YBL-18432-80983

3 vaccinations 13 coded responses 20 check-ins 13 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 211 / MD
Registered: 2021-03-04

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

2021-03-04
Registered in v-safe
2021-03-04
Dose 1 — Pfizer-BioNTech
2021-03-04
Survey response — day 0, dose 1
MedDRA: Paraesthesia — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Free text: Finger, hand, and wrist tingling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Blepharospasm, Paraesthesia — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Left eye spasm/twitching; left hand/finger tingling at times

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea, Hypopnoea — Feeling: Fair

Free text: Trouble breathing/ taking deep breaths

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Trouble breathing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Fair · Muscle or body aches

Free text: Some trouble breathing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-20
Survey response — day 14, dose 1
MedDRA: Dyspnoea, Initial insomnia, Paraesthesia — Feeling: Fair

Free text: Trouble breathingTrouble sleepingTingling in fingers/hand on injection arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Dose 2 — Pfizer-BioNTech
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Nausea

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Nausea

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — day 7, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Nausea · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-10
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-15
Health check-in — day 21, dose 2
Feeling: Fair

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

Adult check-in
2021-04-29
Survey response — day 35, dose 2
MedDRA: Dizziness, Injection site pain, Mobility decreased — Feeling: Fair · Be unable to do your normal daily activities

Free text: Dizziness and still having L arm issues where shot was given (still pain/ still difficulty raising arm up, etc)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 42, dose 2
MedDRA: Arthralgia, Pain in extremity, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Worsening arm/shoulder pain in arm that vaccine was administered in and tingling in L hand/fingers

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Call 1 — Left Voicemail
2021-07-01
Call successful
Participant prefers to complete VAERS report online
2022-02-17
Dose 3 — Pfizer-BioNTech
2022-02-20
Survey response — days 1–6 daily, dose 3
MedDRA: Eye disorder, Musculoskeletal pain — Feeling: Poor · Chills, Headache, Muscle or body aches

Free text: Left eye abnormal & left shoulder blade pain

MedDRA releases: 2024-11 · check-in free text available
2022-02-22
Survey response — days 1–6 daily, dose 3
MedDRA: Chest discomfort, Eye disorder, Musculoskeletal chest pain — Feeling: Fair · Headache, Muscle or body aches · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Chest discomfort/tenderness ; eye issue

MedDRA releases: 2024-11 · check-in free text available
2022-02-22
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-23
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Pfizer-BioNTech
2	2021-03-25	Pfizer-BioNTech
3	2022-02-17	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-05	Successful 2021-07-01	Participant prefers to complete VAERS report online
2022-02-22	Unsuccessful

Free text

Release 5 — day 0, dose 1

2021-03-04

Systemic reaction (other): Finger, hand, and wrist tingling

Release 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): Left eye spasm/twitching; left hand/finger tingling at times

2021-03-08

Systemic reaction (other): Trouble breathing/ taking deep breaths

2021-03-09

Systemic reaction (other): Trouble breathing

2021-03-10

Systemic reaction (other): Some trouble breathing

Release 6 — day 14, dose 1

2021-03-20

Symptoms: Trouble breathingTrouble sleepingTingling in fingers/hand on injection arm

Release 6 — days 1–6 daily, dose 2

2021-03-30

Systemic reaction (other): Dizziness

2021-03-31

Systemic reaction (other): Dizziness

Release 6 — day 7, dose 2

2021-04-05

Systemic reaction (other): Dizziness

Release 8 — day 35, dose 2

2021-04-29

Symptoms: Dizziness and still having L arm issues where shot was given (still pain/ still difficulty raising arm up, etc)

Release 8 — day 42, dose 2

2021-05-06

Symptoms: Worsening arm/shoulder pain in arm that vaccine was administered in and tingling in L hand/fingers

Release 11 — days 1–6 daily, dose 3

2022-02-20

Systemic reaction (other): Left eye abnormal & left shoulder blade pain

2022-02-22

Systemic reaction (other): Chest discomfort/tenderness ; eye issue

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	Arthralgia	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Initial insomnia	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Mobility decreased	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SRO	Blepharospasm	✓	✓	✓
SRO	Chest discomfort	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Eye disorder	·	·	✓
SRO	Hypopnoea	✓	✓	✓
SRO	Musculoskeletal chest pain	·	·	✓
SRO	Musculoskeletal pain	·	·	✓
SRO	Paraesthesia	✓	✓	✓

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