Y34-17875-81146

2 vaccinations 7 coded responses 22 check-ins 7 free-text entries 5 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 315 / GA
Registered: 2020-12-31

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

2020-12-31
Registered in v-safe
2020-12-31
Dose 1 — Pfizer-BioNTech
2020-12-31
Health check-in — day 0, dose 1
Feeling: Good · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Joint pains, Fatigue or tiredness

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Irritability — Feeling: Fair

Free text: I've been grouchy and annoyed all day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia, Mood altered — Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Couldn't sleep last night, still moody as hell.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-07
Survey response — day 7, dose 1
MedDRA: Headache, Loss of personal independence in daily activities, Poor quality sleep, Pre-existing disease, Restless legs syndrome — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: I have a good bit of problems already, but i haven't been sleeping well nor do i want to function all day like i should.ive also had a mild headache every day. But that could just be me and all my other medical issues. The restless legs are freaking horrid the past few days. Nothing can calm them down. .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-19
Dose 2 — Pfizer-BioNTech
2021-01-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-01-22
Survey response — days 1–6 daily, dose 2
MedDRA: Flatulence — Feeling: Poor · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Serious upper abdominal gas.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-01-26
Health check-in — day 7, dose 2
Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-02
Health check-in — day 14, dose 2
Feeling: Poor

Adult check-in
2021-02-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 42, dose 2
Feeling: Poor

Adult check-in
2021-04-20
Survey response — 3 months, dose 2
MedDRA: Office visit, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Yes, seriously, my mind is slipping ridiculously fast but I am not sure its the vaccine. Could be anything at all. No telling whats going on with it!! I have ADHD, so maybe that? I dont know. Saw my primary doctor about my concerns today. · Healthcare visit (other): Just went to my primary doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
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)
2021-06-07
Call 1 — Left Voicemail
2021-07-20
Survey response — 6 months, dose 2
MedDRA: Herpes virus infection, Medical counselling, Office visit, Pruritus, Rash, Rash vesicular, Skin burning sensation — 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

Free text: Symptoms: I have some kind of blister rash on my right arm. Third time in a month. It starts with feeling like my arm is on fire, then i am scratching and im not sure what it is but the doctor said some sort of viral form of herpes that diabetics get. Weird. · Healthcare visit (other): Primary Doctor visit

MedDRA releases: 2024-11 · check-in free text available
2021-07-20
Report sent to call center — 6 months, 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)
2021-07-26
Call 1 — Could Not Reach Participant
2021-07-29
Call 2 — Could Not Reach Participant
2022-01-19
Survey response — 12 months, dose 2
MedDRA: COVID-19, Chest pain, Dupuytren's contracture, Emergency care, Intervertebral disc operation, Medical device implantation, Urinary tract infection — 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, Emergency room or emergency department visit

Free text: New condotions : duyputrens syndrome. Had 2 discs replaced c-4 c-5 and have a plate and screws in my neck. Had covid january 5-15th. Had the regeneron infusion. Had a uti and went to the ER for chest pains.

MedDRA releases: 2024-11 · check-in free text available
2022-01-19
Report sent to call center — 12 months, 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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-01-20
Call 1 — Could Not Reach Participant
2022-01-25
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-31	Pfizer-BioNTech
2	2021-01-19	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-01-04	priority 2/3
2021-01-07	priority 2/3
2021-04-20	Unsuccessful
2021-07-20	Unsuccessful
2022-01-19	Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-03

Systemic reaction (other): I've been grouchy and annoyed all day.

2021-01-04

Systemic reaction (other): Couldn't sleep last night, still moody as hell.

Release 1 — day 7, dose 1

2021-01-07

Systemic reaction (other): I have a good bit of problems already, but i haven't been sleeping well nor do i want to function all day like i should.ive also had a mild headache every day. But that could just be me and all my other medical issues. The restless legs are freaking horrid the past few days. Nothing can calm them down. .

Release 2 — days 1–6 daily, dose 2

2021-01-22

Systemic reaction (other): Serious upper abdominal gas.

Release 7 — 3 months, dose 2

2021-04-20

Symptoms: Yes, seriously, my mind is slipping ridiculously fast but I am not sure its the vaccine. Could be anything at all. No telling whats going on with it!! I have ADHD, so maybe that? I dont know. Saw my primary doctor about my concerns today.

Healthcare visit (other): Just went to my primary doctor

Release 9 — 6 months, dose 2

2021-07-20

Symptoms: I have some kind of blister rash on my right arm. Third time in a month. It starts with feeling like my arm is on fire, then i am scratching and im not sure what it is but the doctor said some sort of viral form of herpes that diabetics get. Weird. cut off by CDC

Healthcare visit (other): Primary Doctor visit

Release 10 — 12 months, dose 2

2022-01-19

Symptoms: New condotions : duyputrens syndrome. Had 2 discs replaced c-4 c-5 and have a plate and screws in my neck. Had covid january 5-15th. Had the regeneron infusion. Had a uti and went to the ER for chest pains.

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	Chest pain	·	·	✓
SD	COVID-19	·	·	✓
SD	Dupuytren's contracture	·	·	✓
SD	Emergency care	·	·	✓
SD	Herpes virus infection	·	·	✓
SD	Intervertebral disc operation	·	·	✓
SD	Medical counselling	·	·	✓
SD	Medical device implantation	·	·	✓
SD	Pruritus	·	·	✓
SD	Rash	·	·	✓
SD	Rash vesicular	·	·	✓
SD	Skin burning sensation	·	·	✓
SD	Unevaluable event	✓	✓	✓
SD	Urinary tract infection	·	·	✓
SRO	Flatulence	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Irritability	✓	✓	✓
SRO	Loss of personal independence in daily activities	✓	✓	✓
SRO	Mood altered	✓	✓	✓
SRO	Poor quality sleep	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Restless legs syndrome	✓	✓	✓

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