YDM-32135-58320

2 vaccinations 7 coded responses 14 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 895 / NV
Registered: 2021-04-03

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

2021-03-11
Dose 1 — Pfizer-BioNTech
2021-04-02
Dose 2 — Pfizer-BioNTech
2021-04-03
Registered in v-safe
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pruritus — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Itching but not at injection site; on arms mostly.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle tightness, Neck pain — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Very painful neck upon awakening and very tight shoulder muscles.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — day 7, dose 2
MedDRA: Eye irritation — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Eyes burn

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — day 14, dose 2
MedDRA: Balance disorder, Fatigue, Medical counselling, Tympanic membrane perforation — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Ruptured right ear drum. Fatigue. Lack of balance. · Healthcare visit (other): Phone call with physician's assistant.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-23
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-30
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-07
Survey response — day 35, dose 2
MedDRA: Diarrhoea, Ear infection, Ear pain, Fatigue, Flatulence, Office visit — Feeling: Poor · Be unable to work, 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: Symptoms: Diarrhea, gas, ear pain, ear canal infection, fatigue. · Healthcare visit (other): ENT in-person visit and urgent care visit.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Report sent to call center — day 35, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-16
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-02
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-01
Survey response — 6 months, dose 2
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Flare up of painful joints and used prednisone.

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-06
Call 1 — Left Voicemail
2022-04-02
Survey response — 12 months, dose 2
MedDRA: Cartilage injury, Office visit, Physiotherapy, Rotator cuff syndrome, Tendon rupture — Feeling: Fair · 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: Symptoms: Rotator cuff damage and long head bicep tendon detached. Full thickness tear of supraspinatus attachment. Labrum tear. · Healthcare visit (other): Ortho surgeon and physical therapy.

MedDRA releases: 2024-11 · check-in free text available
2022-04-02
Report sent to call center — 12 months, dose 2
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)
2022-04-05
Call 1 — Could Not Reach Participant
2022-04-11
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Pfizer-BioNTech
2	2021-04-02	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-04-16	Unsuccessful
2021-05-07	Unsuccessful
2021-10-01	Unsuccessful
2022-04-02	Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 2

2021-04-04

Systemic reaction (other): Itching but not at injection site; on arms mostly.

Release 7 — days 1–6 daily, dose 2

2021-04-07

Systemic reaction (other): Very painful neck upon awakening and very tight shoulder muscles.

Release 7 — day 7, dose 2

2021-04-09

Systemic reaction (other): Eyes burn

Release 7 — day 14, dose 2

2021-04-16

Symptoms: Ruptured right ear drum. Fatigue. Lack of balance.

Healthcare visit (other): Phone call with physician's assistant.

Release 8 — day 35, dose 2

2021-05-07

Symptoms: Diarrhea, gas, ear pain, ear canal infection, fatigue.

Healthcare visit (other): ENT in-person visit and urgent care visit.

Release 9 — 6 months, dose 2

2021-10-01

Symptoms: Flare up of painful joints and used prednisone.

Release 11 — 12 months, dose 2

2022-04-02

Symptoms: Rotator cuff damage and long head bicep tendon detached. Full thickness tear of supraspinatus attachment. Labrum tear.

Healthcare visit (other): Ortho surgeon and physical therapy.

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	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Physiotherapy	·	·	✓
SD	Arthralgia	·	·	✓
SD	Balance disorder	✓	✓	✓
SD	Cartilage injury	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Ear infection	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Flatulence	✓	✓	✓
SD	Rotator cuff syndrome	·	·	✓
SD	Tendon rupture	·	·	✓
SD	Tympanic membrane perforation	✓	✓	✓
SRO	Eye irritation	✓	✓	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Muscle tightness	✓	✓	✓
SRO	Neck pain	✓	✓	✓

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