Y2J-13663-16038

2 vaccinations 5 coded responses 13 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 982 / WA
Registered: 2021-05-01

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

2021-04-03
Dose 1 — Pfizer-BioNTech
2021-05-01
Registered in v-safe
2021-05-01
Dose 2 — Pfizer-BioNTech
2021-05-01
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Discomfort, Headache, Nausea, Neck pain, Pain — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Entire rib cage felt under major pressure with whole body pain for about 20 hours. No vomiting but darn close. Just now starting to feel a little better but still a pounding headache with severe neck pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Free text: Shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-05-08
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-15
Survey response — day 14, dose 2
MedDRA: Abdominal pain upper, Arthralgia, Diarrhoea, Dyspnoea, Fatigue, Pyrexia — Feeling: Poor · Be unable to work

Free text: Symptoms cleared up for 9 days then returned. Fever, stomach pains, diarrhea, joint pain, fatigue and shortness of breath. Shortness of breath most interesting and worrisome. Better today than yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Survey response — day 21, dose 2
MedDRA: Arthralgia, Dehydration, Diarrhoea, Myalgia, Nausea, Pyrexia, Vertigo — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Vertigo, nausea, diarrhea, severe dehydration even with a ton of fluid intake, joint and muscle pain, fever.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-31
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-31
Survey response — 3 months, dose 2
MedDRA: Amnesia, Depression, Disturbance in attention, Heavy menstrual bleeding, Hypoaesthesia, Neuralgia, Office visit, Vertigo — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Neurological troubles, nerve pain, numbness. Vertigo. Loss of short term memory. Trouble focusing. Menstrual frequency changes as well as unusual heavy flow. Depression. · Healthcare visit (other): Neurology- 3 MRIs including brain scan

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-31
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-02
Call 1 — Left Voicemail
2022-05-03
Health check-in — 12 months, dose 2
Feeling: Poor

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-03	Pfizer-BioNTech
2	2021-05-01	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-05-23	Unsuccessful
2021-07-31	Unsuccessful

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-03

Systemic reaction (other): Entire rib cage felt under major pressure with whole body pain for about 20 hours. No vomiting but darn close. Just now starting to feel a little better but still a pounding headache with severe neck pain.

2021-05-04

Systemic reaction (other): Shortness of breath

Release 8 — day 14, dose 2

2021-05-15

Symptoms: Symptoms cleared up for 9 days then returned. Fever, stomach pains, diarrhea, joint pain, fatigue and shortness of breath. Shortness of breath most interesting and worrisome. Better today than yesterday.

Release 8 — day 21, dose 2

2021-05-23

Symptoms: Vertigo, nausea, diarrhea, severe dehydration even with a ton of fluid intake, joint and muscle pain, fever.

Release 9 — 3 months, dose 2

2021-07-31

Symptoms: Neurological troubles, nerve pain, numbness. Vertigo. Loss of short term memory. Trouble focusing. Menstrual frequency changes as well as unusual heavy flow. Depression.

Healthcare visit (other): Neurology- 3 MRIs including brain scan

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that 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	Office visit	✓	·	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Amnesia	✓	·	✓
SD	Arthralgia	✓	✓	✓
SD	Dehydration	✓	✓	✓
SD	Depression	✓	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Disturbance in attention	✓	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Heavy menstrual bleeding	✓	·	✓
SD	Hypoaesthesia	✓	·	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Neuralgia	✓	·	✓
SD	Pyrexia	✓	✓	✓
SD	Vertigo	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain	✓	✓	✓

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