Y99-21213-50263

4 vaccinations 9 coded responses 52 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 057 / VT
Registered: 2021-04-10

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

3HG-69351-67180 Child or adolescent in my care · Female · 2022-06-25

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-10
Registered in v-safe
2021-04-10
Dose 1 — Pfizer-BioNTech
2021-04-10
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Nausea

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Joint pains

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-04-17
Health check-in — day 7, dose 1
Feeling: Good · Headache, Joint pains

Adult check-in
2021-04-24
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-05-01
Dose 2 — Pfizer-BioNTech
2021-05-01
Survey response — day 0, dose 2
MedDRA: Dysgeusia — Feeling: Good · Site: Redness, Swelling · Nausea

Free text: Metallic taste

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · Joint pains

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Nausea

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-05-08
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-05-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-02
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-02
Dose 3 — Pfizer-BioNTech
2021-11-02
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: Dyspnoea, Respiratory tract congestion — Feeling: Fair · Site: Pain · Headache, Nausea, Rash, not including the immediate area around the injection site

Free text: Shortness of breath; congestion

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Survey response — days 1–6 daily, dose 3
MedDRA: Respiratory tract congestion — Feeling: Fair · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Congestion

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-11-07
Survey response — days 1–6 daily, dose 3
MedDRA: Respiratory tract congestion — Feeling: Good · Fever

Free text: Congestion

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-11-09
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body aches

Adult check-in
2021-11-16
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-23
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-30
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-20
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-03
Survey response — 3 months, dose 3
MedDRA: Breast pain, Musculoskeletal stiffness — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Pain in breast; stiff muscles

MedDRA releases: 2024-11 · check-in free text available
2022-02-03
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-09
Call successful
Participant prefers to complete VAERS report online
2022-05-03
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-07
Dose 4 — Moderna
2022-09-07
Survey response — day 0, dose 4
MedDRA: Dyspnoea — Feeling: Good · Site: Pain, Itching · Joint pains, Abdominal pain

Free text: Shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2022-09-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2022-09-09
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-09-10
Survey response — days 1–6 daily, dose 4
MedDRA: Dyspnoea — Feeling: Fair · Headache, Joint pains, Nausea

Free text: Shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2022-09-11
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Joint pains

Adult check-in
2022-09-12
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-21
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-09-28
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-05
Survey response — day 28, dose 4
MedDRA: Cellulitis, Furuncle — Feeling: Fair

Free text: Boils and cellulitis

MedDRA releases: 2024-11 · check-in free text available
2022-10-12
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-22
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-08
Survey response — 3 months, dose 4
MedDRA: Gestational diabetes — Feeling: Fair

Free text: I am pregnant and was diagnosed with gestational diabetes.

MedDRA releases: 2024-11 · check-in free text available
2023-03-08
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-10	Pfizer-BioNTech
2	2021-05-01	Pfizer-BioNTech
3	2021-11-02	Pfizer-BioNTech	No
4	2022-09-07	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-02-03	Successful 2022-02-09	Participant prefers to complete VAERS report online

Free text

Release 8 — day 0, dose 2

2021-05-01

Systemic reaction (other): Metallic taste

Release 10 — days 1–6 daily, dose 3

2021-11-03

Systemic reaction (other): Shortness of breath; congestion

2021-11-04

Systemic reaction (other): Congestion

2021-11-07

Systemic reaction (other): Congestion

Release 11 — 3 months, dose 3

2022-02-03

Symptoms: Pain in breast; stiff muscles

Release 12 — day 0, dose 4

2022-09-07

Systemic reaction (other): Shortness of breath

Release 12 — days 1–6 daily, dose 4

2022-09-10

Systemic reaction (other): Shortness of breath

Release 12 — day 28, dose 4

2022-10-05

Symptoms: Boils and cellulitis

Release 12 — 3 months, dose 4

2022-12-08

Symptoms: I am pregnant and was diagnosed with gestational diabetes.

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	Breast pain	·	·	✓
SD	Cellulitis	·	·	✓
SD	Furuncle	·	·	✓
SD	Gestational diabetes	·	·	✓
SD	Musculoskeletal stiffness	·	·	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Dyspnoea	·	·	✓
SRO	Respiratory tract congestion	·	·	✓

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