XY2-37798-06122

4 vaccinations 15 coded responses 45 check-ins 15 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 490 / MI
Registered: 2021-07-07

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-07-07
Registered in v-safe
2021-07-07
Dose 1 — Pfizer-BioNTech
2021-07-07
Health check-in — 0 day, dose 1
Feeling: Good · None

Adult check-in
2021-07-09
Survey response — days 1–6 daily, dose 1
MedDRA: COVID-19, Pain in extremity — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-07-10
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea exertional — Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-07-11
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-07-12
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-07-13
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-07-14
Health check-in — 7 day, dose 1
Feeling: Good · None

Adult check-in
2021-07-21
Health check-in — 14 day, dose 1
Feeling: Good

Adult check-in
2021-07-28
Dose 2 — Pfizer-BioNTech
2021-07-28
Health check-in — 0 day, dose 2
Feeling: Good · None

Adult check-in
2021-07-29
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2024-11 · check-in answers available
2021-07-30
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Dysstasia, Fatigue, Feeling abnormal, Palpitations, Sensory disturbance — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2024-11 · check-in answers available
2021-07-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-08-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-08-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-08-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-08-04
Survey response — 7 day, dose 2
MedDRA: Injection site erythema, Injection site scab — Feeling: Good

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

Adult check-in
2021-08-19
Health check-in — 21 day, dose 2
Feeling: Good

Adult check-in
2021-08-25
Health check-in — 28 day, dose 2
Feeling: Good

Adult check-in
2021-09-01
Health check-in — 35 day, dose 2
Feeling: Good

Adult check-in
2021-09-08
Health check-in — 42 day, dose 2
Feeling: Good

Adult check-in
2021-10-27
Health check-in — 3 month, dose 2
Feeling: Good

Adult check-in
2022-01-19
Dose 3 — Pfizer-BioNTech
2022-01-24
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal distension — Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-01-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-01-26
Health check-in — 7 day, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-02-02
Survey response — 14 day, dose 3
MedDRA: Facial pain, Lymphadenopathy, Neck pain, Pain, Pain in jaw — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-02-09
Survey response — 21 day, dose 3
MedDRA: Dysphonia, Headache, Upper-airway cough syndrome — Feeling: Fair

MedDRA releases: 2024-11 · check-in answers available
2022-02-16
Survey response — 28 day, dose 3
MedDRA: Migraine with aura, Urinary tract infection — 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
2022-02-16
Report sent to call center — 28 day, dose 3
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)
2022-02-17
Call 1 — Left Voicemail
2022-02-17
Call successful
Does not wish to fill out VAERS report
2022-02-24
Health check-in — 35 day, dose 3
Feeling: Good

Adult check-in
2022-03-02
Health check-in — 42 day, dose 3
Feeling: Good

Adult check-in
2022-04-22
Survey response — 3 month, dose 3
MedDRA: Arthropod bite — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11 · check-in answers available
2022-04-22
Report sent to call center — 3 month, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-25
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-11
Dose 4 — Pfizer-BioNTech
2022-07-11
Survey response — 0 day, dose 4
MedDRA: Arthralgia, Self-medication — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-07-12
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-07-13
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-07-15
Survey response — days 1–6 daily, dose 4
MedDRA: Abdominal distension, Cardiac disorder, Dyspnoea, Myalgia — Feeling: Good · Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-07-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-07-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2022-07-18
Health check-in — 7 day, dose 4
Feeling: Good · None

Adult check-in
2022-07-25
Health check-in — 14 day, dose 4
Feeling: Good

Adult check-in
2022-08-01
Health check-in — 21 day, dose 4
Feeling: Good

Adult check-in
2022-08-08
Health check-in — 28 day, dose 4
Feeling: Good

Adult check-in
2022-08-15
Health check-in — 35 day, dose 4
Feeling: Good

Adult check-in
2022-08-22
Health check-in — 42 day, dose 4
Feeling: Good

Adult check-in
2022-10-12
Health check-in — 3 month, dose 4
Feeling: Good

Adult check-in
2023-01-09
Health check-in — 6 month, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-07-07	Pfizer-BioNTech	No
2	2021-07-28	Pfizer-BioNTech	No
3	2022-01-19	Pfizer-BioNTech	No
4	2022-07-11	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-02-16	Successful 2022-02-17	Does not wish to fill out VAERS report
2022-04-22	Successful 2022-04-25	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 9

Systemic reaction (other): Sharp pain in foot. During COVID 19 back in October I would have sudden stabbing pain in my leg

Systemic reaction (other): Had some shortness of breath on light exertion.

Systemic reaction (other): Feeling better!!!!

Systemic reaction (other): Feeling much better. Worried about after effects of second shot since I didnt feel so well with this first one. They say it is worse with the second shot. YUCK!!!!

Systemic reaction (other): Swollen lymph glands under shot arm and same side neck still.

Systemic reaction (other): A little dizziness

Systemic reaction (other): I feel tired and every time I do something I feel my heart racing and my head feeling odd. I have to sit down. I feel shortness of breath. I feel like my blood pressure goes up. Sitting down helps.

Systemic reaction (other): This pertains to my first vaccination which I had in my RIGHT arm. Around the injection site have appeared a few scabby raised scabby raised things. I have just picked them off. One is still red after several days. Should I be concerned?

Release 11

Systemic reaction (other): Bloating

Symptoms: My right side of my face along the jaw line, and my jaw hurts. It started 4 or 5 days ago. It hurt to open my mouth at all and chew. The lymph nodes are swollen and my neck is sore. Not sure if connected to vaccine or not. Better now than it was but cut off by CDC

Symptoms: headache, post nasal drip, hoarse voice

Symptoms: UTI and migraine auras

Symptoms: Bit by a tick. Taking Doxycycline for 6 weeks.

Release 12

Systemic reaction (other): My knee hurts in a place that usually doesn't hurt. Took 2 Tylenol moments ago and hopefully it will feel better soon.

Systemic reaction (other): Missed yesterday and these symptoms were yesterday . Lots of bloating and a bad muscle soreness in my opposite arm from the shot arm. And sime heart irregularities and shortness of breath. All yesterday and fine today.

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	Arthropod bite	·	·	✓
SD	Dysphonia	·	·	✓
SD	Facial pain	·	·	✓
SD	Headache	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Migraine with aura	·	·	✓
SD	Neck pain	·	·	✓
SD	Pain	·	·	✓
SD	Pain in jaw	·	·	✓
SD	Upper-airway cough syndrome	·	·	✓
SD	Urinary tract infection	·	·	✓
SRO	Abdominal distension	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Cardiac disorder	·	·	✓
SRO	COVID-19	✓	✓	✓
SRO	Dizziness	✓	·	✓
SRO	Dyspnoea	✓	·	✓
SRO	Dyspnoea exertional	✓	✓	✓
SRO	Dysstasia	✓	·	✓
SRO	Fatigue	✓	·	✓
SRO	Feeling abnormal	✓	·	✓
SRO	Injection site erythema	✓	·	✓
SRO	Injection site scab	✓	·	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Myalgia	·	·	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Palpitations	✓	·	✓
SRO	Self-medication	·	·	✓
SRO	Sensory disturbance	✓	·	✓
SRO	Unevaluable event	✓	✓	✓

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