YGL-15502-97553

3 vaccinations 6 coded responses 35 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 454 / OH
Registered: 2021-02-24

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

2021-02-24
Registered in v-safe
2021-02-24
Dose 1 — Pfizer-BioNTech
2021-02-24
Health check-in — day 0, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Diarrhea

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 1
MedDRA: Diarrhoea — Feeling: Good

Free text: loose bowel movement

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — day 7, dose 1
Feeling: Fair · Fever · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-03-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-17
Dose 2 — Pfizer-BioNTech
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-31
Survey response — day 14, dose 2
MedDRA: Arthralgia, Fatigue, Gastrointestinal disorder, Oropharyngeal pain — Feeling: Fair

Free text: Chest situations, shoulder pain, digestive it happened twice,but goes away I am watching itthroat pain four daysTired

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

Adult check-in
2021-04-14
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-21
Survey response — day 35, dose 2
MedDRA: Chest discomfort, Pain, Pain in extremity, Pain in jaw — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Pain in left arm going up to jaw, pressure on chest.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-01
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · Headache

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache

Adult check-in
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-10-08
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-05
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-31
Survey response — 3 months, dose 3
MedDRA: Rash — Feeling: Good

Free text: Rash

MedDRA releases: 2024-11 · check-in free text available
2022-02-27
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-03
Survey response — 6 months, dose 3
MedDRA: Eczema, Nail cuticle fissure, Nail ridging, Office visit, Psoriatic arthropathy, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: I developed Exzema rash all over, arms, legs, hands and stomach diagnosed by a dermatologist. 2 other doctors mentioned psoriatic arthritis because my finger nails have dents and lines and tearing open at the cuticle. I have all the other symptoms. · Healthcare visit (other): doctors office

MedDRA releases: 2024-11 · check-in free text available
2022-04-03
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-04
Call successful
Participant prefers to complete VAERS report online
2022-10-03
Survey response — 12 months, dose 3
MedDRA: Office visit, Rash — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Just the rash from two weeks after last vaccine I still need to submit info in the website. I still have the rash all over body. Dermotogist gave me medicine for eczema. I did not talk about vaccine when I went to the doctors. · Healthcare visit (other): GP and dermatologist

MedDRA releases: 2024-11 · check-in free text available
2022-10-03
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-05
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-24	Pfizer-BioNTech
2	2021-03-17	Pfizer-BioNTech
3	2021-10-01	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-04-21	Successful 2022-02-27	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-03	Successful 2022-04-04	Participant prefers to complete VAERS report online
2022-10-03	Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-28

Systemic reaction (other): loose bowel movement

Release 6 — day 14, dose 2

2021-03-31

Symptoms: Chest situations, shoulder pain, digestive it happened twice,but goes away I am watching itthroat pain four daysTired

Release 7 — day 35, dose 2

2021-04-21

Symptoms: Pain in left arm going up to jaw, pressure on chest.

Release 10 — 3 months, dose 3

2021-12-31

Symptoms: Rash

Release 11 — 6 months, dose 3

2022-04-03

Symptoms: I developed Exzema rash all over, arms, legs, hands and stomach diagnosed by a dermatologist. 2 other doctors mentioned psoriatic arthritis because my finger nails have dents and lines and tearing open at the cuticle. I have all the other symptoms. cut off by CDC

Healthcare visit (other): doctors office

Release 12 — 12 months, dose 3

2022-10-03

Symptoms: Just the rash from two weeks after last vaccine I still need to submit info in the website. I still have the rash all over body. Dermotogist gave me medicine for eczema. I did not talk about vaccine when I went to the doctors.

Healthcare visit (other): GP and dermatologist

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	Arthralgia	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Eczema	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Gastrointestinal disorder	✓	✓	✓
SD	Nail cuticle fissure	·	·	✓
SD	Nail ridging	·	·	✓
SD	Office visit	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pain in jaw	✓	✓	✓
SD	Psoriatic arthropathy	·	·	✓
SD	Rash	·	·	✓
SRO	Diarrhoea	✓	✓	✓

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