2021-04-16
Dose 1 — Pfizer-BioNTech
2021-05-07
Dose 2 — Pfizer-BioNTech
2021-12-23
Registered in v-safe
2021-12-23
Dose 3 — Pfizer-BioNTech
2021-12-23
Health check-in — 0 day, dose 3
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-12-24
Survey response — days 1–6 daily, dose 3
MedDRA: Eye pain — Feeling: Poor · Site: Pain · Fever · 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
2021-12-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-12-27
Survey response — days 1–6 daily, dose 3
MedDRA: Hypoglycaemia — Feeling: Fair · Fever · Chills, Headache, Joint pains

MedDRA releases: 2024-11 · check-in answers available
2021-12-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains

Adult check-in
2021-12-29
Survey response — days 1–6 daily, dose 3
MedDRA: Hypoglycaemia — Feeling: Good · Fatigue or tiredness

MedDRA releases: 2024-11 · check-in answers available
2021-12-30
Health check-in — 7 day, dose 3
Feeling: Good · None

Adult check-in
2022-01-06
Health check-in — 14 day, dose 3
Feeling: Good

Adult check-in
2022-01-13
Health check-in — 21 day, dose 3
Feeling: Good

Adult check-in
2022-01-20
Health check-in — 28 day, dose 3
Feeling: Good

Adult check-in
2022-01-27
Survey response — 35 day, dose 3
MedDRA: Conjunctivitis — Feeling: Good

MedDRA releases: 2024-11 · check-in answers available
2022-02-04
Health check-in — 42 day, dose 3
Feeling: Good

Adult check-in
2022-03-26
Health check-in — 3 month, dose 3
Feeling: Good

Adult check-in
2022-05-06
Dose 4 — Pfizer-BioNTech
2022-05-06
Survey response — 0 day, dose 4
MedDRA: Musculoskeletal stiffness — Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-05-07
Survey response — days 1–6 daily, dose 4
MedDRA: Arthralgia, Eye irritation, Neck pain, Pain in extremity — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-05-08
Survey response — days 1–6 daily, dose 4
MedDRA: Decreased appetite, Photophobia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-05-09
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-10
Survey response — days 1–6 daily, dose 4
MedDRA: Asthma, Cough — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

MedDRA releases: 2024-11 · check-in answers available
2022-05-11
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2022-05-12
Survey response — days 1–6 daily, dose 4
MedDRA: Asthma, Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Diarrhea

MedDRA releases: 2024-11 · check-in answers available
2022-05-13
Survey response — 7 day, dose 4
MedDRA: Asthma, Pre-existing disease — Feeling: Fair · Headache, Joint pains, Muscle or body aches

MedDRA releases: 2024-11 · check-in answers available
2022-05-20
Survey response — 14 day, dose 4
MedDRA: Acne — Feeling: Good

MedDRA releases: 2024-11 · check-in answers available
2022-05-28
Health check-in — 21 day, dose 4
Feeling: Good

Adult check-in
2022-06-03
Health check-in — 28 day, dose 4
Feeling: Good

Adult check-in
2022-06-11
Survey response — 35 day, dose 4
MedDRA: Blood pressure increased, Heart rate increased — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11 · check-in answers available
2022-06-11
Report sent to call center — 35 day, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-06-13
Call successful
Participant prefers to complete VAERS report online
2022-06-19
Health check-in — 42 day, dose 4
Feeling: Good

Adult check-in
2022-08-06
Health check-in — 3 month, dose 4
Feeling: Good

Adult check-in
2022-09-17
Dose 5 — Pfizer-BioNTech
2022-09-17
Survey response — 0 day, dose 5
MedDRA: Burning sensation, Immediate post-injection reaction — Feeling: Good · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness

MedDRA releases: 2024-11 · check-in answers available
2022-09-18
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-09-19
Survey response — days 1–6 daily, dose 5
MedDRA: Asthma, Cough — Feeling: Good · Site: Pain · Fatigue or tiredness

