YGJ-13372-97166

2 vaccinations 10 coded responses 15 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 300 / GA
Registered: 2021-03-22

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

2021-03-10
Dose 1 — Pfizer-BioNTech
2021-03-22
Registered in v-safe
2021-03-22
Survey response — day 7, dose 1
MedDRA: Headache — Feeling: Fair · Nausea, Abdominal pain

Free text: Headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-31
Survey response — day 21, dose 1
MedDRA: Abdominal pain upper — Feeling: Poor · Be unable to do your normal daily activities

Free text: Digestion, stomach ache and pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Dose 2 — Pfizer-BioNTech
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Gingival pain — Feeling: Fair · Site: Pain · Abdominal pain

Free text: aching in knee, gum

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Abdominal pain

Adult check-in
2021-04-12
Survey response — day 7, dose 2
MedDRA: Heart rate increased — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Went walking Very upon return Heart rate high 107 finally went down

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — day 14, dose 2
MedDRA: Abdominal discomfort, Abdominal pain upper, Dysgeusia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Stomach upset and pain, odd taste in mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — day 21, dose 2
MedDRA: Abdominal discomfort, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Stomach upset · Healthcare visit (other): Office visit , endoscopy planned

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-03
Survey response — day 28, dose 2
MedDRA: Abdominal discomfort — 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: Stomach issues.. Had endoscopy today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-10
Survey response — day 35, dose 2
MedDRA: Abdominal discomfort, Asthenia, Headache, Musculoskeletal stiffness — Feeling: Good · Be unable to do your normal daily activities

Free text: One day last week I became weak, stiff, had headache and upset stomach

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-05
Survey response — 3 months, dose 2
MedDRA: Asthenia, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache, low energy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2022-04-07
Survey response — 12 months, dose 2
MedDRA: Discomfort, Headache, Malaise, Medical counselling — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Headaches more often and heavy feeling when moving/walking. · Healthcare visit (other): I called to try and get results and advice from recent CT scan if spine and shared how terrible I feel

MedDRA releases: 2024-11 · check-in free text available
2022-04-07
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

1 call case(s)
2022-04-08
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Pfizer-BioNTech
2	2021-04-05	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-04-28	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-05-03	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-07	Successful 2022-04-08	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 6 — day 7, dose 1

2021-03-22

Systemic reaction (other): Headache

Release 6 — day 21, dose 1

2021-03-31

Symptoms: Digestion, stomach ache and pain

Release 7 — days 1–6 daily, dose 2

2021-04-07

Systemic reaction (other): aching in knee, gum

Release 7 — day 7, dose 2

2021-04-12

Systemic reaction (other): Went walking Very upon return Heart rate high 107 finally went down

Release 7 — day 14, dose 2

2021-04-19

Symptoms: Stomach upset and pain, odd taste in mouth

Release 8 — day 21, dose 2

2021-04-28

Symptoms: Stomach upset

Healthcare visit (other): Office visit , endoscopy planned

Release 8 — day 28, dose 2

2021-05-03

Symptoms: Stomach issues.. Had endoscopy today.

Release 8 — day 35, dose 2

2021-05-10

Symptoms: One day last week I became weak, stiff, had headache and upset stomach

Release 9 — 3 months, dose 2

2021-07-05

Symptoms: Headache, low energy

Release 11 — 12 months, dose 2

2022-04-07

Symptoms: Headaches more often and heavy feeling when moving/walking.

Healthcare visit (other): I called to try and get results and advice from recent CT scan if spine and shared how terrible I feel

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	Malaise	·	·	✓
HCVO	Medical counselling	·	·	✓
HCVO	Office visit	✓	✓	✓
SD	Abdominal discomfort	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Discomfort	·	·	✓
SD	Dysgeusia	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Gingival pain	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓

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