YDM-18399-11749

2 vaccinations 4 coded responses 24 check-ins 4 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 708 / LA
Registered: 2021-07-27

Relationship: Self
Race: Multiracial
Ethnicity: Hispanic or Latino

Timeline

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

2021-07-27
Registered in v-safe
2021-07-27
Dose 1 — Pfizer-BioNTech
2021-07-27
Survey response — day 0, dose 1
MedDRA: Formication, Headache, Immediate post-injection reaction, Nausea, Sensory disturbance — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Within the first hour I felt as though I had taken a whole bunch of Adderall and chased it w/ a Red Bull. Then I got a headache and sick at my stomach and my skin felt like it was crawling.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-28
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-07-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-07-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-08-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-08-02
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-08-06
Survey response — day 7, dose 1
MedDRA: SARS-CoV-2 test positive — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: I tested Positive for Covid on Tuesday Aug 3rd.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-06
Report sent to call center — day 7, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-10
Survey response — day 14, dose 1
MedDRA: Diarrhoea, Nausea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Really bad diarrhea and nausea.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-14
Call 1 — Could Not Reach Participant
2021-08-19
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-08-19
Call successful
Participant prefers to complete VAERS report online
2021-08-23
Dose 2 — Pfizer-BioNTech
2021-08-24
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-08-25
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-08-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-08-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-08-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-08-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-08-30
Health check-in — day 7, dose 2
Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-09-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-09-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-09-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-09-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-10-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-11-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-02-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-08-24
Survey response — 12 months, dose 2
MedDRA: Alopecia, Asthenia, Headache, Laboratory test abnormal, Office visit, Peripheral swelling — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Weird swelling for no reason in one leg, headaches, still feel drained and no energy almost a year later and my hair that fell out in clumps late last year 3-4 months after being positive is just starting to grow back. · Healthcare visit (other): Actual doctors appointments

MedDRA releases: 2024-11 · check-in free text available
2022-08-24
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2022-08-25
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-07-27	Pfizer-BioNTech	No
2	2021-08-23	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-08-06	Successful 2021-08-19	Participant prefers to complete VAERS report online
2022-08-24	Unsuccessful

Free text

Release 9 — day 0, dose 1

2021-07-27

Systemic reaction (other): Within the first hour I felt as though I had taken a whole bunch of Adderall and chased it w/ a Red Bull. Then I got a headache and sick at my stomach and my skin felt like it was crawling.

Release 9 — day 7, dose 1

2021-08-06

Systemic reaction (other): I tested Positive for Covid on Tuesday Aug 3rd.

Release 9 — day 14, dose 1

2021-08-10

Symptoms: Really bad diarrhea and nausea.

Release 12 — 12 months, dose 2

2022-08-24

Symptoms: Weird swelling for no reason in one leg, headaches, still feel drained and no energy almost a year later and my hair that fell out in clumps late last year 3-4 months after being positive is just starting to grow back.

Healthcare visit (other): Actual doctors appointments

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	Office visit	·	·	✓
SD	Alopecia	·	·	✓
SD	Asthenia	·	·	✓
SD	Diarrhoea	✓	·	✓
SD	Headache	·	·	✓
SD	Laboratory test abnormal	·	·	✓
SD	Nausea	✓	·	✓
SD	Peripheral swelling	·	·	✓
SRO	Formication	✓	·	✓
SRO	Headache	✓	·	✓
SRO	Immediate post-injection reaction	✓	·	✓
SRO	Nausea	✓	·	✓
SRO	SARS-CoV-2 test positive	✓	·	✓
SRO	Sensory disturbance	✓	·	✓

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