YHE-19469-06542

3 vaccinations 9 coded responses 24 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 941 / CA
Registered: 2021-02-03

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

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

2021-02-03
Registered in v-safe
2021-02-03
Dose 1 — Pfizer-BioNTech
2021-02-03
Survey response — day 0, dose 1
MedDRA: Unevaluable event — Feeling: Good · Site: Pain

Free text: Mi ojo del lado derecho siento k me est a palpitando y ni inglÃ©s no me permite ser mÃ¡s especÃfica xq no lo entiendo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Itching · Headache, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Adult check-in
2021-02-04
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness, Abdominal pain · Be unable to work

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-10
Health check-in — day 7, dose 1
Feeling: Good · Headache · Be unable to work

Adult check-in
2021-02-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-24
Dose 2 — Pfizer-BioNTech
2021-02-24
Survey response — day 0, dose 2
MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Be unable to work

Free text: Dolor en el brazo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to work

Free text: Me duele mucho mi brazo y mis piernas , pies y planta de mis pies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Headache, Muscle or body aches · Be unable to work

Free text: Dolor en mis pier , pies y talones y

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Headache, Muscle or body aches · Be unable to work

Free text: Me duelen mis piernas pies y plantas

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Joint pains · Be unable to work

Free text: En mis brazos, piernas y espalda

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None · Be unable to work

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-03
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-17
Survey response — day 21, dose 2
MedDRA: Chills, Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: El dÃa de hoy me siento de la patada, tengo muchos escalofrÃos, me duele mucho la cabeza y tengo escalofrÃos y tengo mucha fatiga

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-31
Survey response — day 35, dose 2
MedDRA: Contusion — Feeling: Fair · Be unable to work

Free text: Me estÃ¡n saliendo muchos como moretones

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-28
Call successful
Does not wish to fill out VAERS report
2021-12-02
Dose 3 — Pfizer-BioNTech
2022-02-26
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-06-02
Survey response — 6 months, dose 3
MedDRA: Herpes zoster — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Me dio culebrilla(shingles)

MedDRA releases: 2024-11 · check-in free text available
2022-12-04
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-03	Pfizer-BioNTech
2	2021-02-24	Pfizer-BioNTech
3	2021-12-02	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-02-04	Successful 2021-06-28	Does not wish to fill out VAERS report

Free text

Release 3 — day 0, dose 1

2021-02-03

Systemic reaction (other): Mi ojo del lado derecho siento k me est a palpitando y ni inglÃ©s no me permite ser mÃ¡s especÃfica xq no lo entiendo

Release 4 — day 0, dose 2

2021-02-24

Systemic reaction (other): Dolor en el brazo

Release 4 — days 1–6 daily, dose 2

2021-02-25

Systemic reaction (other): Me duele mucho mi brazo y mis piernas , pies y planta de mis pies

2021-02-26

Systemic reaction (other): Dolor en mis pier , pies y talones y

2021-02-27

Systemic reaction (other): Me duelen mis piernas pies y plantas

2021-02-28

Systemic reaction (other): En mis brazos, piernas y espalda

Release 5 — day 21, dose 2

2021-03-17

Symptoms: El dÃa de hoy me siento de la patada, tengo muchos escalofrÃos, me duele mucho la cabeza y tengo escalofrÃos y tengo mucha fatiga

Release 6 — day 35, dose 2

2021-03-31

Symptoms: Me estÃ¡n saliendo muchos como moretones

Release 11 — 6 months, dose 3

2022-06-02

Symptoms: Me dio culebrilla(shingles)

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
SD	Chills	✓	✓	✓
SD	Contusion	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Herpes zoster	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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