Y86-15750-37542

2 vaccinations 10 coded responses 23 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 109 / NY
Registered: 2020-12-26

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

2020-12-26
Registered in v-safe
2020-12-26
Dose 1 — Pfizer-BioNTech
2020-12-26
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-02
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-09
Survey response — day 14, dose 1
MedDRA: Cough — Feeling: Good

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Dose 2 — Pfizer-BioNTech
2021-01-16
Survey response — day 0, dose 2
MedDRA: Fatigue, Headache, Pain, Somnolence — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Have been sleeping. Headache. The vaccine hurt more than any other immunization I have received in the past. Strangely, I have no tenderness or pain at the site like with dose #1. I had a mild headache prior to the vaccine, which has continued. Usually sleep takes care of my headaches, but I still have a headache after 3 hours of sleep. Unusual for me to sleep during the day. Very fatigued. I am concerned there was something wrong with the administration (did it not dethaw enough, etc) given how painful it was- it was stabbing pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Report sent to call center — day 0, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-17
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Insomnia, Middle insomnia, Nausea — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Headache overnight. Unable to sleep due to headache. Woke up every couple of hours. Nausea in the am. Took tylenol which helped. Without tylenol- severe. With tylenol moderate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-18
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Good · Site: Pain · Headache

Free text: Only overnight. During the day headache went away and feel much better.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-01-23
Survey response — day 7, dose 2
MedDRA: Unevaluable event — Feeling: Good · Diarrhea

Free text: Last night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — day 14, dose 2
MedDRA: Headache — Feeling: Fair

Free text: Headache on and off since the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-14
Survey response — day 28, dose 2
MedDRA: Headache — Feeling: Good

Free text: Headache off and on

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Survey response — day 35, dose 2
MedDRA: Headache — Feeling: Good

Free text: Persistent headache off and on

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — day 42, dose 2
MedDRA: Fatigue, Headache, Somnolence — Feeling: Fair

Free text: Continued intermittent headaches(already reported). New- very fatigued today, took a nap (unusual)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-17
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-16
Survey response — 12 months, dose 2
MedDRA: Insomnia, Migraine, Vomiting — Feeling: Poor · Be unable to work or attend school

Free text: Migraine, vomited, but healthcare worker up all night on 24 hour. Slept 2 hours and then continued 48 hour call

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-26	Pfizer-BioNTech
2	2021-01-16	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-01-16	priority 2/3
2021-01-17	priority 2/3

Free text

Release 1 — day 14, dose 1

2021-01-09

Symptoms: Cough

Release 2 — day 0, dose 2

2021-01-16

Systemic reaction (other): Have been sleeping. Headache. The vaccine hurt more than any other immunization I have received in the past. Strangely, I have no tenderness or pain at the site like with dose #1. I had a mild headache prior to the vaccine, which has continued. Usually sleep takes care of my headaches, but I still have a headache after 3 hours of sleep. Unusual for me to sleep during the day. Very fatigued. I am concerned there was something wrong with the administration (did it not dethaw enough, etc) given how painful it was- it was stabbing pain.

Release 2 — days 1–6 daily, dose 2

2021-01-17

Systemic reaction (other): Headache overnight. Unable to sleep due to headache. Woke up every couple of hours. Nausea in the am. Took tylenol which helped. Without tylenol- severe. With tylenol moderate

2021-01-18

Systemic reaction (other): Only overnight. During the day headache went away and feel much better.

Release 2 — day 7, dose 2

2021-01-23

Systemic reaction (other): Last night

Release 3 — day 14, dose 2

2021-01-30

Symptoms: Headache on and off since the vaccine

Release 4 — day 28, dose 2

2021-02-14

Symptoms: Headache off and on

Release 4 — day 35, dose 2

2021-02-21

Symptoms: Persistent headache off and on

Release 4 — day 42, dose 2

2021-02-27

Symptoms: Continued intermittent headaches(already reported). New- very fatigued today, took a nap (unusual)

Release 10 — 12 months, dose 2

2022-01-16

Symptoms: Migraine, vomited, but healthcare worker up all night on 24 hour. Slept 2 hours and then continued 48 hour call

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	Cough	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Insomnia	·	·	✓
SD	Migraine	·	·	✓
SD	Somnolence	✓	✓	✓
SD	Vomiting	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Middle insomnia	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Somnolence	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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