YF5-28346-40899

3 vaccinations 24 coded responses 37 check-ins 23 free-text entries 4 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 925 / CA
Registered: 2021-03-25

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-25
Registered in v-safe
2021-03-25
Dose 1 — Pfizer-BioNTech
2021-03-25
Health check-in — day 0, dose 1
Feeling: Poor · Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Flatulence — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Yes I had a lot of gas yesterday evening

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-04-01
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-08
Survey response — day 14, dose 1
MedDRA: Unevaluable event — Feeling: Good

Free text: I don't know if it's a symptom but I already have sleep problems but now it seems like it got worse so I don't know if it's from the shot or not

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — day 21, dose 1
MedDRA: Fatigue — Feeling: Good

Free text: I seem tired all the time

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-26
Dose 2 — Pfizer-BioNTech
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Breast pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: I've had pain in my left breast off and on

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Headache

Adult check-in
2021-05-03
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Headache

Adult check-in
2021-05-10
Survey response — day 14, dose 2
MedDRA: Cough — Feeling: Fair

Free text: Coughing alot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Survey response — day 21, dose 2
MedDRA: Bronchitis, Diarrhoea, Fatigue — Feeling: Fair

Free text: My cough has turned into bronchitis tired and diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Survey response — day 28, dose 2
MedDRA: Cough, Myalgia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Still have a cough muscles hurt my body my neck my arm my foot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-31
Survey response — day 35, dose 2
MedDRA: Cough, Fatigue, Myalgia, Pain — Feeling: Fair

Free text: Still have the cough and muscle aches body aches and still tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Survey response — day 42, dose 2
MedDRA: Arthralgia, Pain, Pain in extremity — Feeling: Fair

Free text: Still having body aches and pains my wrist my shoulders my legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-26
Survey response — 3 months, dose 2
MedDRA: Blister, Bone pain, Fatigue, Myalgia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Bone and muscle aches my neck my shoulders my wrist I'm tired still. And little blisters on my scalp

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-26
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-03
Call 2 — Could Not Reach Participant
2021-08-06
Call 3 — Could Not Reach Participant
2021-10-25
Survey response — 6 months, dose 2
MedDRA: Cough, Fatigue, Impaired healing, Pain — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: I feel tired a lot hard to stay awake even after I just woke up my body is sore healing slower and I still have a cough that won't go away

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-26
Call 2 — Could Not Reach Participant
2021-10-29
Call 3 — Could Not Reach Participant
2022-03-15
Dose 3 — Pfizer-BioNTech
2022-03-17
Survey response — days 1–6 daily, dose 3
MedDRA: Blood glucose increased, Joint swelling, Peripheral swelling — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: My blood sugar has been really high and my feet are swollen and ankles are swollen

MedDRA releases: 2024-11 · check-in free text available
2022-03-18
Survey response — days 1–6 daily, dose 3
MedDRA: Joint swelling, Peripheral swelling, Unevaluable event — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Blood sugar and swollen feet and ankles

MedDRA releases: 2024-11 · check-in free text available
2022-03-19
Survey response — days 1–6 daily, dose 3
MedDRA: Acne, Injection site erythema, Injection site reaction, Joint swelling — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Red pimples around ejection site and Ankle still swollen

MedDRA releases: 2024-11 · check-in free text available
2022-03-20
Survey response — days 1–6 daily, dose 3
MedDRA: Joint swelling, Pain, Pain in extremity — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Ankle still swollen arm still hurts to lift

MedDRA releases: 2024-11 · check-in free text available
2022-03-21
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site rash — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Still have mild rash around the site

MedDRA releases: 2024-11 · check-in free text available
2022-03-22
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-03-29
Survey response — day 14, dose 3
MedDRA: Muscular weakness, Peripheral swelling, Pruritus — Feeling: Fair

Free text: My arm is still weak and I still have a bump and it still itches sometimes

MedDRA releases: 2024-11 · check-in free text available
2022-04-05
Survey response — day 21, dose 3
MedDRA: Vomiting — Feeling: Fair

Free text: Throwing up yellow

MedDRA releases: 2024-11 · check-in free text available
2022-04-12
Survey response — day 28, dose 3
MedDRA: Injection site mass — Feeling: Fair

Free text: Still have a lump at the injection site has not gone away yet

MedDRA releases: 2024-11 · check-in free text available
2022-04-21
Survey response — day 35, dose 3
MedDRA: Injection site mass, Injection site pain — Feeling: Fair

Free text: Still have a lump at injection site and is very tender to touch

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Survey response — day 42, dose 3
MedDRA: Injection site discolouration, Injection site mass — Feeling: Fair

Free text: Injection site is turning dark brown I still have a lump no pain

MedDRA releases: 2024-11 · check-in free text available
2022-06-14
Survey response — 3 months, dose 3
MedDRA: Arthralgia, Back pain, Peripheral swelling, Renal pain — 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 · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: I've had pain in my shoulder pain in my kidneys or lower back area still have the bump on my arm don't think I'll get another shot

