Y7J-18405-51497

2 vaccinations 7 coded responses 21 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 217 / MD
Registered: 2021-09-05

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

2021-09-05
Registered in v-safe
2021-09-05
Dose 1 — Pfizer-BioNTech
2021-09-05
Survey response — day 0, dose 1
MedDRA: Pain, Pain in extremity — Feeling: Good

Free text: The arm i had the vaccine in is sore when lifting it.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-09-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-09-09
Survey response — days 1–6 daily, dose 1
MedDRA: Muscular weakness, Nervousness — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Very Nervous feeling, weak in the legs

MedDRA releases: 2024-11 · check-in free text available
2021-09-11
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal discomfort, Asthenia, Dizziness, Medical counselling, Nausea, Nervousness — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Weak, nervous, lighthead, · Healthcare visit (other): Called physician office, discussed my being very nauseated, weak, nervousness, upset stomach. Medical staff said my side effects were normal, to give it a few more days i should feel better. were

MedDRA releases: 2024-11 · check-in free text available
2021-09-11
Report sent to call center — days 1–6 daily, dose 1
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)
2021-09-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-09-16
Call 1 — Left Voicemail
2021-09-19
Survey response — day 14, dose 1
MedDRA: Nausea — Feeling: Fair

Free text: I still often feel nausea. I havent thrown up, I feel close to it. It will hit me sudden and last a few seconds now and goes away.

MedDRA releases: 2024-11 · check-in free text available
2021-09-26
Dose 2 — Pfizer-BioNTech
2021-09-26
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-09-27
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-09-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-09-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-10-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-03
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-10-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-10-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-10-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-10-31
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-11-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-12-26
Survey response — 3 months, dose 2
MedDRA: Nausea, Reaction to previous exposure to any vaccine — Feeling: Fair

Free text: Im feeling nauseated several times a day. Not as strong as i did after my first dose of the vaccine.

MedDRA releases: 2024-11 · check-in free text available
2022-03-27
Survey response — 6 months, dose 2
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school

Free text: Covid

MedDRA releases: 2024-11 · check-in free text available
2022-09-26
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-09-05	Pfizer-BioNTech	No
2	2021-09-26	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-09-11	Unsuccessful

Free text

Release 9 — day 0, dose 1

2021-09-05

Systemic reaction (other): The arm i had the vaccine in is sore when lifting it.

Release 9 — days 1–6 daily, dose 1

2021-09-09

Systemic reaction (other): Very Nervous feeling, weak in the legs

2021-09-11

Systemic reaction (other): Weak, nervous, lighthead,

Healthcare visit (other): Called physician office, discussed my being very nauseated, weak, nervousness, upset stomach. Medical staff said my side effects were normal, to give it a few more days i should feel better. were

Release 9 — day 14, dose 1

2021-09-19

Symptoms: I still often feel nausea. I havent thrown up, I feel close to it. It will hit me sudden and last a few seconds now and goes away.

Release 9 — days 1–6 daily, dose 2

2021-09-27

Systemic reaction (other): Sore throat

Release 10 — 3 months, dose 2

2021-12-26

Symptoms: Im feeling nauseated several times a day. Not as strong as i did after my first dose of the vaccine.

Release 11 — 6 months, dose 2

2022-03-27

Symptoms: Covid

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	Abdominal discomfort	·	·	✓
HCVO	Asthenia	·	·	✓
HCVO	Medical counselling	·	·	✓
HCVO	Nausea	·	·	✓
HCVO	Nervousness	·	·	✓
SD	COVID-19	·	·	✓
SD	Nausea	·	·	✓
SD	Reaction to previous exposure to any vaccine	·	·	✓
SRO	Asthenia	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Muscular weakness	·	·	✓
SRO	Nervousness	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pain	✓	·	✓
SRO	Pain in extremity	✓	·	✓

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