Y8H-31935-54833

3 vaccinations 9 coded responses 21 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 064 / CT
Registered: 2021-03-31

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

2021-03-28
Dose 1 — Pfizer-BioNTech
2021-03-31
Registered in v-safe
2021-03-31
Survey response — days 1–6 daily, dose 1
MedDRA: Hypersomnia, Somnolence — Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: I slept for 2 plus days

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

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-04
Survey response — day 7, dose 1
MedDRA: Medical counselling, Photopsia, Unevaluable event — Feeling: Poor · Chills, Headache, Fatigue or tiredness, Diarrhea · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Eye flashes now for a couple days. Ive never had them ever. I dont know if its related or not · Healthcare visit (other): I am contacting my primary care Dr in the morning to get an opinion.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-18
Dose 2 — Pfizer-BioNTech
2021-04-18
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Swollen glands, the same as last time

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Disorientation, Dizziness — Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Very lightheaded and disoriented

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Headache · Be unable to do your normal daily activities

Free text: Still lightheaded, dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-30
Survey response — day 42, dose 2
MedDRA: Ageusia, Fatigue — Feeling: Good · Be unable to work

Free text: Extreme Fatigue, loss of taste

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Call 1 — Left Voicemail
2021-07-18
Survey response — 3 months, dose 2
MedDRA: Cough, Fatigue, Feeling abnormal, Headache, Office visit, Sneezing — 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

Free text: Symptoms: Constant coughing, sneezing, fatigue, headache. Thought allergies but had bloodwork and everything came back negative. I have not felt good in a long while. · Healthcare visit (other): Primary care

MedDRA releases: 2024-11 · check-in free text available
2021-07-18
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)
2021-07-25
Call 1 — Left Voicemail
2021-10-17
Survey response — 6 months, dose 2
MedDRA: Cardiac disorder, Cardiac failure, Heart rate increased, Office visit — Feeling: Poor · 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: Symptoms: Heart issues. One chamber beats too fast. One chamber stops beating. · Healthcare visit (other): I saw a heart Dr

MedDRA releases: 2024-11 · check-in free text available
2021-10-17
Report sent to call center — 6 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)
2021-10-20
Call 1 — Could Not Reach Participant
2021-10-26
Call 2 — Could Not Reach Participant
2021-12-17
Dose 3 — Pfizer-BioNTech
2022-04-18
Survey response — 12 months, dose 2
MedDRA: Dry eye, Hypertension, Unevaluable event — 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, Emergency room or emergency department visit

Free text: Dry eye and high blood pressure. A pacemaker implant

MedDRA releases: 2024-11 · check-in free text available
2022-04-18
Report sent to call center — 12 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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-04-19
Call successful
Participant prefers to complete VAERS report online
2022-06-19
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-12-20
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-28	Pfizer-BioNTech
2	2021-04-18	Pfizer-BioNTech
3	2021-12-17	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-04	Successful	Participant prefers to complete VAERS report online
2021-07-18	Successful	Participant prefers to complete VAERS report online
2021-10-17	Successful	Participant prefers to complete VAERS report online
2022-04-18	Successful 2022-04-19	Participant prefers to complete VAERS report online

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-31

Systemic reaction (other): I slept for 2 plus days

Release 6 — day 7, dose 1

2021-04-04

Systemic reaction (other): Eye flashes now for a couple days. Ive never had them ever. I dont know if its related or not

Healthcare visit (other): I am contacting my primary care Dr in the morning to get an opinion.

Release 7 — days 1–6 daily, dose 2

2021-04-19

Systemic reaction (other): Swollen glands, the same as last time

2021-04-23

Systemic reaction (other): Very lightheaded and disoriented

2021-04-24

Systemic reaction (other): Still lightheaded, dizzy

Release 8 — day 42, dose 2

2021-05-30

Symptoms: Extreme Fatigue, loss of taste

Release 9 — 3 months, dose 2

2021-07-18

Symptoms: Constant coughing, sneezing, fatigue, headache. Thought allergies but had bloodwork and everything came back negative. I have not felt good in a long while.

Healthcare visit (other): Primary care

Release 10 — 6 months, dose 2

2021-10-17

Symptoms: Heart issues. One chamber beats too fast. One chamber stops beating.

Healthcare visit (other): I saw a heart Dr

Release 11 — 12 months, dose 2

2022-04-18

Symptoms: Dry eye and high blood pressure. A pacemaker implant

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	Medical counselling	✓	✓	○
HCVO	Office visit	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Ageusia	✓	✓	✓
SD	Cardiac disorder	·	·	✓
SD	Cardiac failure	·	·	✓
SD	Cough	·	·	✓
SD	Dry eye	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	·	·	✓
SD	Headache	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Hypertension	·	·	✓
SD	Sneezing	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Disorientation	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Hypersomnia	·	·	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Photopsia	✓	✓	✓
SRO	Somnolence	✓	✓	○

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