Y3V-22720-81091

3 vaccinations 8 coded responses 33 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 21-25
ZIP prefix: 750 / TX
Registered: 2021-03-16

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

2021-03-16
Registered in v-safe
2021-03-16
Dose 1 — Pfizer-BioNTech
2021-03-16
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness, Nausea

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-23
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-06
Dose 2 — Pfizer-BioNTech
2021-04-06
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Furuncle, Insomnia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: My skin feels like Im boiling inside and Im having a hard time staying asleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Night sweats — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness

Free text: Night sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — day 7, dose 2
MedDRA: Night sweats — Feeling: Fair · Fever · Chills, Headache, Joint pains, Fatigue or tiredness

Free text: Night sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — day 14, dose 2
MedDRA: Papilloedema, Visual impairment — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Optic nerve swelling, Ive been having vision issues for about a month but its been worse recently and while I have 20/20 vision they did find swelling of my optic nerves and Im getting an MRI on Saturday for it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-27
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-11
Survey response — day 35, dose 2
MedDRA: Hypertension — Feeling: Fair

Free text: Benign intercranial hypertension

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Survey response — day 42, dose 2
MedDRA: Asthma, Hypersensitivity, Pre-existing disease, Productive cough, Sinusitis — Feeling: Good · Be unable to do your normal daily activities

Free text: Sinusitis, wet cough, asthma, increased allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-08
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-24
Dose 3 — Pfizer-BioNTech
2021-10-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-06
Survey response — day 7, dose 3
MedDRA: Epistaxis, Sinusitis — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Sinusitis and nose bleeds

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-10-15
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-10-22
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-29
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-05
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-24
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-02-26
Call 1 — Left Voicemail
2022-03-25
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-09-24
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Pfizer-BioNTech
2	2021-04-06	Pfizer-BioNTech
3	2021-09-24	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-20	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): Dizziness

Release 7 — days 1–6 daily, dose 2

2021-04-07

Systemic reaction (other): My skin feels like Im boiling inside and Im having a hard time staying asleep

2021-04-12

Systemic reaction (other): Night sweats

Release 7 — day 7, dose 2

2021-04-13

Systemic reaction (other): Night sweats

Release 7 — day 14, dose 2

2021-04-20

Symptoms: Optic nerve swelling, Ive been having vision issues for about a month but its been worse recently and while I have 20/20 vision they did find swelling of my optic nerves and Im getting an MRI on Saturday for it.

Release 8 — day 35, dose 2

2021-05-11

Symptoms: Benign intercranial hypertension

Release 8 — day 42, dose 2

2021-05-18

Symptoms: Sinusitis, wet cough, asthma, increased allergies

Release 10 — day 7, dose 3

2021-10-06

Systemic reaction (other): Sinusitis and nose bleeds

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
SD	Asthma	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Papilloedema	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Productive cough	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SD	Visual impairment	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Epistaxis	·	·	✓
SRO	Furuncle	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Night sweats	✓	✓	✓
SRO	Sinusitis	·	·	✓

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