YH4-31568-83975

4 vaccinations 11 coded responses 31 check-ins 10 free-text entries 7 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 068 / CT
Registered: 2021-03-22

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

Registered dependents

5LZ-78291-02456 Child or adolescent in my care · Male · 2022-06-01

Timeline

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

2021-03-22
Registered in v-safe
2021-03-22
Dose 1 — Pfizer-BioNTech
2021-03-22
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Itching · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Oedema peripheral — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Swelling in underarm of arm which got injection (lymph node?)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-29
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-05
Survey response — day 14, dose 1
MedDRA: Muscle strain, Myalgia, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscle pain/strain in right arm, thumb pain (ligament or joint related) in left thumb

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Dose 2 — Pfizer-BioNTech
2021-04-12
Survey response — day 0, dose 2
MedDRA: Rash, Rash pruritic — Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Have a rash on my face that is itchy but it started Thursday (before the 2nd shot)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-04-15
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspepsia — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Heartburn

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-19
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-26
Survey response — day 14, dose 2
MedDRA: Rash, Self-medication — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Face/neck rash worsened. Started 2 1/2 weeks after second shot. Controlled with 180mg Allegra daily.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-03
Survey response — day 21, dose 2
MedDRA: Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Facial and neck rash worsened

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-12
Survey response — day 28, dose 2
MedDRA: Arthralgia, Musculoskeletal stiffness, Myalgia — Feeling: Good · Be unable to do your normal daily activities

Free text: More muscle and joint pains, stiffness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-12
Survey response — 3 months, dose 2
MedDRA: Asthma, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Asthma exacerbation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-12
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-15
Call 3 — Left Voicemail
2021-07-15
Call successful
Participant prefers to complete VAERS report online
2021-10-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-04
Dose 3 — Moderna
2022-04-10
Dose 4 — Moderna
2022-04-25
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-01
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-08
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-17
Survey response — day 35, dose 4
MedDRA: Photosensitivity reaction, Rash, Temporomandibular pain and dysfunction syndrome, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Rashes on my feet. TMJ. Sun sensitivity on arms. · Healthcare visit (other): Scheduling appt with doctor

MedDRA releases: 2024-11 · check-in free text available
2022-05-17
Report sent to call center — day 35, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-18
Call 1 — Could Not Reach Participant
2022-05-18
Call 1 — Could Not Reach Participant
2022-05-18
Call 1 — Could Not Reach Participant
2022-05-18
Call 1 — Could Not Reach Participant
2022-05-18
Call 1 — Could Not Reach Participant
2022-05-18
Call 1 — Could Not Reach Participant
2022-05-22
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-05-23
Call 2 — Left Voicemail
2022-05-23
Call 2 — Left Voicemail
2022-05-23
Call 2 — Left Voicemail
2022-05-23
Call 2 — Left Voicemail
2022-05-23
Call 2 — Left Voicemail
2022-05-23
Call 2 — Left Voicemail
2022-05-23
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-10
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-09
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-12
Survey response — 12 months, dose 4
MedDRA: Asthma, Influenza, 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

MedDRA releases: 2024-11
2023-04-12
Report sent to call center — 12 months, dose 4
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 · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2023-04-13
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-22	Pfizer-BioNTech
2	2021-04-12	Pfizer-BioNTech
3	2021-12-04	Moderna	No
4	2022-04-10	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-14	Successful	Participant prefers to complete VAERS report online
2021-04-15	Successful	Participant prefers to complete VAERS report online
2021-04-26	Successful	Participant prefers to complete VAERS report online
2021-05-03	Successful	Participant prefers to complete VAERS report online
2021-07-12	Successful 2021-07-15	Participant prefers to complete VAERS report online
2022-05-17	Successful 2022-05-23	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-12	Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-24

Systemic reaction (other): Swelling in underarm of arm which got injection (lymph node?)

Release 6 — day 14, dose 1

2021-04-05

Symptoms: Muscle pain/strain in right arm, thumb pain (ligament or joint related) in left thumb

Release 7 — day 0, dose 2

2021-04-12

Systemic reaction (other): Have a rash on my face that is itchy but it started Thursday (before the 2nd shot)

Release 7 — days 1–6 daily, dose 2

2021-04-14

Systemic reaction (other): Headache

2021-04-16

Systemic reaction (other): Heartburn

Release 8 — day 14, dose 2

2021-04-26

Symptoms: Face/neck rash worsened. Started 2 1/2 weeks after second shot. Controlled with 180mg Allegra daily.

Release 8 — day 21, dose 2

2021-05-03

Symptoms: Facial and neck rash worsened

Release 8 — day 28, dose 2

2021-05-12

Symptoms: More muscle and joint pains, stiffness

Release 9 — 3 months, dose 2

2021-07-12

Symptoms: Asthma exacerbation

Release 11 — day 35, dose 4

2022-05-17

Symptoms: Rashes on my feet. TMJ. Sun sensitivity on arms.

Healthcare visit (other): Scheduling appt with doctor

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	Unevaluable event	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Asthma	✓	✓	✓
SD	Influenza	·	·	✓
SD	Muscle strain	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Photosensitivity reaction	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Temporomandibular pain and dysfunction syndrome	·	·	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Rash pruritic	✓	✓	✓

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