Y5C-28616-80149

2 vaccinations 10 coded responses 15 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 054 / VT
Registered: 2021-03-30

Relationship: Self
Race: American Indian or Alaska Native
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-29
Dose 1 — Pfizer-BioNTech
2021-03-30
Registered in v-safe
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Pulmonary pain — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Pain in left lung

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-19
Dose 2 — Pfizer-BioNTech
2021-04-19
Survey response — day 0, dose 2
MedDRA: Pain — Feeling: Good · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: My left side of my body hurts

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Pulmonary pain — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: My left lung hurts!!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Pulmonary pain — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: My left lung still hurts

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Flank pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Pain in left side still

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling cold, Pain — Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Im cold today, and my left side still hurts.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — day 7, dose 2
MedDRA: Pain in extremity — Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches

Free text: Arm still sore when bumped

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-10
Survey response — day 21, dose 2
MedDRA: Flank pain — 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: Pain all left side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-17
Survey response — day 28, dose 2
MedDRA: Contusion — 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: My left side of my body! I have to take ibuprofen everyday !! Ive been to the drs they do nothing!! Im sick of it !! I force myself to get up and move but it causes my left side to swell !! Then I have bruises

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-24
Survey response — day 35, dose 2
MedDRA: Memory impairment — Feeling: Fair

Free text: Still left side of my body. And memory issues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-02
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-29	Pfizer-BioNTech
2	2021-04-19	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-04-02	Unsuccessful
2021-05-10	Unsuccessful
2021-05-17	Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-02

Systemic reaction (other): Pain in left lung

Release 7 — day 0, dose 2

2021-04-19

Systemic reaction (other): My left side of my body hurts

Release 7 — days 1–6 daily, dose 2

2021-04-21

Systemic reaction (other): My left lung hurts!!

2021-04-22

Systemic reaction (other): My left lung still hurts

2021-04-24

Systemic reaction (other): Pain in left side still

2021-04-25

Systemic reaction (other): Im cold today, and my left side still hurts.

Release 8 — day 7, dose 2

2021-04-26

Systemic reaction (other): Arm still sore when bumped

Release 8 — day 21, dose 2

2021-05-10

Symptoms: Pain all left side

Release 8 — day 28, dose 2

2021-05-17

Symptoms: My left side of my body! I have to take ibuprofen everyday !! Ive been to the drs they do nothing!! Im sick of it !! I force myself to get up and move but it causes my left side to swell !! Then I have bruises

Release 8 — day 35, dose 2

2021-05-24

Symptoms: Still left side of my body. And memory issues.

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	Contusion	✓	✓	✓
SD	Flank pain	✓	✓	✓
SD	Memory impairment	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Flank pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pulmonary pain	✓	✓	✓

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