XYA-31949-60380

3 vaccinations 14 coded responses 27 check-ins 14 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 495 / MI
Registered: 2021-01-08

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

2021-01-08
Registered in v-safe
2021-01-08
Dose 1 — Pfizer-BioNTech
2021-01-08
Health check-in — 0 day, dose 1
Feeling: Good · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-15
Health check-in — 7 day, dose 1
Feeling: Poor · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-01-15
Report sent to call center — 7 day, dose 1
Be unable to work

1 call case(s)
2021-01-24
Health check-in — 14 day, dose 1
Feeling: Good

Adult check-in
2021-01-29
Dose 2 — Pfizer-BioNTech
2021-01-29
Health check-in — 0 day, dose 2
Feeling: Good · Chills, Fatigue or tiredness

Adult check-in
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Facial pain — Feeling: Poor · Headache, Joint pains, 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
2021-02-01
Survey response — days 1–6 daily, dose 2
MedDRA: Facial pain, Medical counselling — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-01
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Facial pain — Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-02
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: Facial pain — Feeling: Good · Muscle or body aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-04
Survey response — days 1–6 daily, dose 2
MedDRA: Facial pain — Feeling: Fair · Muscle or body aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-05
Survey response — 7 day, dose 2
MedDRA: Facial pain, Tongue discolouration — Feeling: Good · Muscle or body aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-12
Health check-in — 14 day, dose 2
Feeling: Good

Adult check-in
2021-02-19
Survey response — 21 day, dose 2
MedDRA: Facial pain — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-26
Survey response — 28 day, dose 2
MedDRA: Facial pain — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-05
Health check-in — 35 day, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — 42 day, dose 2
Feeling: Good

Adult check-in
2021-05-02
Health check-in — 3 month, dose 2
Feeling: Good

Adult check-in
2021-05-31
Call 1 — Left Voicemail
2021-08-01
Health check-in — 6 month, dose 2
Feeling: Good

Adult check-in
2021-08-22
Dose 3 — Pfizer-BioNTech
2021-09-02
Survey response — 7 day, dose 3
MedDRA: Arthralgia, Dyspnoea, Headache — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

MedDRA releases: 2021-09,2024-11 · check-in answers available
2021-09-05
Survey response — 14 day, dose 3
MedDRA: Chest discomfort, Dizziness, Dyspnoea, Ear pain, Eye pain, Heart rate increased, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2024-11 · check-in answers available
2021-09-12
Survey response — 21 day, dose 3
MedDRA: Arthralgia, Bone pain, Chest discomfort, Fatigue — Feeling: Poor · Be unable to work or attend school

MedDRA releases: 2024-11 · check-in answers available
2021-09-19
Survey response — 28 day, dose 3
MedDRA: Angina pectoris, Arthralgia, Cardiac discomfort, Chest discomfort, Chest pain, SARS-CoV-2 test negative, Weight decreased — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2021-10-03
Survey response — 42 day, dose 3
MedDRA: Pain — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2021-11-21
Health check-in — 3 month, dose 3
Feeling: Fair

Adult check-in
2022-02-20
Health check-in — 6 month, dose 3
Feeling: Fair

Adult check-in
2022-08-22
Survey response — 12 month, dose 3
MedDRA: COVID-19, Dyspnoea, Office visit, Post-acute COVID-19 syndrome — Feeling: Fair · Be unable to work or attend school, 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
2022-08-22
Report sent to call center — 12 month, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-08-23
Call 1 — Left Voicemail
2022-08-23
Call 2 — Left Voicemail
2022-08-23
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-08	Pfizer-BioNTech
2	2021-01-29	Pfizer-BioNTech
3	2021-08-22	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-15	priority 2/3
2021-02-01	Unsuccessful
2021-02-02	Unsuccessful
2022-08-22	Unsuccessful

Free text

Release 3

Systemic reaction (other): Severe Facial pain

Systemic reaction (other): My left side face hurts

Healthcare visit (other): Phone

Systemic reaction (other): Severe left facial pain

Systemic reaction (other): Mild left face pain

Systemic reaction (other): Mild facial pain left side

Systemic reaction (other): Black tongue on left side where face hurt

Release 4

Symptoms: Left face pain

Symptoms: Still left side facial pain

Release 9

Systemic reaction (other): Chest cant breathe sometimes panting like dog to catch breath, shoulder pain, severe headache this has been happening since my 3rd vaccination

Symptoms: Chest pressure dizziness sore throat eye pain ear pain rapid heart and cant breathe

Symptoms: Bone pain, shoulder pain, extreme fatigue and chest pressure

Symptoms: Significant weight loss and shoulder pain heart and chest pressure/pain with negative covid test

Symptoms: Right side pain very intense

Release 12

Symptoms: Breathing difficulties but I did have Covid. My heart doctor said long Covid

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	Medical counselling	✓	✓	✓
SD	Angina pectoris	·	·	✓
SD	Arthralgia	·	·	✓
SD	Bone pain	·	·	✓
SD	Cardiac discomfort	·	·	✓
SD	Chest discomfort	✓	·	✓
SD	Chest pain	·	·	✓
SD	COVID-19	·	·	✓
SD	Dizziness	✓	·	✓
SD	Dyspnoea	✓	·	✓
SD	Ear pain	✓	·	✓
SD	Eye pain	✓	·	✓
SD	Facial pain	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Heart rate increased	✓	·	✓
SD	Office visit	·	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pain	·	·	✓
SD	Post-acute COVID-19 syndrome	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Weight decreased	·	·	✓
SRO	Arthralgia	✓	·	✓
SRO	Dyspnoea	✓	·	✓
SRO	Facial pain	✓	✓	✓
SRO	Headache	✓	·	✓
SRO	Tongue discolouration	✓	✓	✓

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