Y6W-61182-10576

2 vaccinations 8 coded responses 25 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 840 / UT
Registered: 2021-05-12

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

2021-05-12
Registered in v-safe
2021-05-13
Dose 1 — Pfizer-BioNTech
2021-05-13
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Vomiting

Adult check-in
2021-05-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-14
Pregnancy registry survey
Pregnant at time of vaccination · Yes, I would like someone to contact me
2021-05-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · Fatigue or tiredness

Adult check-in
2021-05-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-05-17
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain upper, Migraine, Nausea, Vomiting — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Migraine, cannot keep liquid down, expelling water from stomach within minutes of drinking it (stomach pains only associated with nausea- no stomaching camping)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-05-20
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-05-27
Survey response — day 14, dose 1
MedDRA: Abdominal pain, Fatigue — Feeling: Good

Free text: Extreme fatigue, sharp lower left abdominal pains

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Dose 2 — Pfizer-BioNTech
2021-06-03
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-06-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-06-05
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Good · Site: Pain · Headache, Nausea

Free text: Tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Nausea

Adult check-in
2021-06-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-09
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Good

Free text: Intermittent tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Health check-in — day 7, dose 2
Feeling: Good · Nausea

Adult check-in
2021-06-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-26
Survey response — day 21, dose 2
MedDRA: Pain in extremity — Feeling: Good · Be unable to do your normal daily activities

Free text: Pain in hands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-01
Survey response — day 28, dose 2
MedDRA: Brain fog, Migraine, Pre-existing disease, Tinnitus — 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: Migraines, Mental fog, carpel tunnel, tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-01
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)
2021-07-06
Call 1 — Left Voicemail
2021-07-08
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-07-15
Survey response — day 42, dose 2
MedDRA: Arthralgia, Inflammation — 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: Inflammation in feet and have and painful joints.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-15
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-20
Call 1 — Left Voicemail
2021-07-26
Call successful
Participant prefers to complete VAERS report online
2021-09-04
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Pre-existing disease, Surgery, Tinnitus — Feeling: Fair · Be unable to work or attend school, 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: Symptoms: Moderate to advanced carpal tunnel syndrome and tarsal tunnel, and arthralgia, tinnitus · Healthcare visit (other): Surgery

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-04
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-09-09
Call 1 — Left Voicemail
2021-12-02
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-06-04
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-13	Pfizer-BioNTech
2	2021-06-03	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-07-01	Successful	Participant prefers to complete VAERS report online
2021-07-15	Successful 2021-07-26	Participant prefers to complete VAERS report online
2021-09-04	Unsuccessful

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-17

Systemic reaction (other): Migraine, cannot keep liquid down, expelling water from stomach within minutes of drinking it (stomach pains only associated with nausea- no stomaching camping)

Release 8 — day 14, dose 1

2021-05-27

Symptoms: Extreme fatigue, sharp lower left abdominal pains

Release 8 — days 1–6 daily, dose 2

2021-06-05

Systemic reaction (other): Tinnitus

Release 9 — days 1–6 daily, dose 2

2021-06-09

Systemic reaction (other): Intermittent tinnitus

Release 9 — day 21, dose 2

2021-06-26

Symptoms: Pain in hands

Release 9 — day 28, dose 2

2021-07-01

Symptoms: Migraines, Mental fog, carpel tunnel, tinnitus

Release 9 — day 42, dose 2

2021-07-15

Symptoms: Inflammation in feet and have and painful joints.

Release 9 — 3 months, dose 2

2021-09-04

Symptoms: Moderate to advanced carpal tunnel syndrome and tarsal tunnel, and arthralgia, tinnitus

Healthcare visit (other): Surgery

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	Surgery	✓	·	✓
SD	Abdominal pain	✓	✓	✓
SD	Arthralgia	✓	·	✓
SD	Brain fog	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Inflammation	✓	·	✓
SD	Migraine	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Tinnitus	✓	✓	✓
SRO	Vomiting	✓	✓	✓

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