YJ7-10550-90321

2 vaccinations 9 coded responses 25 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 017 / MA
Registered: 2021-03-30

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

2021-03-30
Registered in v-safe
2021-03-30
Dose 1 — Pfizer-BioNTech
2021-03-30
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Blister, Dermatitis contact, Exposure to toxic agent, Pre-existing disease, Pruritus — Feeling: Fair

Free text: itching and blisters on other parts of my body, but this may be due to poison ivy contracted before 3/30.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease, Pruritus — Feeling: Good

Free text: still itching from poison ivy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good

Free text: Still itching from poison ivy, but getting slightly beyter

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Good

Free text: Still dealing with after effects of poison ivy, 13 Days out.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-27
Dose 2 — Pfizer-BioNTech
2021-04-27
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Poor quality sleep — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: I did not sleep well last night.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Stuffed head and runny nose due to allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Joint pains

Free text: Joints usually ache, I dont think this is more than usual

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Arthritis, Myalgia, Pre-existing disease, Tendonitis — Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: I think my joint pain and muscle aches are due to tendinitis and arthritis.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-05-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-08
Survey response — day 42, dose 2
MedDRA: Bursitis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Bursitis in right shoulder, probably not related to vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-17
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-29
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Pfizer-BioNTech
2	2021-04-27	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-06-08	Successful 2021-11-17	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-03

Systemic reaction (other): itching and blisters on other parts of my body, but this may be due to poison ivy contracted before 3/30.

2021-04-04

Systemic reaction (other): still itching from poison ivy.

2021-04-05

Systemic reaction (other): Still itching from poison ivy, but getting slightly beyter

Release 7 — day 7, dose 1

2021-04-06

Systemic reaction (other): Still dealing with after effects of poison ivy, 13 Days out.

Release 8 — days 1–6 daily, dose 2

2021-04-28

Systemic reaction (other): I did not sleep well last night.

2021-04-29

Systemic reaction (other): Stuffed head and runny nose due to allergies

2021-04-30

Systemic reaction (other): Joints usually ache, I dont think this is more than usual

2021-05-03

Systemic reaction (other): I think my joint pain and muscle aches are due to tendinitis and arthritis.

Release 8 — day 42, dose 2

2021-06-08

Symptoms: Bursitis in right shoulder, probably not related to vaccine.

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	Bursitis	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Arthritis	✓	✓	✓
SRO	Blister	✓	✓	✓
SRO	Dermatitis contact	✓	·	✓
SRO	Exposure to toxic agent	○	✓	○
SRO	Myalgia	✓	✓	✓
SRO	Poor quality sleep	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Tendonitis	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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