Y3Q-25939-82388

4 vaccinations 11 coded responses 32 check-ins 11 free-text entries 11 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 852 / AZ
Registered: 2020-12-22

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2020-12-22
Registered in v-safe
2020-12-22
Dose 1 — Pfizer-BioNTech
2020-12-22
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2020-12-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Itching · None

Adult check-in
2020-12-29
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-05
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site pruritus — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Redness and itchiness at the vaccination site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-12
Dose 2 — Pfizer-BioNTech
2021-01-12
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-13
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-01-17
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Head discomfort, Sinusitis — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I have a sinus infection, dizziness, and lots of head and facial pressure- likely unrelated to the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-21
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-01-26
Survey response — day 14, dose 2
MedDRA: Tinnitus — Feeling: Fair · 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: Tinnitus- constant and high pitched in both ears but R>L.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-04
Call 1 — Left Voicemail
2021-02-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-13
Survey response — 3 months, dose 2
MedDRA: Ovarian cyst — Feeling: Fair · Be unable to work, 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: Right ovarian cyst that required surgical removal.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Report sent to call center — 3 months, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-11
Call 1 — Left Voicemail
2021-10-01
Dose 3 — Pfizer-BioNTech
2021-10-01
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache

Adult check-in
2021-10-10
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-17
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-29
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-07
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-31
Survey response — 3 months, dose 3
MedDRA: Alopecia areata, Office visit, Ovarian cyst — 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

Free text: Symptoms: Alopecia areata, ovarian cyst · Healthcare visit (other): Visit to PCP, dermatologist, OBGYN

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Report sent to call center — 3 months, 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)
2022-01-04
Call 1 — Left Voicemail
2022-01-04
Call successful
Does not wish to fill out VAERS report
2022-01-04
Call successful
Participant prefers to complete VAERS report online
2022-01-04
Call successful
Participant prefers to complete VAERS report online
2022-01-04
Call successful
Participant prefers to complete VAERS report online
2022-01-04
Call successful
Participant prefers to complete VAERS report online
2022-01-04
Call successful
Participant prefers to complete VAERS report online
2022-04-01
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-12
Dose 4 — Pfizer-BioNTech
2022-09-13
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-09-14
Survey response — days 1–6 daily, dose 4
MedDRA: Asthma, Chest discomfort, Emergency care, Fibrin D dimer increased, Office visit, Pain in extremity, Pre-existing disease — Feeling: Fair · Site: Pain · Muscle or body aches · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Systemic reaction (other): Chest tightness and leg pain · Healthcare visit (other): Went to urgent care/freestanding ER for chest tightness and an asthma flare up. I also had leg pain and have a clotting disorder, so they did a CT scan and ultrasound. They didn't see any clots or anything concerning, but my D-dimer level is elevated

MedDRA releases: 2024-11 · check-in free text available
2022-09-14
Report sent to call center — days 1–6 daily, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-09-15
Call successful
Participant prefers to complete VAERS report online
2022-09-20
Survey response — day 7, dose 4
MedDRA: Hypoaesthesia, Pain in extremity, Paraesthesia — Feeling: Fair · Muscle or body aches

Free text: Pain to left leg, tingling and numbness to left arm and leg without any weakness or loss of feeling

MedDRA releases: 2024-11 · check-in free text available
2022-09-26
Survey response — day 14, dose 4
MedDRA: Hypoaesthesia, Office visit, Paraesthesia, Physiotherapy — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I've been having numbness and tingling to my left arm and leg, but my doctor thinks it's more related to the physical therapy session I had on that same day.

MedDRA releases: 2024-11 · check-in free text available
2022-09-26
Report sent to call center — day 14, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-27
Call successful
Participant prefers to complete VAERS report online
2022-10-03
Survey response — day 21, dose 4
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Numbness and tingling to my left arm and leg have continued, and I am now also having some numbness on the left side of my face.

MedDRA releases: 2024-11 · check-in free text available
2022-10-03
Report sent to call center — day 21, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-04
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-10-12
Survey response — day 28, dose 4
MedDRA: Iritis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Iritis in my left eye

MedDRA releases: 2024-11 · check-in free text available
2022-10-12
Report sent to call center — day 28, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-13
Call 1 — Left Voicemail
2022-10-24
Survey response — day 42, dose 4
MedDRA: Eye pain, Iritis, Ocular discomfort, Uveitis — 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

Free text: Uveitis/iritis that's worsened over the past few weeks. Involved pain and pressure to left eye.

