XZ6-28942-43937

3 vaccinations 11 coded responses 39 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 109 / NY
Registered: 2021-04-01

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

Timeline

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

2021-04-01
Registered in v-safe
2021-04-01
Dose 1 — Pfizer-BioNTech
2021-04-01
Health check-in — 0 day, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — 7 day, dose 1
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — 14 day, dose 1
Feeling: Good

Adult check-in
2021-04-22
Dose 2 — Pfizer-BioNTech
2021-04-22
Health check-in — 0 day, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-29
Health check-in — 7 day, dose 2
Feeling: Fair · Site: Redness, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-06
Health check-in — 14 day, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — 21 day, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — 28 day, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — 35 day, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — 42 day, dose 2
Feeling: Good

Adult check-in
2021-07-22
Survey response — 3 month, dose 2
MedDRA: Ear infection, Oropharyngeal pain, Pyrexia — Feeling: Good · Be unable to work or attend school, 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
2021-07-22
Report sent to call center — 3 month, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-07-28
Call 1 — Left Voicemail
2021-10-21
Health check-in — 6 month, dose 2
Feeling: Good

Adult check-in
2022-02-07
Dose 3 — Moderna
2022-02-08
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-02-09
Survey response — days 1–6 daily, dose 3
MedDRA: Ageusia — Feeling: Fair · Site: Pain, Swelling · Headache

MedDRA releases: 2024-11 · check-in answers available
2022-02-10
Survey response — days 1–6 daily, dose 3
MedDRA: Ageusia — Feeling: Good · Site: Pain, Swelling · Headache

MedDRA releases: 2024-11 · check-in answers available
2022-02-11
Survey response — days 1–6 daily, dose 3
MedDRA: Ageusia — Feeling: Good · Site: Pain, Swelling · Headache, Abdominal pain

MedDRA releases: 2024-11 · check-in answers available
2022-02-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling, Itching · Fever · Headache, Abdominal pain

Adult check-in
2022-02-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2022-02-14
Survey response — 7 day, dose 3
MedDRA: Tinnitus — Feeling: Good · Site: Itching · Headache

MedDRA releases: 2024-11 · check-in answers available
2022-02-21
Survey response — 14 day, dose 3
MedDRA: Migraine, Tinnitus — Feeling: Good

MedDRA releases: 2024-11 · check-in answers available
2022-02-28
Health check-in — 21 day, dose 3
Feeling: Good

Adult check-in
2022-03-07
Survey response — 28 day, dose 3
MedDRA: Parosmia, Taste disorder — Feeling: Good

MedDRA releases: 2024-11 · check-in answers available
2022-03-14
Survey response — 35 day, dose 3
MedDRA: Gait disturbance, Loss of personal independence in daily activities, Myalgia, Nodule, Pain — Feeling: Fair

MedDRA releases: 2024-11 · check-in answers available
2022-03-21
Survey response — 42 day, dose 3
MedDRA: Arthralgia, Fatigue, Insomnia, Myalgia, Nodule — Feeling: Good

MedDRA releases: 2024-11 · check-in answers available
2022-05-09
Survey response — 3 month, dose 3
MedDRA: Ageusia, Chills, Migraine, Post-acute COVID-19 syndrome, Pyrexia — Feeling: Poor

MedDRA releases: 2024-11 · check-in answers available
2022-08-08
Survey response — 6 month, dose 3
MedDRA: Ageusia, Anosmia, Migraine, Pre-existing disease — Feeling: Good

MedDRA releases: 2024-11 · check-in answers available
2023-02-07
Health check-in — 12 month, dose 3
Feeling: Poor

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Pfizer-BioNTech
2	2021-04-22	Pfizer-BioNTech
3	2022-02-07	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-07-22	Unsuccessful

Free text

Release 9

Symptoms: I had an ear infection, fever, and sore throat

Release 11

Systemic reaction (other): Lost my sense of taste again

Systemic reaction (other): Loss sense of taste

Systemic reaction (other): Loss of taste

Systemic reaction (other): Ringing in my ears

Symptoms: Ringing in my ears have gotten worse. Also I am having migraines.

Symptoms: My sense of smell and taste have been altered.

Symptoms: I am having muscle pain on my arms and legs. It gets worse towards the end of the day. Simple tasks, like cooking or cutting meats/veggies, makes my arms hurt. Walking distances is causing my legs to form knots.

Symptoms: I have muscle and joint pains for no reason. Knots form on my legs and arm muscles. I am constantly fatigue from lack of sleep.

Symptoms: Long covid symptoms: I thought my sense of taste was coming back, but since Thursday, May 5th, my sense of taste is gone again. Also, the migraine, chills, slight fever has come back.

Release 12

Symptoms: My sense of taste/smell has not returned to normal. I think that the vaccine triggered my migraine because it has become more frequent.

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	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Arthralgia	·	·	✓
SD	Chills	·	·	✓
SD	Ear infection	·	·	✓
SD	Fatigue	·	·	✓
SD	Gait disturbance	·	·	✓
SD	Insomnia	·	·	✓
SD	Loss of personal independence in daily activities	·	·	✓
SD	Migraine	·	·	✓
SD	Myalgia	·	·	✓
SD	Nodule	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Parosmia	·	·	✓
SD	Post-acute COVID-19 syndrome	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	·	·	✓
SD	Taste disorder	·	·	✓
SD	Tinnitus	·	·	✓
SRO	Ageusia	·	·	✓
SRO	Tinnitus	·	·	✓

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