MedDRA releases: 2024-11 · check-in free text available
2022-06-14
Report sent to call center — 3 months, dose 3
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 · Emergency room or emergency department visit · 1 call case(s)
2022-06-15
Call 1 — Could Not Reach Participant
2022-06-15
Call 1 — Could Not Reach Participant
2022-06-15
Call 1 — Could Not Reach Participant
2022-06-15
Call 1 — Could Not Reach Participant
2022-06-21
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-21
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-21
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-21
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-13
Survey response — 6 months, dose 3
MedDRA: Cough, Feeling abnormal — Feeling: Fair

Free text: It just seems like everything is bad I still can't get rid of this cough

MedDRA releases: 2024-11 · check-in free text available
2023-03-18
Survey response — 12 months, dose 3
MedDRA: Back pain, Intervertebral disc protrusion, Salivary gland cancer, Thyroid mass — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Pfizer-BioNTech
2	2021-04-26	Pfizer-BioNTech
3	2022-03-15	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-24	Successful 2022-06-21	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-07-26	Successful 2022-06-21	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-10-25	Successful 2022-06-21	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-14	Successful 2022-06-21	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-27

Systemic reaction (other): Yes I had a lot of gas yesterday evening

Release 7 — day 14, dose 1

2021-04-08

Symptoms: I don't know if it's a symptom but I already have sleep problems but now it seems like it got worse so I don't know if it's from the shot or not

Release 7 — day 21, dose 1

2021-04-15

Symptoms: I seem tired all the time

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): I've had pain in my left breast off and on

Release 8 — day 14, dose 2

2021-05-10

Symptoms: Coughing alot

Release 8 — day 21, dose 2

2021-05-17

Symptoms: My cough has turned into bronchitis tired and diarrhea

Release 8 — day 28, dose 2

2021-05-24

Symptoms: Still have a cough muscles hurt my body my neck my arm my foot

Release 8 — day 35, dose 2

2021-05-31

Symptoms: Still have the cough and muscle aches body aches and still tired

Release 8 — day 42, dose 2

2021-06-07

Symptoms: Still having body aches and pains my wrist my shoulders my legs

Release 9 — 3 months, dose 2

2021-07-26

Symptoms: Bone and muscle aches my neck my shoulders my wrist I'm tired still. And little blisters on my scalp

Release 10 — 6 months, dose 2

2021-10-25

Symptoms: I feel tired a lot hard to stay awake even after I just woke up my body is sore healing slower and I still have a cough that won't go away

Release 11 — days 1–6 daily, dose 3

2022-03-17

Systemic reaction (other): My blood sugar has been really high and my feet are swollen and ankles are swollen

2022-03-18

Systemic reaction (other): Blood sugar and swollen feet and ankles

2022-03-19

Systemic reaction (other): Red pimples around ejection site and Ankle still swollen

2022-03-20

Systemic reaction (other): Ankle still swollen arm still hurts to lift

2022-03-21

Systemic reaction (other): Still have mild rash around the site

Release 11 — day 14, dose 3

2022-03-29

Symptoms: My arm is still weak and I still have a bump and it still itches sometimes

Release 11 — day 21, dose 3

2022-04-05

Symptoms: Throwing up yellow

Release 11 — day 28, dose 3

2022-04-12

Symptoms: Still have a lump at the injection site has not gone away yet

Release 11 — day 35, dose 3

2022-04-21

Symptoms: Still have a lump at injection site and is very tender to touch

Release 11 — day 42, dose 3

2022-04-26

Symptoms: Injection site is turning dark brown I still have a lump no pain

Release 12 — 3 months, dose 3

2022-06-14

Symptoms: I've had pain in my shoulder pain in my kidneys or lower back area still have the bump on my arm don't think I'll get another shot

Release 12 — 6 months, dose 3

2022-09-13

Symptoms: It just seems like everything is bad I still can't get rid of this cough

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
SD	Arthralgia	✓	✓	✓
SD	Back pain	·	·	✓
SD	Blister	✓	·	✓
SD	Bone pain	✓	·	✓
SD	Bronchitis	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	·	·	✓
SD	Impaired healing	·	·	✓
SD	Injection site discolouration	·	·	✓
SD	Injection site mass	·	·	✓
SD	Injection site pain	·	·	✓
SD	Intervertebral disc protrusion	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	·	·	✓
SD	Pruritus	·	·	✓
SD	Renal pain	·	·	✓
SD	Salivary gland cancer	·	·	✓
SD	Thyroid mass	·	·	✓
SD	Unevaluable event	✓	✓	✓
SD	Vomiting	·	·	✓
SRO	Acne	·	·	✓
SRO	Blood glucose increased	·	·	✓
SRO	Breast pain	✓	✓	✓
SRO	Flatulence	✓	✓	✓
SRO	Injection site erythema	·	·	✓
SRO	Injection site rash	·	·	✓
SRO	Injection site reaction	·	·	✓
SRO	Joint swelling	·	·	✓
SRO	Pain	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Peripheral swelling	·	·	✓
SRO	Unevaluable event	·	·	✓

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