XXW-16310-64099

4 vaccinations 7 coded responses 46 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 660 / KS
Registered: 2021-03-28

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-24
Dose 1 — Pfizer-BioNTech
2021-03-28
Registered in v-safe
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Headache, Impaired work ability, Mobility decreased, Myalgia, Pain in jaw, Pyrexia — Feeling: Good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-31
Health check-in — 7 day, dose 1
Feeling: Good · Chills, Fatigue or tiredness

Adult check-in
2021-04-07
Health check-in — 14 day, dose 1
Feeling: Good

Adult check-in
2021-04-14
Dose 2 — Pfizer-BioNTech
2021-04-14
Health check-in — 0 day, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-15
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, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — 7 day, dose 2
Feeling: Good · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-04-29
Health check-in — 14 day, dose 2
Feeling: Good

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

Adult check-in
2021-05-12
Health check-in — 28 day, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — 35 day, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — 42 day, dose 2
Feeling: Good

Adult check-in
2021-07-14
Survey response — 3 month, dose 2
MedDRA: Diarrhoea, Fatigue — Feeling: Poor · Be unable to work or attend school

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-10-13
Health check-in — 6 month, dose 2
Feeling: Good

Adult check-in
2021-10-26
Dose 3 — Pfizer-BioNTech
2021-10-26
Health check-in — 0 day, dose 3
Feeling: Good · Site: Pain · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Contusion — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-02
Health check-in — 7 day, dose 3
Feeling: Good · None

Adult check-in
2021-11-09
Health check-in — 14 day, dose 3
Feeling: Good

Adult check-in
2021-11-16
Health check-in — 21 day, dose 3
Feeling: Good

Adult check-in
2021-11-23
Health check-in — 28 day, dose 3
Feeling: Good

Adult check-in
2021-11-30
Health check-in — 35 day, dose 3
Feeling: Good

Adult check-in
2021-12-07
Survey response — 42 day, dose 3
MedDRA: Diarrhoea, Lethargy, Myalgia, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-01-25
Survey response — 3 month, dose 3
MedDRA: Dyspnoea, Myalgia, Oropharyngeal pain, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-04-21
Dose 4 — Pfizer-BioNTech
2022-04-23
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-04-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-25
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · 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

Adult check-in
2022-04-26
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains, Muscle or body aches, Diarrhea

Adult check-in
2022-04-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2022-04-28
Health check-in — 7 day, dose 4
Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2022-04-28
Report sent to call center — 7 day, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-02
Call successful
Participant prefers to complete VAERS report online
2022-05-05
Health check-in — 14 day, dose 4
Feeling: Good

Adult check-in
2022-05-12
Health check-in — 21 day, dose 4
Feeling: Good

Adult check-in
2022-05-19
Health check-in — 28 day, dose 4
Feeling: Good

Adult check-in
2022-05-28
Health check-in — 35 day, dose 4
Feeling: Good

Adult check-in
2022-06-02
Health check-in — 42 day, dose 4
Feeling: Good

Adult check-in
2022-07-23
Health check-in — 3 month, dose 4
Feeling: Good

Adult check-in
2022-10-20
Health check-in — 6 month, dose 4
Feeling: Good

Adult check-in
2023-04-21
Health check-in — 12 month, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Pfizer-BioNTech
2	2021-04-14	Pfizer-BioNTech
3	2021-10-26	Pfizer-BioNTech	No
4	2022-04-21	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-04-28	Successful 2022-05-02	Participant prefers to complete VAERS report online

Free text

Release 6

Systemic reaction (other): March 24th headache and jaw pain shortly after vaccination followed later in the day by tiredness, muscle soreness. Later unable to lift my left arm. March 25th unable to lift my I left arm, tiredness, muscle aches, fever. Unable to work. March 26th same as the day before although arm pain subsided. Unable to work.

Release 7

Systemic reaction (other): Swollen lymp node in left armpit

Systemic reaction (other): Swollen lymphnode under left armpit

Release 9

Symptoms: Diarrhea, extreme tiredness

Release 10

Systemic reaction (other): Bruising

Symptoms: Diarrhea, fever, lethargic, muscle aches

Release 11

Symptoms: Shortness of breath, sore throat, fever,muscle aches

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	Diarrhoea	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Lethargy	·	·	✓
SD	Myalgia	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	·	·	✓
SRO	Contusion	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Impaired work ability	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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