YDZ-23380-80086

4 vaccinations 16 coded responses 35 check-ins 16 free-text entries 13 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 972 / OR
Registered: 2021-06-03

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

2021-06-02
Call successful
Participant prefers to complete VAERS report online
2021-06-03
Registered in v-safe
2021-06-03
Dose 1 — Pfizer-BioNTech
2021-06-03
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-06-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-06-05
Survey response — days 1–6 daily, dose 1
MedDRA: Acupuncture, Office visit — Feeling: Good · Site: Pain · Joint pains · Get care from a doctor or other healthcare professional

Free text: Acupuncture per rheumatologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-06
Survey response — days 1–6 daily, dose 1
MedDRA: Acupuncture — Feeling: Good · Site: Pain · Joint pains · Get care from a doctor or other healthcare professional

Free text: Acupuncture

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-06
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-08
Survey response — days 1–6 daily, dose 1
MedDRA: Office visit — Feeling: Fair · Joint pains · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Acupuncture & contacted rheumatologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-09
Survey response — days 1–6 daily, dose 1
MedDRA: Joint swelling, Specialist consultation — Feeling: Good · None · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Rheumatologist confirmed restart of biologic yesterday before 7 day recommended med holiday complete secondary to swelling in joints

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-10
Survey response — day 7, dose 1
MedDRA: Joint swelling — Feeling: Good · Joint pains

Free text: Joint swelling resolving after biologic restart

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Survey response — day 14, dose 1
MedDRA: Arthritis, Unevaluable event — 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: Symptoms: I have had some inflammation in the joints been pretty serious · Healthcare visit (other): 3 times

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-21
Call successful
Participant prefers to complete VAERS report online
2021-06-21
Call successful
Participant prefers to complete VAERS report online
2021-06-21
Call successful
Participant prefers to complete VAERS report online
2021-06-21
Call successful
Participant prefers to complete VAERS report online
2021-06-24
Dose 2 — Pfizer-BioNTech
2021-06-24
Survey response — day 0, dose 2
MedDRA: Office visit — Feeling: Good · Joint pains · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: rheumatologist. Ongoing since dose 1

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Report sent to call center — day 0, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-25
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Vertigo — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: dizzy, vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-26
Survey response — days 1–6 daily, dose 2
MedDRA: Acupuncture, Dizziness — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Dizzy · Healthcare visit (other): Acupuncture

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-26
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-06-28
Survey response — days 1–6 daily, dose 2
MedDRA: Acupuncture — Feeling: Fair · Joint pains · 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: Plus Acupuncture

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-28
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-29
Call 1 — Left Voicemail
2021-06-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-07-01
Health check-in — day 7, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-07-08
Survey response — day 14, dose 2
MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activities

Free text: Continuing joint pain since 2d post dose 1. Ongoing treatment.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-15
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-07-24
Survey response — day 28, dose 2
MedDRA: Arthralgia, Swelling — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Continuing joint pain & swelling since dose #1

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-24
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-29
Survey response — day 35, dose 2
MedDRA: Arthralgia, Joint swelling — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: ongoing joint pain and swelling since dose #1

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-29
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-02
Call 1 — Left Voicemail
2021-08-05
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-09-25
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-12-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-19
Dose 3 — Pfizer-BioNTech
2022-04-30
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-06-18
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-09-12
Dose 4 — Moderna
2022-09-13
Survey response — days 1–6 daily, dose 4
MedDRA: Medical counselling, Pre-existing disease — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · 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: Systemic reaction (other): I am immune suppressed. The shot was a bivalent · Healthcare visit (other): Sent message to rheumatologist. Texted naturopathic physician with response.

MedDRA releases: 2024-11 · check-in free text available
2022-09-13
Report sent to call center — days 1–6 daily, dose 4
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)
2022-09-14
Survey response — days 1–6 daily, dose 4
MedDRA: Pyrexia — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, 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 · Telehealth, virtual health, or email health consultation

