Y8K-99660-31954

3 vaccinations 8 coded responses 20 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 894 / NV
Registered: 2021-04-14

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

2021-04-14
Registered in v-safe
2021-04-14
Dose 1 — Pfizer-BioNTech
2021-04-16
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Nausea — Feeling: Good · Site: Pain · Headache, Nausea

Free text: Headache and nausea could be seasonal allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-21
Survey response — day 7, dose 1
MedDRA: Abdominal pain, Pre-existing disease — Feeling: Fair · Abdominal pain

Free text: Abdominal pain, more than likely unrelated to vaccine (chronic pain/medication side effects)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-07
Dose 2 — Pfizer-BioNTech
2021-05-12
Survey response — days 1–6 daily, dose 2
MedDRA: Muscular weakness, Pre-existing disease — Feeling: Fair

Free text: Related to personal chronic health condition (cervical disc disorder) 99% sure bilateral weakness shoulders arms hands fingers.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Pain — Feeling: Good

Free text: I was unable to update second shot right away (I received a one weeks checkin which allowed me to report my second shot finally) and report on day 2, absolutely awful! Tired, achy, felt impending doom kind of awful. Day 3, and since, just fine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — day 7, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Free text: These are due to chronic pain, NOT from COVID vaccine. FYI info only

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-28
Survey response — day 21, dose 2
MedDRA: Headache, Nausea — Feeling: Good · Be unable to do your normal daily activities

Free text: Nausea, headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-20
Dose 3 — Pfizer-BioNTech
2022-05-10
Survey response — 12 months, dose 2
MedDRA: Constipation, Large intestinal obstruction, Ovarian mass, Unevaluable event — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: Constipation from ovarian mass pressing on descending colon. But life happens right and it may or may not have anything to do with covid or a vaccine. I selected "worse" health below because of this. · Healthcare visit (other): Probable surgery soon

MedDRA releases: 2024-11 · check-in free text available
2022-05-10
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-05-11
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-20
Survey response — 6 months, dose 3
MedDRA: Emergency care, Increased upper airway secretion, Increased viscosity of upper respiratory secretion, Nasopharyngitis — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: We seem to get the thick mucus stuck in the throat like when we had COVID, much more frequently and a simple cold is much more severe. · Healthcare visit (other): Daughter went by ambulance

MedDRA releases: 2024-11 · check-in free text available
2022-06-20
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-06-21
Call 1 — Left Voicemail
2022-06-21
Call 1 — Left Voicemail
2022-12-22
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-14	Pfizer-BioNTech
2	2021-05-07	Pfizer-BioNTech
3	2021-12-20	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-05-10	Successful 2022-05-11	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-20	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-16

Systemic reaction (other): Headache and nausea could be seasonal allergies

Release 7 — day 7, dose 1

2021-04-21

Systemic reaction (other): Abdominal pain, more than likely unrelated to vaccine (chronic pain/medication side effects)

Release 8 — days 1–6 daily, dose 2

2021-05-12

Systemic reaction (other): Related to personal chronic health condition (cervical disc disorder) 99% sure bilateral weakness shoulders arms hands fingers.

2021-05-13

Systemic reaction (other): I was unable to update second shot right away (I received a one weeks checkin which allowed me to report my second shot finally) and report on day 2, absolutely awful! Tired, achy, felt impending doom kind of awful. Day 3, and since, just fine.

Release 8 — day 7, dose 2

2021-05-14

Systemic reaction (other): These are due to chronic pain, NOT from COVID vaccine. FYI info only

Release 8 — day 21, dose 2

2021-05-28

Symptoms: Nausea, headache

Release 11 — 12 months, dose 2

2022-05-10

Symptoms: Constipation from ovarian mass pressing on descending colon. But life happens right and it may or may not have anything to do with covid or a vaccine. I selected "worse" health below because of this.

Healthcare visit (other): Probable surgery soon

Release 12 — 6 months, dose 3

2022-06-20

Symptoms: We seem to get the thick mucus stuck in the throat like when we had COVID, much more frequently and a simple cold is much more severe.

Healthcare visit (other): Daughter went by ambulance

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	Emergency care	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Constipation	·	·	✓
SD	Headache	✓	✓	✓
SD	Increased upper airway secretion	·	·	✓
SD	Increased viscosity of upper respiratory secretion	·	·	✓
SD	Large intestinal obstruction	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	✓	✓	✓
SD	Ovarian mass	·	·	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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