Y5V-14058-84775

4 vaccinations 26 coded responses 52 check-ins 25 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 054 / VT
Registered: 2021-02-24

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

2021-02-24
Registered in v-safe
2021-02-24
Dose 1 — Pfizer-BioNTech
2021-02-24
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-27
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Good

Free text: Had a weird cough today only for a few minutes. Not sure if it's related but felt i should report since it's not something that is typical for me. .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Joint pains

Free text: May nit be related at all. I have fibromyalgia.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-19
Dose 2 — Pfizer-BioNTech
2021-03-19
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Fibromyalgia, Pain — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Aches may or may not be related to vaccine. I have fibromyalgia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Fibromyalgia — Feeling: Good · Fatigue or tiredness

Free text: Not sure why so tired but i do have fibromyalgia. Probabky not related to the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Palpitations, Pre-existing disease — Feeling: Good · Joint pains · Be unable to do your normal daily activities

Free text: I dont know if this is related but since the first shot my heart palpitations have gotten worse. I didn't even think about it being related until i relaized ive been mentioing it to my daughter a lot recently. I do have PVCs but they are really disruptive. Just wondering if others have experienced this.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Palpitations — Feeling: Good

Free text: Just the heart palpitations. Not bad today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-16
Survey response — day 28, dose 2
MedDRA: Condition aggravated — Feeling: Fair

Free text: Tinnitus??? Did I repirt that before? It has been ongoing but it is much worse and more noticeable since the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-17
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-04
Dose 3 — Pfizer-BioNTech
2021-10-05
Survey response — days 1–6 daily, dose 3
MedDRA: Cold sweat, Presyncope — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Nearly passed out twice. Cold sweats.

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Oedema peripheral — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Underarm soreness and swelling on both sides;

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Axillary pain, Myalgia, Pre-existing disease — Feeling: Good · Site: Itching · Joint pains, Muscle or body aches

Free text: Still sore under the arm where I got the injection. Lymph nodes don't feel swollen, but I assume that is what it is. Not sure how much the joint pain and muscle aches are related to the vaccine. Typical amount for me with arthritis and fibromyalgia.

MedDRA releases: 2024-11 · check-in free text available
2021-10-09
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Discomfort, Myalgia, Pre-existing disease — Feeling: Good · Site: Itching · Joint pains, Muscle or body aches

Free text: Lymph nodes still uncomfortable. Muscle and joint pain as typical and probabky nit from the vaccine.

MedDRA releases: 2024-11 · check-in free text available
2021-10-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Itching · Joint pains, Muscle or body aches

Adult check-in
2021-10-11
Health check-in — day 7, dose 3
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-10-18
Survey response — day 14, dose 3
MedDRA: Migraine — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have a migraine today. May or may not be related but i havent had one in several months.

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-02
Survey response — day 28, dose 3
MedDRA: Eye pain, Headache, Pain, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Have had pain in one eye, shooting towards the back of my head. Also had what i assume may be a cluster headache, one spot on the back of my head, other side from eye pain, about 2 diameter, lasting for about 24 hours. · Healthcare visit (other): Will be seeing my eye doctor next week.

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-05
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-08
Survey response — day 35, dose 3
MedDRA: Arthralgia — Feeling: Fair

Free text: Really bad joint pain but it is probably not related to the vaccine.

MedDRA releases: 2024-11 · check-in free text available
2021-11-15
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-03
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-04
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-29
Dose 4 — Pfizer-BioNTech
2022-04-30
Survey response — days 1–6 daily, dose 4
MedDRA: Respiratory tract congestion — Feeling: Poor · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Stuffiness

MedDRA releases: 2024-11 · check-in free text available
2022-05-01
Survey response — days 1–6 daily, dose 4
MedDRA: Respiratory tract congestion — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Stuffiness.

MedDRA releases: 2024-11 · check-in free text available
2022-05-02
Survey response — days 1–6 daily, dose 4
MedDRA: Dizziness, Respiratory tract congestion — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches

Free text: Very dizzy/light headed this morning. Still a bit stuffy

MedDRA releases: 2024-11 · check-in free text available
2022-05-03
Survey response — days 1–6 daily, dose 4
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Free text: Muscle and joints back to normal pain for me.

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Survey response — days 1–6 daily, dose 4
MedDRA: Condition aggravated, Pre-existing disease, Tinnitus — Feeling: Fair

Free text: Heart palpitations exasperated as with pervious vaccines. Also forgit to mention ringing in ears is worse as before.

MedDRA releases: 2024-11 · check-in free text available
2022-05-05
Survey response — days 1–6 daily, dose 4
MedDRA: Palpitations, Tinnitus — Feeling: Fair

Free text: Heart palpitations, ringing in ears

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Survey response — day 7, dose 4
MedDRA: Palpitations, Tinnitus — Feeling: Good

Free text: Heart palpitations, ringing in ears

MedDRA releases: 2024-11 · check-in free text available
2022-05-13
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-20
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-27
Survey response — day 28, dose 4
MedDRA: Palpitations — Feeling: Fair · Be unable to do your normal daily activities

Free text: Worsening heart palpitations.

MedDRA releases: 2024-11 · check-in free text available
2022-06-04
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-10
Survey response — day 42, dose 4
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme joint and pain pain.

MedDRA releases: 2024-11 · check-in free text available
2022-07-31
Survey response — 3 months, dose 4
MedDRA: Diarrhoea, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: I've been nauseous and have had diarrhea. Testing negative with at home test. Not sure where i would have caught anything because I am basically following 2020 protocals (masking, avoiding crowds, distancing, and pretty much staying home.

