YGP-12241-93659

4 vaccinations 14 coded responses 34 check-ins 14 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 930 / CA
Registered: 2021-05-07

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-04-13
Dose 1 — Pfizer-BioNTech
2021-05-05
Dose 2 — Pfizer-BioNTech
2021-05-07
Registered in v-safe
2021-05-09
Survey response — days 1–6 daily, dose 2
MedDRA: Eye irritation — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Eyes burning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — days 1–6 daily, dose 2
MedDRA: Fibromyalgia, Pre-existing disease — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: CFS/Fibromyalgia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-12
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-05-19
Health check-in — day 14, dose 2
Feeling: Poor

Adult check-in
2021-05-26
Survey response — day 21, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fever of 100

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-09
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-16
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-06
Survey response — 3 months, dose 2
MedDRA: Decreased appetite, Depressed mood, Nausea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Nausea, no appetite, depressed.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-03
Survey response — 6 months, dose 2
MedDRA: Body temperature increased, Office visit, Oropharyngeal pain, Pre-existing disease — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Low grade fever almost daily 99-100.2. Today it's 99.8F; sore throat last 2 days. Fibromyalgia/CFShaven't been able to work since 10/2006. · Healthcare visit (other): Annual checkup in office

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
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

1 call case(s)
2021-11-05
Call 1 — Left Voicemail
2022-02-26
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2022-03-01
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-03-02
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-03-03
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-03-04
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-03-05
Survey response — day 7, dose 3
MedDRA: Insomnia — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Insomnia

MedDRA releases: 2024-11 · check-in free text available
2022-03-12
Survey response — day 14, dose 3
MedDRA: Parosmia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Sometimes the air smells like car exhaust.

MedDRA releases: 2024-11 · check-in free text available
2022-03-19
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-03-26
Health check-in — day 28, dose 3
Feeling: Poor

Adult check-in
2022-04-02
Health check-in — day 35, dose 3
Feeling: Poor

Adult check-in
2022-04-09
Survey response — day 42, dose 3
MedDRA: Condition aggravated, Dyspnoea, Insomnia, Pain, Pre-existing disease, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Fever, little trouble breathing, insomnia, fibromyalgia flare up still dealing with enhanced pain and fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-07-15
Dose 4 — Pfizer-BioNTech
2022-07-15
Health check-in — day 0, dose 4
Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-07-16
Survey response — days 1–6 daily, dose 4
MedDRA: Insomnia — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Insomnia

MedDRA releases: 2024-11 · check-in free text available
2022-07-17
Survey response — days 1–6 daily, dose 4
MedDRA: Cold sweat — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Free text: Cold sweat

MedDRA releases: 2024-11 · check-in free text available
2022-07-18
Survey response — days 1–6 daily, dose 4
MedDRA: Cold sweat — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Cold sweat

MedDRA releases: 2024-11 · check-in free text available
2022-07-19
Survey response — days 1–6 daily, dose 4
MedDRA: Cold sweat, Insomnia — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Insomnia; cold sweat

MedDRA releases: 2024-11 · check-in free text available
2022-07-20
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-07-21
Survey response — days 1–6 daily, dose 4
MedDRA: Grief reaction — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Grief

MedDRA releases: 2024-11 · check-in free text available
2022-07-22
Health check-in — day 7, dose 4
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-07-30
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-08-05
Survey response — day 21, dose 4
MedDRA: Body temperature increased, Pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: 99.8 fever and burning around midsection was more painful and did spread around more of my body than usual.

MedDRA releases: 2024-11 · check-in free text available
2022-08-12
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-08-19
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-08-26
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-13	Pfizer-BioNTech
2	2021-05-05	Pfizer-BioNTech
3	2022-02-26	Pfizer-BioNTech	Flu
4	2022-07-15	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-11-03	Unsuccessful

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-09

Systemic reaction (other): Eyes burning

2021-05-10

Systemic reaction (other): CFS/Fibromyalgia

Release 8 — day 21, dose 2

2021-05-26

Symptoms: Fever of 100

Release 9 — 3 months, dose 2

2021-08-06

Symptoms: Nausea, no appetite, depressed.

Release 10 — 6 months, dose 2

2021-11-03

Symptoms: Low grade fever almost daily 99-100.2. Today it's 99.8F; sore throat last 2 days. Fibromyalgia/CFShaven't been able to work since 10/2006.

Healthcare visit (other): Annual checkup in office

Release 11 — day 7, dose 3

2022-03-05

Systemic reaction (other): Insomnia

Release 11 — day 14, dose 3

2022-03-12

Symptoms: Sometimes the air smells like car exhaust.

Release 11 — day 42, dose 3

2022-04-09

Symptoms: Fever, little trouble breathing, insomnia, fibromyalgia flare up still dealing with enhanced pain and fatigue

Release 12 — days 1–6 daily, dose 4

2022-07-16

Systemic reaction (other): Insomnia

2022-07-17

Systemic reaction (other): Cold sweat

2022-07-18

Systemic reaction (other): Cold sweat

2022-07-19

Systemic reaction (other): Insomnia; cold sweat

2022-07-21

Systemic reaction (other): Grief

Release 12 — day 21, dose 4

2022-08-05

Symptoms: 99.8 fever and burning around midsection was more painful and did spread around more of my body than usual.

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	Body temperature increased	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Decreased appetite	✓	·	✓
SD	Depressed mood	✓	·	✓
SD	Dyspnoea	·	·	✓
SD	Insomnia	·	·	✓
SD	Nausea	✓	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Parosmia	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	·	·	✓
SD	Unevaluable event	✓	✓	✓
SRO	Cold sweat	·	·	✓
SRO	Eye irritation	✓	✓	✓
SRO	Fibromyalgia	✓	✓	✓
SRO	Grief reaction	·	·	✓
SRO	Insomnia	·	·	✓
SRO	Pre-existing disease	✓	✓	✓

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