YBZ-46956-55703

3 vaccinations 11 coded responses 35 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 306 / GA
Registered: 2021-01-27

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

2021-01-27
Registered in v-safe
2021-01-27
Dose 1 — Pfizer-BioNTech
2021-01-27
Health check-in — day 0, dose 1
Feeling: Good · Nausea

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-03
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-10
Survey response — day 14, dose 1
MedDRA: Pruritus, Rash — Feeling: Good

Free text: Itching, rash and face break-outs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Dose 2 — Pfizer-BioNTech
2021-02-18
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Random itching in various parts of body

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — days 1–6 daily, dose 2
MedDRA: Skin discolouration — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Blemishes appearing on face and scalp

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Acne, Pre-existing disease — Feeling: Good · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Breaking out on face but not like normal pimples

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-24
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-03
Survey response — day 14, dose 2
MedDRA: Rash — Feeling: Good

Free text: I keep breaking out in different parts of my body - face, back, arms, ankle, and head. Started occurring after first dose, progressively gotten worse since 2nd dose. They arent pimples, strange skin eruptions I have never encountered before.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-17
Survey response — day 28, dose 2
MedDRA: Fatigue, Headache, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: Increased fatigue and headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-19
Survey response — 3 months, dose 2
MedDRA: Arterial disorder, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Issues with the SMA and Celiac arteries. · Healthcare visit (other): Test for abdominal aneurysm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-28
Dose 3 — Pfizer-BioNTech
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Sneezing — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Sneezing, cough

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-05
Health check-in — day 7, dose 3
Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-10-12
Survey response — day 14, dose 3
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increased fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-10-19
Survey response — day 21, dose 3
MedDRA: Arthralgia, Fatigue, Gastrointestinal disorder, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increased joint pain, nausea, fatigue, intestinal issues

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Health check-in — day 28, dose 3
Feeling: Good

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

Adult check-in
2021-11-09
Health check-in — day 42, 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
2022-05-11
Call 1 — Left Voicemail
2022-09-28
Survey response — 12 months, dose 3
MedDRA: Cough, Fatigue, Memory impairment — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Ongoing cough, fatigue, forgetfulness

MedDRA releases: 2024-11 · check-in free text available
2022-09-28
Report sent to call center — 12 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-29
Call 2 — Left Voicemail
2022-09-29
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-27	Pfizer-BioNTech
2	2021-02-17	Pfizer-BioNTech
3	2021-09-28	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-19	Unsuccessful
2022-09-28	Unsuccessful

Free text

Release 4 — day 14, dose 1

2021-02-10

Symptoms: Itching, rash and face break-outs

Release 4 — days 1–6 daily, dose 2

2021-02-18

Systemic reaction (other): Random itching in various parts of body

2021-02-19

Systemic reaction (other): Blemishes appearing on face and scalp

2021-02-21

Systemic reaction (other): Breaking out on face but not like normal pimples

Release 5 — day 14, dose 2

2021-03-03

Symptoms: I keep breaking out in different parts of my body - face, back, arms, ankle, and head. Started occurring after first dose, progressively gotten worse since 2nd dose. They arent pimples, strange skin eruptions I have never encountered before.

Release 5 — day 28, dose 2

2021-03-17

Symptoms: Increased fatigue and headaches

Release 8 — 3 months, dose 2

2021-05-19

Symptoms: Issues with the SMA and Celiac arteries.

Healthcare visit (other): Test for abdominal aneurysm

Release 9 — days 1–6 daily, dose 3

2021-10-02

Systemic reaction (other): Sneezing, cough

Release 10 — day 14, dose 3

2021-10-12

Symptoms: Increased fatigue

Release 10 — day 21, dose 3

2021-10-19

Symptoms: Increased joint pain, nausea, fatigue, intestinal issues

Release 12 — 12 months, dose 3

2022-09-28

Symptoms: Ongoing cough, fatigue, forgetfulness

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	Unevaluable event	✓	✓	✓
SD	Arterial disorder	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	✓	✓	✓
SD	Memory impairment	·	·	✓
SD	Nausea	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SRO	Acne	✓	✓	✓
SRO	Cough	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Skin discolouration	✓	✓	✓
SRO	Sneezing	·	·	✓

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