MedDRA releases: 2024-11 · check-in free text available
2022-10-24
Report sent to call center — day 42, dose 4
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)
2022-10-25
Call 2 — Left Voicemail
2022-10-25
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-22	Pfizer-BioNTech
2	2021-01-12	Pfizer-BioNTech
3	2021-10-01	Pfizer-BioNTech	No
4	2022-09-12	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-05	Successful 2022-01-04	Does not wish to fill out VAERS report
2021-01-13	Successful 2022-01-04	Participant prefers to complete VAERS report online
2021-01-17	Successful 2022-01-04	Participant prefers to complete VAERS report online
2021-01-26	Successful 2022-01-04	Participant prefers to complete VAERS report online
2021-04-13	Successful 2022-01-04	Participant prefers to complete VAERS report online
2021-12-31	Successful 2022-01-04	Participant prefers to complete VAERS report online
2022-09-14	Successful 2022-09-15	Participant prefers to complete VAERS report online
2022-09-26	Successful 2022-09-27	Participant prefers to complete VAERS report online
2022-10-03	Successful 2022-10-04	Reported to VAERS voluntarily prior to GDIT contact
2022-10-12	Unsuccessful	Reported to VAERS voluntarily prior to GDIT contact
2022-10-24	Unsuccessful

Free text

Release 1 — day 14, dose 1

2021-01-05

Symptoms: Redness and itchiness at the vaccination site.

Release 2 — days 1–6 daily, dose 2

2021-01-17

Systemic reaction (other): I have a sinus infection, dizziness, and lots of head and facial pressure- likely unrelated to the vaccine.

Release 2 — day 14, dose 2

2021-01-26

Symptoms: Tinnitus- constant and high pitched in both ears but R>L.

Release 7 — 3 months, dose 2

2021-04-13

Symptoms: Right ovarian cyst that required surgical removal.

Release 10 — 3 months, dose 3

2021-12-31

Symptoms: Alopecia areata, ovarian cyst

Healthcare visit (other): Visit to PCP, dermatologist, OBGYN

Release 12 — days 1–6 daily, dose 4

2022-09-14

Systemic reaction (other): Chest tightness and leg pain

Healthcare visit (other): Went to urgent care/freestanding ER for chest tightness and an asthma flare up. I also had leg pain and have a clotting disorder, so they did a CT scan and ultrasound. They didn't see any clots or anything concerning, but my D-dimer level is elevated cut off by CDC

Release 12 — day 7, dose 4

2022-09-20

Systemic reaction (other): Pain to left leg, tingling and numbness to left arm and leg without any weakness or loss of feeling

Release 12 — day 14, dose 4

2022-09-26

Symptoms: I've been having numbness and tingling to my left arm and leg, but my doctor thinks it's more related to the physical therapy session I had on that same day.

Release 12 — day 21, dose 4

2022-10-03

Symptoms: Numbness and tingling to my left arm and leg have continued, and I am now also having some numbness on the left side of my face.

Release 12 — day 28, dose 4

2022-10-12

Symptoms: Iritis in my left eye

Release 12 — day 42, dose 4

2022-10-24

Symptoms: Uveitis/iritis that's worsened over the past few weeks. Involved pain and pressure to left eye.

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	Asthma	·	·	✓
HCVO	Chest discomfort	·	·	✓
HCVO	Emergency care	·	·	✓
HCVO	Fibrin D dimer increased	·	·	✓
HCVO	Office visit	·	·	✓
HCVO	Pain in extremity	·	·	✓
HCVO	Pre-existing disease	·	·	✓
SD	Alopecia areata	·	·	✓
SD	Eye pain	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Iritis	·	·	✓
SD	Ocular discomfort	·	·	✓
SD	Office visit	·	·	✓
SD	Ovarian cyst	✓	✓	✓
SD	Paraesthesia	·	·	✓
SD	Physiotherapy	·	·	✓
SD	Tinnitus	✓	✓	✓
SD	Uveitis	·	·	✓
SRO	Chest discomfort	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Head discomfort	✓	✓	✓
SRO	Hypoaesthesia	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Paraesthesia	·	·	✓
SRO	Sinusitis	✓	✓	✓

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