YBH-20281-99426

4 vaccinations 10 coded responses 40 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 146 / NY
Registered: 2021-03-05

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

2021-03-05
Registered in v-safe
2021-03-05
Dose 1 — Pfizer-BioNTech
2021-03-05
Survey response — day 0, dose 1
MedDRA: Paranasal sinus discomfort — Feeling: Good · Site: Pain

Free text: Sinus pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Eructation, Flatulence — Feeling: Fair · Site: Pain · Abdominal pain

Free text: Gas coming out in the form of burps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None · Be unable to do your normal daily activities

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-26
Dose 2 — Pfizer-BioNTech
2021-03-26
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling hot, Insomnia, Sneezing — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Sneezing more than usual , warmer than usual at night not able to get totally comfortable to sleep during the night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains, Vomiting

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-03
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-09
Survey response — day 14, dose 2
MedDRA: Musculoskeletal stiffness — Feeling: Good

Free text: My arm is a little bit more stiff than usual

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-25
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-28
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Pain, Pain in extremity — Feeling: Good · Site: Pain

Free text: It feels like it's pulling in my arm near the injection site when I move my arm to lift things or push down

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-28
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-09
Survey response — day 42, dose 3
MedDRA: Uterine leiomyoma — Feeling: Fair

Free text: Awaiting surgery for fibrouds

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Survey response — 3 months, dose 3
MedDRA: Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities

Free text: Upcoming surgery

MedDRA releases: 2024-11 · check-in free text available
2022-03-30
Survey response — 6 months, dose 3
MedDRA: Myomectomy — Feeling: Good · 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, Hospitalization

Free text: Had surgery for fibroids

MedDRA releases: 2024-11 · check-in free text available
2022-03-30
Report sent to call center — 6 months, dose 3
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 · Hospitalization · 1 call case(s)
2022-04-04
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-09-29
Dose 4 — Pfizer-BioNTech
2022-10-02
Survey response — 12 months, dose 3
MedDRA: Erythema, Pruritus, Swelling — Feeling: Good

Free text: Received the.booster dose an there is a red bump that is sore and itchy

MedDRA releases: 2024-11 · check-in free text available
2022-10-15
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-21
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-27
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-06
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-12
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-29
Survey response — 3 months, dose 4
MedDRA: Back pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Pain in back between my shoulders

MedDRA releases: 2024-11 · check-in free text available
2022-12-29
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-30
Call 1 — Left Voicemail
2023-04-01
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Pfizer-BioNTech
2	2021-03-26	Pfizer-BioNTech
3	2021-09-28	Pfizer-BioNTech	Flu
4	2022-09-29	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-03-30	Successful 2022-04-04	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-12-29	Unsuccessful

Free text

Release 5 — day 0, dose 1

2021-03-05

Systemic reaction (other): Sinus pressure

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): Gas coming out in the form of burps

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): Sneezing more than usual , warmer than usual at night not able to get totally comfortable to sleep during the night

Release 7 — day 14, dose 2

2021-04-09

Symptoms: My arm is a little bit more stiff than usual

Release 9 — days 1–6 daily, dose 3

2021-10-04

Systemic reaction (other): It feels like it's pulling in my arm near the injection site when I move my arm to lift things or push down

Release 10 — day 42, dose 3

2021-11-09

Symptoms: Awaiting surgery for fibrouds

Release 10 — 3 months, dose 3

2021-12-31

Symptoms: Upcoming surgery

Release 11 — 6 months, dose 3

2022-03-30

Symptoms: Had surgery for fibroids

Release 12 — 12 months, dose 3

2022-10-02

Symptoms: Received the.booster dose an there is a red bump that is sore and itchy

Release 12 — 3 months, dose 4

2022-12-29

Symptoms: Pain in back between my shoulders

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	Back pain	·	·	✓
SD	Erythema	·	·	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Myomectomy	·	·	✓
SD	Pruritus	·	·	✓
SD	Swelling	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Uterine leiomyoma	·	·	✓
SRO	Eructation	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Flatulence	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Pain	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Paranasal sinus discomfort	✓	✓	✓
SRO	Sneezing	✓	✓	✓

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