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Survey response — 6 months, dose 4
MedDRA: Lymphadenopathy, Malaise, Nausea, Vertigo — Feeling: Good · Be unable to do your normal daily activities

Free text: I had the bivalent booster Oct 3. Had lymph node swelling under both arms for a few days. Felt pretty bad the next day. Vertigo, nausea and lymph swelling under both arms. Lymph swelling lasted a few days. Swelling today under opposite arm???

MedDRA releases: 2024-11 · check-in free text available
2023-04-30
Survey response — 12 months, dose 4
MedDRA: Reaction to previous exposure to any vaccine, Supraventricular extrasystoles, Ventricular extrasystoles — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-04-30
Report sent to call center — 12 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2023-05-01
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-24	Pfizer-BioNTech
2	2021-03-19	Pfizer-BioNTech
3	2021-10-04	Pfizer-BioNTech	No
4	2022-04-29	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-11-02	Successful 2021-11-05	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2023-04-30	Successful 2023-05-01	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-27

Systemic reaction (other): Had a weird cough today only for a few minutes. Not sure if it's related but felt i should report since it's not something that is typical for me. .

2021-03-01

Systemic reaction (other): May nit be related at all. I have fibromyalgia.

Release 6 — days 1–6 daily, dose 2

2021-03-21

Systemic reaction (other): Aches may or may not be related to vaccine. I have fibromyalgia

2021-03-22

Systemic reaction (other): Not sure why so tired but i do have fibromyalgia. Probabky not related to the vaccine.

2021-03-23

Systemic reaction (other): I dont know if this is related but since the first shot my heart palpitations have gotten worse. I didn't even think about it being related until i relaized ive been mentioing it to my daughter a lot recently. I do have PVCs but they are really disruptive. Just wondering if others have experienced this.

2021-03-24

Systemic reaction (other): Just the heart palpitations. Not bad today.

Release 7 — day 28, dose 2

2021-04-16

Symptoms: Tinnitus??? Did I repirt that before? It has been ongoing but it is much worse and more noticeable since the vaccine.

Release 10 — days 1–6 daily, dose 3

2021-10-05

Systemic reaction (other): Nearly passed out twice. Cold sweats.

2021-10-06

Systemic reaction (other): Underarm soreness and swelling on both sides;

2021-10-08

Systemic reaction (other): Still sore under the arm where I got the injection. Lymph nodes don't feel swollen, but I assume that is what it is. Not sure how much the joint pain and muscle aches are related to the vaccine. Typical amount for me with arthritis and fibromyalgia. cut off by CDC

2021-10-09

Systemic reaction (other): Lymph nodes still uncomfortable. Muscle and joint pain as typical and probabky nit from the vaccine.

Release 10 — day 14, dose 3

2021-10-18

Symptoms: I have a migraine today. May or may not be related but i havent had one in several months.

Release 10 — day 28, dose 3

2021-11-02

Symptoms: Have had pain in one eye, shooting towards the back of my head. Also had what i assume may be a cluster headache, one spot on the back of my head, other side from eye pain, about 2 diameter, lasting for about 24 hours.

Healthcare visit (other): Will be seeing my eye doctor next week.

Release 10 — day 35, dose 3

2021-11-08

Symptoms: Really bad joint pain but it is probably not related to the vaccine.

Release 11 — days 1–6 daily, dose 4

2022-04-30

Systemic reaction (other): Stuffiness

2022-05-01

Systemic reaction (other): Stuffiness.

2022-05-02

Systemic reaction (other): Very dizzy/light headed this morning. Still a bit stuffy

2022-05-03

Systemic reaction (other): Muscle and joints back to normal pain for me.

2022-05-04

Systemic reaction (other): Heart palpitations exasperated as with pervious vaccines. Also forgit to mention ringing in ears is worse as before.

2022-05-05

Systemic reaction (other): Heart palpitations, ringing in ears

Release 11 — day 7, dose 4

2022-05-06

Systemic reaction (other): Heart palpitations, ringing in ears

Release 11 — day 28, dose 4

2022-05-27

Symptoms: Worsening heart palpitations.

Release 12 — day 42, dose 4

2022-06-10

Symptoms: Extreme joint and pain pain.

Release 12 — 3 months, dose 4

2022-07-31

Symptoms: I've been nauseous and have had diarrhea. Testing negative with at home test. Not sure where i would have caught anything because I am basically following 2020 protocals (masking, avoiding crowds, distancing, and pretty much staying home.

Release 12 — 6 months, dose 4

2022-10-28

Symptoms: I had the bivalent booster Oct 3. Had lymph node swelling under both arms for a few days. Felt pretty bad the next day. Vertigo, nausea and lymph swelling under both arms. Lymph swelling lasted a few days. Swelling today under opposite arm???

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	Unevaluable event	·	·	✓
SD	Arthralgia	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Eye pain	·	·	✓
SD	Headache	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Malaise	·	·	✓
SD	Migraine	·	·	✓
SD	Nausea	·	·	✓
SD	Pain	·	·	✓
SD	Palpitations	·	·	✓
SD	Reaction to previous exposure to any vaccine	·	·	✓
SD	Supraventricular extrasystoles	·	·	✓
SD	Ventricular extrasystoles	·	·	✓
SD	Vertigo	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Axillary pain	·	·	✓
SRO	Cold sweat	·	·	✓
SRO	Condition aggravated	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Discomfort	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Fibromyalgia	✓	✓	✓
SRO	Myalgia	·	·	✓
SRO	Oedema peripheral	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Presyncope	·	·	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Tinnitus	·	·	✓

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