MedDRA releases: 2024-11 · check-in answers available
2022-09-20
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-21
Survey response — days 1–6 daily, dose 5
MedDRA: Asthma, Cough — Feeling: Good · Site: Pain · Fatigue or tiredness

MedDRA releases: 2024-11 · check-in answers available
2022-09-22
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2022-09-23
Survey response — days 1–6 daily, dose 5
MedDRA: Muscular weakness — Feeling: Poor · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-09-24
Health check-in — 7 day, dose 5
Feeling: Fair · Headache

Adult check-in
2022-10-01
Survey response — 14 day, dose 5
MedDRA: Hot flush — Feeling: Good

MedDRA releases: 2024-11 · check-in answers available
2022-10-09
Health check-in — 21 day, dose 5
Feeling: Good

Adult check-in
2022-10-16
Health check-in — 28 day, dose 5
Feeling: Good

Adult check-in
2022-10-24
Health check-in — 35 day, dose 5
Feeling: Good

Adult check-in
2022-10-31
Health check-in — 42 day, dose 5
Feeling: Good

Adult check-in
2022-12-18
Health check-in — 3 month, dose 5
Feeling: Good

Adult check-in
2023-03-18
Survey response — 6 month, dose 5
MedDRA: Blood magnesium increased, Blood potassium increased, Hypoaesthesia, Paraesthesia, Raynaud's phenomenon — Feeling: Good · 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

MedDRA releases: 2024-11 · check-in answers available
2023-03-18
Report sent to call center — 6 month, dose 5
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)
2023-03-20
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-16	Pfizer-BioNTech	No
2	2021-05-07	Pfizer-BioNTech	No
3	2021-12-23	Pfizer-BioNTech	No
4	2022-05-06	Pfizer-BioNTech	No
5	2022-09-17	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-06-11	Successful 2022-06-13	Participant prefers to complete VAERS report online
2023-03-18	Unsuccessful

Free text

Release 10

Systemic reaction (other): Eye pain

Systemic reaction (other): Hypoglycemia

Systemic reaction (other): Still getting hypoglycemia since my shot

Release 11

Symptoms: pinkeye

Systemic reaction (other): Stiff neck - same side as the injection

Systemic reaction (other): Bottom of left foot pain, neck/shoulder pain, eye irritation

Systemic reaction (other): light sensitivity, no appetite

Systemic reaction (other): Asthma attack, coughing - this has happened after all 4 Pfizer shots

Systemic reaction (other): Increased asthma ever since the shot. Happened after every shot. Mirrors the fact that my asthma got worse after actual Covid in 2020.

Systemic reaction (other): Still dealing with increased asthma since getting the shot.

Symptoms: pimply cluster on left wrist

Release 12

Symptoms: High pulse 136 / BP spike 155/89

Systemic reaction (other): A burning rash-like feeling developed on my upper back an hour after injection but there was no physical rash present.

Systemic reaction (other): Coughing/asthma

Systemic reaction (other): increased asthma, slight cough

Systemic reaction (other): Arm & leg weakness

Symptoms: My hot flashes returned.

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	Acne	·	·	✓
SD	Blood magnesium increased	·	·	✓
SD	Blood potassium increased	·	·	✓
SD	Blood pressure increased	·	·	✓
SD	Conjunctivitis	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Hot flush	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Paraesthesia	·	·	✓
SD	Raynaud's phenomenon	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Asthma	·	·	✓
SRO	Burning sensation	·	·	✓
SRO	Cough	·	·	✓
SRO	Decreased appetite	·	·	✓
SRO	Eye irritation	·	·	✓
SRO	Eye pain	·	·	✓
SRO	Hypoglycaemia	·	·	✓
SRO	Immediate post-injection reaction	·	·	✓
SRO	Muscular weakness	·	·	✓
SRO	Musculoskeletal stiffness	·	·	✓
SRO	Neck pain	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Photophobia	·	·	✓
SRO	Pre-existing disease	·	·	✓

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