YEW-41082-09816

4 vaccinations 12 coded responses 35 check-ins 11 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 250 / WV
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

2021-01-22
Dose 1 — Pfizer-BioNTech
2021-01-27
Registered in v-safe
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-01-29
Health check-in — day 7, dose 1
Feeling: Fair · None

Adult check-in
2021-02-05
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-12
Dose 2 — Pfizer-BioNTech
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-05
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-12
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-19
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-26
Survey response — day 42, dose 2
MedDRA: Arthralgia, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: My left knee which I have had replaced has suddenly become very painful when I walk on it after a period of time. This is new and hasnt happened before. I have not fallen or injured it in any way. · Healthcare visit (other): Orthopedic office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-14
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-13
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-08-25
Dose 3 — Pfizer-BioNTech
2021-10-01
Survey response — day 35, dose 3
MedDRA: Gastrointestinal disorder, Hypertension — Feeling: Fair

Free text: Stomach problems and hypertension.

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Survey response — day 42, dose 3
MedDRA: Abdominal pain upper, Back pain, Burning sensation, Dyspepsia, Gastrointestinal disorder, Pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Stomach issues, pain and burning in stomach radiating into back. I put on question below I don't think this is related to the COVID vaccine but I don't have any idea if it does or not.

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-01-19
Call 1 — Left Voicemail
2022-02-23
Survey response — 6 months, dose 3
MedDRA: Chills, Cough, Influenza like illness, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion — 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: Flu like symptoms, body aches, fever, chills, sore throat, head stopped up, cough

MedDRA releases: 2024-11 · check-in free text available
2022-02-23
Report sent to call center — 6 months, dose 3
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)
2022-02-24
Call 1 — Left Voicemail
2022-02-24
Call successful
Does not wish to fill out VAERS report
2022-02-24
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-12
Dose 4 — Pfizer-BioNTech
2022-05-13
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-05-15
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal pain

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-05-16
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Fair · Abdominal pain

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-05-17
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Fair · Fatigue or tiredness, Abdominal pain

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-05-18
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Fair · Fatigue or tiredness

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Survey response — day 7, dose 4
MedDRA: Anxiety — Feeling: Fair · Abdominal pain

Free text: Anxious

MedDRA releases: 2024-11 · check-in free text available
2022-05-26
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-06-02
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-06-09
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-06-16
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-06-23
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-08-11
Survey response — 3 months, dose 4
MedDRA: Alopecia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: My hair is coming out in handfuls. · Healthcare visit (other): Office visit

MedDRA releases: 2024-11 · check-in free text available
2022-08-11
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-08-12
Call 2 — Left Voicemail
2022-08-12
Call 2 — Left Voicemail
2022-08-12
Call 2 — Left Voicemail
2022-11-10
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2023-05-14
Survey response — 12 months, dose 4
MedDRA: Alopecia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-05-14
Report sent to call center — 12 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2023-05-15
Call 1 — Left Voicemail
2023-05-15
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Pfizer-BioNTech
2	2021-02-12	Pfizer-BioNTech
3	2021-08-25	Pfizer-BioNTech	No
4	2022-05-12	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-26	Successful 2022-02-24	Does not wish to fill out VAERS report
2022-02-23	Successful 2022-02-24	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-08-11	Unsuccessful
2023-05-14	Unsuccessful

Free text

Release 6 — day 42, dose 2

2021-03-26

Symptoms: My left knee which I have had replaced has suddenly become very painful when I walk on it after a period of time. This is new and hasnt happened before. I have not fallen or injured it in any way.

Healthcare visit (other): Orthopedic office visit

Release 9 — day 35, dose 3

2021-10-01

Symptoms: Stomach problems and hypertension.

Release 10 — day 42, dose 3

2021-10-06

Symptoms: Stomach issues, pain and burning in stomach radiating into back. I put on question below I don't think this is related to the COVID vaccine but I don't have any idea if it does or not.

Release 11 — 6 months, dose 3

2022-02-23

Symptoms: Flu like symptoms, body aches, fever, chills, sore throat, head stopped up, cough

Release 11 — days 1–6 daily, dose 4

2022-05-13

Systemic reaction (other): No

2022-05-15

Systemic reaction (other): No

2022-05-16

Systemic reaction (other): No

2022-05-17

Systemic reaction (other): No

2022-05-18

Systemic reaction (other): No

Release 11 — day 7, dose 4

2022-05-19

Systemic reaction (other): Anxious

Release 12 — 3 months, dose 4

2022-08-11

Symptoms: My hair is coming out in handfuls.

Healthcare visit (other): Office visit

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	Abdominal pain upper	·	·	✓
SD	Alopecia	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	·	·	✓
SD	Burning sensation	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Dyspepsia	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Hypertension	·	·	✓
SD	Influenza like illness	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SRO	Anxiety	·	·	✓
SRO	No adverse event	·	·	✓

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