Y3Y-98106-87384

3 vaccinations 10 coded responses 29 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 852 / AZ
Registered: 2021-01-03

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

2020-12-28
Dose 1 — Pfizer-BioNTech
2021-01-03
Registered in v-safe
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-04
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-20
Dose 2 — Pfizer-BioNTech
2021-01-23
Survey response — days 1–6 daily, dose 2
MedDRA: Hot flush — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Hot flashes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia — Feeling: Good · Site: Pain · Muscle or body aches, Nausea

Free text: Tingling back of neck and both upper arms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — days 1–6 daily, dose 2
MedDRA: Hot flush, Paraesthesia — Feeling: Good

Free text: Still the tingling back of neck/ shoulders/upper top part of arms and hot flashes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 35, dose 2
Feeling: Good

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

Adult check-in
2021-04-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-27
Dose 3 — Pfizer-BioNTech
2021-09-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-09-30
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal pain upper — Feeling: Good · Fatigue or tiredness

Free text: Upper gastric pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Survey response — days 1–6 daily, dose 3
MedDRA: Bronchial disorder, Cough, Gastrointestinal disorder — Feeling: Good

Free text: Upper gastric issues in bronchial area with cough

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal pain upper, Painful respiration — Feeling: Good

Free text: Upper gastric pain with deep breathing in but no cough

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal pain upper, Unevaluable event — Feeling: Good

Free text: Slight upper gastric pain bronchial- no cough

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Survey response — day 7, dose 3
MedDRA: Abdominal pain upper, Discomfort, Inflammation — Feeling: Good

Free text: Upper gastric broncho area pain/discomfort gone - inflammation going away

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

Adult check-in
2021-10-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-01
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-27
Survey response — 3 months, dose 3
MedDRA: Cardiomegaly, Chest X-ray abnormal, Cough, Fatigue, Lower respiratory tract infection, Office visit, Painful respiration — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Bronchial pain when breathing in. Fatigue and slight cough - primary care put me on steroids-antibiotics in case of chest infection -chest X-ray ordered. C-X-ray showed slight enlarged heart · Healthcare visit (other): Primary care

MedDRA releases: 2024-11 · check-in free text available
2021-12-27
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-28
Call 1 — Left Voicemail
2022-03-28
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-27
Survey response — 12 months, dose 3
MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Covid 19

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Pfizer-BioNTech
2	2021-01-20	Pfizer-BioNTech
3	2021-09-27	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-12-27	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 2

2021-01-23

Systemic reaction (other): Hot flashes

2021-01-25

Systemic reaction (other): Tingling back of neck and both upper arms

2021-01-26

Systemic reaction (other): Still the tingling back of neck/ shoulders/upper top part of arms and hot flashes

Release 9 — days 1–6 daily, dose 3

2021-09-30

Systemic reaction (other): Upper gastric pain

2021-10-01

Systemic reaction (other): Upper gastric issues in bronchial area with cough

2021-10-02

Systemic reaction (other): Upper gastric pain with deep breathing in but no cough

2021-10-03

Systemic reaction (other): Slight upper gastric pain bronchial- no cough

Release 9 — day 7, dose 3

2021-10-04

Systemic reaction (other): Upper gastric broncho area pain/discomfort gone - inflammation going away

Release 10 — 3 months, dose 3

2021-12-27

Symptoms: Bronchial pain when breathing in. Fatigue and slight cough - primary care put me on steroids-antibiotics in case of chest infection -chest X-ray ordered. C-X-ray showed slight enlarged heart

Healthcare visit (other): Primary care

Release 12 — 12 months, dose 3

2022-09-27

Symptoms: Covid 19

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	Cardiomegaly	·	·	✓
SD	Chest X-ray abnormal	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Lower respiratory tract infection	·	·	✓
SD	Office visit	·	·	✓
SD	Painful respiration	·	·	✓
SRO	Abdominal pain upper	·	·	✓
SRO	Bronchial disorder	·	·	✓
SRO	Cough	·	·	✓
SRO	Discomfort	·	·	✓
SRO	Gastrointestinal disorder	·	·	✓
SRO	Hot flush	✓	✓	✓
SRO	Inflammation	·	·	✓
SRO	Painful respiration	·	·	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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