YFP-12409-44747

2 vaccinations 9 coded responses 24 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 706 / LA
Registered: 2021-03-26

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

2021-03-26
Registered in v-safe
2021-03-26
Dose 1 — Pfizer-BioNTech
2021-03-26
Survey response — day 0, dose 1
MedDRA: Feeling hot — Feeling: Fair · Site: Pain, Swelling · Chills, Joint pains

Free text: Back and stomach feel hot but no fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Wheezing — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Nausea

Free text: When I woke up I was wheezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Chest discomfort, Eructation — Feeling: Good · Site: Pain · Chills, Joint pains, Nausea, Abdominal pain

Free text: Chest feels a little scratchy, back pains. Ive experienced a lot of belching.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Nausea, Abdominal pain

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Chills, Muscle or body aches, Abdominal pain

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-16
Dose 2 — Pfizer-BioNTech
2021-04-16
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Chills, Joint pains, Nausea

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Nausea

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Nausea

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Nausea, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-23
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-30
Survey response — day 14, dose 2
MedDRA: Palpitations — Feeling: Good

Free text: I had heart palpitations from 3/30 after first shot but didnt think it had anything to do with vaccine. I had doctor check my thyroid and they were normal. He put me back on Propanol 10 mg, Ill see cardiology Tuesday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — day 21, dose 2
MedDRA: Heart rate increased — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extra and fast heartbeats.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-28
Survey response — day 42, dose 2
MedDRA: Asthma, Pre-existing disease — Feeling: Good

Free text: Asthma attacks

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-17
Survey response — 3 months, dose 2
MedDRA: Office visit, Rash, Rash pruritic, Skin burning sensation — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: A rash on just the top of both arms that burns and itch. · Healthcare visit (other): 2nd visit to Primary Care doctor

MedDRA releases: 2024-11 · check-in free text available
2021-07-17
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-24
Call 1 — Left Voicemail
2021-07-24
Callback requested for
2021-07-24
Call successful
Participant prefers to complete VAERS report online
2021-10-15
Survey response — 6 months, dose 2
MedDRA: Alopecia, Fungal skin infection, Joint injection, Office visit, Vitamin D deficiency — 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 · Outpatient clinic or urgent care clinic visit

Free text: Loss of hair, dermatologist stated yeast is on my scalp. Also, horrible shoulder had to get a injection in the shoulder.Being treated for Vitamin D defincey.

MedDRA releases: 2024-11 · check-in free text available
2021-10-15
Report sent to call center — 6 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-18
Call successful
Participant prefers to complete VAERS report online
2022-04-16
Survey response — 12 months, dose 2
MedDRA: Asthma, Cartilage injury, Dysphonia, Ear infection, Respiratory disorder, Shoulder operation — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Hospitalization

Free text: Surgery for traumatic Labreal tear in the right shoulder. Hoarseness for 5 week and respiratory problems. Asthma and left ear infection.

MedDRA releases: 2024-11 · check-in free text available
2022-04-16
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
2022-04-20
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-26	Pfizer-BioNTech
2	2021-04-16	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-07-17	Successful 2021-07-24	Participant prefers to complete VAERS report online
2021-10-15	Successful 2021-10-18	Participant prefers to complete VAERS report online
2022-04-16	Successful 2022-04-20	Participant prefers to complete VAERS report online

Free text

Release 6 — day 0, dose 1

2021-03-26

Systemic reaction (other): Back and stomach feel hot but no fever

Release 6 — days 1–6 daily, dose 1

2021-03-27

Systemic reaction (other): When I woke up I was wheezing

2021-03-28

Systemic reaction (other): Chest feels a little scratchy, back pains. Ive experienced a lot of belching.

Release 8 — day 14, dose 2

2021-04-30

Symptoms: I had heart palpitations from 3/30 after first shot but didnt think it had anything to do with vaccine. I had doctor check my thyroid and they were normal. He put me back on Propanol 10 mg, Ill see cardiology Tuesday.

Release 8 — day 21, dose 2

2021-05-07

Symptoms: Extra and fast heartbeats.

Release 8 — day 42, dose 2

2021-05-28

Symptoms: Asthma attacks

Release 9 — 3 months, dose 2

2021-07-17

Symptoms: A rash on just the top of both arms that burns and itch.

Healthcare visit (other): 2nd visit to Primary Care doctor

Release 10 — 6 months, dose 2

2021-10-15

Symptoms: Loss of hair, dermatologist stated yeast is on my scalp. Also, horrible shoulder had to get a injection in the shoulder.Being treated for Vitamin D defincey.

Release 11 — 12 months, dose 2

2022-04-16

Symptoms: Surgery for traumatic Labreal tear in the right shoulder. Hoarseness for 5 week and respiratory problems. Asthma and left ear infection.

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	Asthma	✓	✓	✓
SD	Cartilage injury	·	·	✓
SD	Dysphonia	·	·	✓
SD	Ear infection	·	·	✓
SD	Fungal skin infection	·	·	✓
SD	Heart rate increased	✓	✓	✓
SD	Joint injection	·	·	✓
SD	Office visit	·	·	✓
SD	Palpitations	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash	·	·	✓
SD	Rash pruritic	·	·	✓
SD	Respiratory disorder	·	·	✓
SD	Shoulder operation	·	·	✓
SD	Skin burning sensation	·	·	✓
SD	Vitamin D deficiency	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Eructation	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Wheezing	✓	✓	✓

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