Free text: Fever broke 6h ago

MedDRA releases: 2024-11 · check-in free text available
2022-09-14
Report sent to call center — days 1–6 daily, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-09-14
Call 2 — Left Voicemail
2022-09-14
Call 1 — Left Voicemail
2022-09-14
Call 1 — Left Voicemail
2022-09-14
Call 1 — Left Voicemail
2022-09-14
Call 2 — Left Voicemail
2022-09-14
Call 1 — Left Voicemail
2022-09-15
Call 3 — Left Voicemail
2022-09-15
Call 2 — Left Voicemail
2022-09-15
Call 2 — Left Voicemail
2022-09-15
Call 2 — Left Voicemail
2022-09-15
Call 3 — Left Voicemail
2022-09-15
Call 2 — Left Voicemail
2022-09-15
Call 1 — Left Voicemail
2022-09-15
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-15
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-15
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-15
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-15
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-15
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-15
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-21
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-09-26
Health check-in — day 14, dose 4
Feeling: Good

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

Adult check-in
2022-10-17
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-24
Survey response — day 42, dose 4
MedDRA: Office visit, Tooth abscess — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Dental abscess. Not covid related! · Healthcare visit (other): Dental & endodontist

MedDRA releases: 2024-11 · check-in free text available
2022-10-24
Report sent to call center — day 42, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-26
Call 1 — Left Voicemail
2022-12-14
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-15
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-03	Pfizer-BioNTech
2	2021-06-24	Pfizer-BioNTech	No
3	2022-03-19	Pfizer-BioNTech	No
4	2022-09-12	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-06-05	Successful 2021-06-21	Participant prefers to complete VAERS report online
2021-06-06	Successful 2021-06-02	Participant prefers to complete VAERS report online
2021-06-08	Successful 2021-06-21	Participant prefers to complete VAERS report online
2021-06-09	Successful 2021-06-21	Participant prefers to complete VAERS report online
2021-06-17	Successful 2021-06-21	Participant prefers to complete VAERS report online
2021-06-24	Successful 2022-09-15	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-06-26	Successful 2022-09-15	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-06-28	Successful 2022-09-15	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-07-24	Successful 2022-09-15	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-07-29	Successful 2022-09-15	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-13	Successful 2022-09-15	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-14	Successful 2022-09-15	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-24	Unsuccessful

Free text

Release 8 — days 1–6 daily, dose 1

2021-06-05

Healthcare visit (other): Acupuncture per rheumatologist

2021-06-06

Healthcare visit (other): Acupuncture

2021-06-08

Healthcare visit (other): Acupuncture & contacted rheumatologist

Release 9 — days 1–6 daily, dose 1

2021-06-09

Healthcare visit (other): Rheumatologist confirmed restart of biologic yesterday before 7 day recommended med holiday complete secondary to swelling in joints

Release 9 — day 7, dose 1

2021-06-10

Systemic reaction (other): Joint swelling resolving after biologic restart

Release 9 — day 14, dose 1

2021-06-17

Symptoms: I have had some inflammation in the joints been pretty serious

Healthcare visit (other): 3 times

Release 9 — day 0, dose 2

2021-06-24

Healthcare visit (other): rheumatologist. Ongoing since dose 1

Release 9 — days 1–6 daily, dose 2

2021-06-25

Systemic reaction (other): dizzy, vertigo

2021-06-26

Systemic reaction (other): Dizzy

Healthcare visit (other): Acupuncture

2021-06-28

Healthcare visit (other): Plus Acupuncture

Release 9 — day 14, dose 2

2021-07-08

Symptoms: Continuing joint pain since 2d post dose 1. Ongoing treatment.

Release 9 — day 28, dose 2

2021-07-24

Symptoms: Continuing joint pain & swelling since dose #1

Release 9 — day 35, dose 2

2021-07-29

Symptoms: ongoing joint pain and swelling since dose #1

Release 12 — days 1–6 daily, dose 4

2022-09-13

Systemic reaction (other): I am immune suppressed. The shot was a bivalent

Healthcare visit (other): Sent message to rheumatologist. Texted naturopathic physician with response.

2022-09-14

Systemic reaction (other): Fever broke 6h ago

Release 12 — day 42, dose 4

2022-10-24

Symptoms: Dental abscess. Not covid related!

Healthcare visit (other): Dental & endodontist

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	Acupuncture	✓	✓	✓
HCVO	Joint swelling	✓	✓	✓
HCVO	Medical counselling	·	·	✓
HCVO	Office visit	✓	✓	✓
HCVO	Specialist consultation	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Arthritis	✓	✓	✓
SD	Joint swelling	✓	·	✓
SD	Swelling	✓	·	✓
SD	Tooth abscess	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Joint swelling	✓	✓	✓
SRO	Pre-existing disease	·	·	✓
SRO	Pyrexia	·	·	✓
SRO	Vertigo	✓	✓	✓

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