Y72-23747-68995

2 vaccinations 8 coded responses 16 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 857 / AZ
Registered: 2021-05-14

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

2021-05-11
Dose 1 — Pfizer-BioNTech
2021-05-14
Registered in v-safe
2021-05-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Muscle or body aches

Adult check-in
2021-05-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Abdominal pain

Adult check-in
2021-05-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-05-17
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Poor · Headache, Joint pains · Be unable to do your normal daily activities

Free text: Worsening headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Health check-in — day 7, dose 1
Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-05-18
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-25
Survey response — day 14, dose 1
MedDRA: Muscle spasms, Myalgia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Migraining again after a couple days of not. Also weird jerky muscle spasms while doing physical therapy today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-06-03
Dose 2 — Pfizer-BioNTech
2021-06-15
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-17
Survey response — day 14, dose 2
MedDRA: Unevaluable event — Feeling: Fair

Free text: Slight fever 99.5

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-07-01
Survey response — day 28, dose 2
MedDRA: Decreased appetite, Diarrhoea — Feeling: Fair

Free text: Diarrhea/lack of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-08
Survey response — day 35, dose 2
MedDRA: Diarrhoea, Dyspnoea, Fungal skin infection — Feeling: Poor · Be unable to do your normal daily activities

Free text: Fungal skin rash on chest and increased shortness of breath. Diarrhea.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-15
Survey response — day 42, dose 2
MedDRA: Diarrhoea, Lichen planus, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: Diarrhea and more down time after my weekly immunoglobulin infusions also a flare of my oral lichen plants that began right after first vaccination

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-02
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-12-02
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Condition aggravated, Cough, Eye pruritus, Hypersensitivity, Pre-existing disease, Sinus disorder, Sleep disorder — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I have an immune deficiency (CVID). Since vaccines a Continuing auto-immune 'flair'. Joint pain that limits sleep, oral Lichen planus flair, new allergies (eye itch and sinus/coughsymptoms)

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-03
Call 1 — Left Voicemail
2022-06-03
Survey response — 12 months, dose 2
MedDRA: Nephrolithiasis — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Kidney stones

MedDRA releases: 2024-11 · check-in free text available
2022-06-03
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-06-06
Call 1 — Left Voicemail
2022-06-06
Call successful
Does not wish to fill out VAERS report
2022-06-06
Call successful
Does not wish to fill out VAERS report
2022-06-06
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-11	Pfizer-BioNTech
2	2021-06-03	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-05-18	Successful 2022-06-06	Does not wish to fill out VAERS report
2021-12-02	Successful 2022-06-06	Does not wish to fill out VAERS report
2022-06-03	Successful 2022-06-06	Does not wish to fill out VAERS report

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-17

Systemic reaction (other): Worsening headache

Release 8 — day 14, dose 1

2021-05-25

Symptoms: Migraining again after a couple days of not. Also weird jerky muscle spasms while doing physical therapy today.

Release 9 — day 14, dose 2

2021-06-17

Symptoms: Slight fever 99.5

Release 9 — day 28, dose 2

2021-07-01

Symptoms: Diarrhea/lack of appetite

Release 9 — day 35, dose 2

2021-07-08

Symptoms: Fungal skin rash on chest and increased shortness of breath. Diarrhea.

Release 9 — day 42, dose 2

2021-07-15

Symptoms: Diarrhea and more down time after my weekly immunoglobulin infusions also a flare of my oral lichen plants that began right after first vaccination

Release 10 — 6 months, dose 2

2021-12-02

Symptoms: I have an immune deficiency (CVID). Since vaccines a Continuing auto-immune 'flair'. Joint pain that limits sleep, oral Lichen planus flair, new allergies (eye itch and sinus/coughsymptoms)

Release 11 — 12 months, dose 2

2022-06-03

Symptoms: Kidney stones

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	Arthralgia	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Cough	·	·	✓
SD	Decreased appetite	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Eye pruritus	·	·	✓
SD	Fungal skin infection	✓	✓	✓
SD	Hypersensitivity	·	·	✓
SD	Lichen planus	✓	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nephrolithiasis	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Sinus disorder	·	·	✓
SD	Sleep disorder	·	·	✓
SD	Unevaluable event	✓	✓	✓
SRO	Headache	✓	✓	✓

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