Y5E-21624-08527

2 vaccinations 7 coded responses 24 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 113 / NY
Registered: 2021-02-20

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

2021-02-18
Dose 1 — Pfizer-BioNTech
2021-02-20
Registered in v-safe
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · None

Adult check-in
2021-02-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-11
Survey response — day 21, dose 1
MedDRA: Abdominal pain upper, Back pain, Flank pain, Pain, Pain in extremity, Pyrexia — Feeling: Good

Free text: Ive been getting fever at night before bedtime. Pain around stomach, right and left side of my body i the waist area and shooting pain down my back into my right leg.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Dose 2 — Pfizer-BioNTech
2021-03-12
Health check-in — day 0, dose 2
Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities

Adult check-in
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Loss of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-17
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain upper — Feeling: Good · Abdominal pain

Free text: Some stomach cramping

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-26
Survey response — day 14, dose 2
MedDRA: Abdominal pain upper, Back pain, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Stomach pains that sometimes wraps around my waist and back. · Healthcare visit (other): Pelvic sonogram. Waiting on results.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-24
Survey response — day 42, dose 2
MedDRA: Abdominal pain upper, Hepatic steatosis, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Stomach pain which turned out to be N.A. Fatty liver disease · Healthcare visit (other): Doctor visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-11
Survey response — 3 months, dose 2
MedDRA: Hepatic steatosis, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: I have been recently diagnosed with n/a fatty liver disease. · Healthcare visit (other): Doctor's office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-17
Call 1 — Left Voicemail
2021-09-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-12
Survey response — 12 months, dose 2
MedDRA: Aphasia, Brain fog, Disturbance in attention — Feeling: Fair

Free text: I have trouble concentrating...There are times everything seems muddled in my head. I try to speak and forget too many words.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-18	Pfizer-BioNTech
2	2021-03-12	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-03-26	Unsuccessful
2021-04-24	Unsuccessful
2021-06-11	Unsuccessful

Free text

Release 5 — day 21, dose 1

2021-03-11

Symptoms: Ive been getting fever at night before bedtime. Pain around stomach, right and left side of my body i the waist area and shooting pain down my back into my right leg.

Release 5 — days 1–6 daily, dose 2

2021-03-14

Systemic reaction (other): Loss of appetite

2021-03-17

Systemic reaction (other): Some stomach cramping

Release 6 — day 14, dose 2

2021-03-26

Symptoms: Stomach pains that sometimes wraps around my waist and back.

Healthcare visit (other): Pelvic sonogram. Waiting on results.

Release 7 — day 42, dose 2

2021-04-24

Symptoms: Stomach pain which turned out to be N.A. Fatty liver disease

Healthcare visit (other): Doctor visit

Release 9 — 3 months, dose 2

2021-06-11

Symptoms: I have been recently diagnosed with n/a fatty liver disease.

Healthcare visit (other): Doctor's office

Release 11 — 12 months, dose 2

2022-03-12

Symptoms: I have trouble concentrating...There are times everything seems muddled in my head. I try to speak and forget too many words.

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	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Aphasia	·	·	✓
SD	Back pain	✓	✓	✓
SD	Brain fog	·	·	✓
SD	Disturbance in attention	·	·	✓
SD	Flank pain	✓	✓	✓
SD	Hepatic steatosis	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓

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