Y8L-22572-48538

3 vaccinations 9 coded responses 24 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 606 / IL
Registered: 2020-12-19

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

2020-12-18
Dose 1 — Pfizer-BioNTech
2020-12-19
Registered in v-safe
2020-12-19
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Insomnia — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Difficulty sleeping 12-18 at night. Woke up hourly that is why I feel tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-21
Survey response — days 1–6 daily, dose 1
MedDRA: Pain, Pre-existing disease — Feeling: Good · Muscle or body aches

Free text: I have arthritis and sciatica and cannot easily differentiate if aches are from the vaccine or my normal ached

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-22
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness

Free text: Tired but also stayed up too late last night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-23
Survey response — days 1–6 daily, dose 1
MedDRA: Chills — Feeling: Good · Chills

Free text: Chills very briefly and mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2020-12-25
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-01-01
Survey response — day 14, dose 1
MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Fatigue unusual for me

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-08
Dose 2 — Pfizer-BioNTech
2021-01-15
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-01-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-20
Survey response — day 42, dose 2
MedDRA: Candida infection, Infection, Oral candidiasis, Oral infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Thrush in mouth AND infection in upper quadrant of mouth possibly involving a dental implant. Uncertain of causality

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-05-21
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-09-28
Dose 3 — Pfizer-BioNTech
2021-09-30
Survey response — days 1–6 daily, dose 3
MedDRA: Fatigue, Pre-existing disease — Feeling: Fair · Fatigue or tiredness

Free text: Fatigue may be due to new RX started for condition unlrelated to Covid or the vaccine

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fever · Fatigue or tiredness, Nausea

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Nausea

Adult check-in
2021-10-05
Survey response — day 7, dose 3
MedDRA: Arthralgia, Arthritis, Injected limb mobility decreased, Limb injury, Reaction to preservatives — Feeling: Good · Fever · Joint pains

Free text: Shoulder of the arm which got the vaccinv is very sore.I don't think frozen shoulder but I cannot lift my arm up overhead. What preservatives are in the vaccine? I have some damage/ arthritis in this shoulder caused by reaction to preservative

MedDRA releases: 2024-11 · check-in free text available
2021-10-19
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-10-28
Survey response — day 28, dose 3
MedDRA: Musculoskeletal discomfort, Unevaluable event — Feeling: Good

Free text: My right shoulder remains uncomfortable - upper left arm / shoukdwrn

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-28
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-29
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-29
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-18	Pfizer-BioNTech
2	2021-01-08	Pfizer-BioNTech
3	2021-09-28	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-01	priority 2/3
2021-02-20	Successful 2021-05-21	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-19

Systemic reaction (other): Difficulty sleeping 12-18 at night. Woke up hourly that is why I feel tired

2020-12-21

Systemic reaction (other): I have arthritis and sciatica and cannot easily differentiate if aches are from the vaccine or my normal ached

2020-12-22

Systemic reaction (other): Tired but also stayed up too late last night

2020-12-23

Systemic reaction (other): Chills very briefly and mild

Release 1 — day 14, dose 1

2021-01-01

Symptoms: Fatigue unusual for me

Release 4 — day 42, dose 2

2021-02-20

Symptoms: Thrush in mouth AND infection in upper quadrant of mouth possibly involving a dental implant. Uncertain of causality

Release 9 — days 1–6 daily, dose 3

2021-09-30

Systemic reaction (other): Fatigue may be due to new RX started for condition unlrelated to Covid or the vaccine

Release 10 — day 7, dose 3

2021-10-05

Systemic reaction (other): Shoulder of the arm which got the vaccinv is very sore.I don't think frozen shoulder but I cannot lift my arm up overhead. What preservatives are in the vaccine? I have some damage/ arthritis in this shoulder caused by reaction to preservative

Release 10 — day 28, dose 3

2021-10-28

Symptoms: My right shoulder remains uncomfortable - upper left arm / shoukdwrn

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	Candida infection	✓	✓	○
SD	Fatigue	✓	✓	✓
SD	Infection	✓	✓	○
SD	Musculoskeletal discomfort	·	·	✓
SD	Oral candidiasis	·	·	✓
SD	Oral infection	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Arthritis	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Injected limb mobility decreased	·	·	✓
SRO	Insomnia	✓	✓	✓
SRO	Limb injury	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Reaction to preservatives	·	·	✓
SRO	Unevaluable event	○	○	○

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