YKC-31957-94132

4 vaccinations 10 coded responses 30 check-ins 10 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 070 / NJ
Registered: 2021-03-20

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

2021-03-20
Registered in v-safe
2021-03-20
Dose 1 — Pfizer-BioNTech
2021-03-20
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Fair · Site: Pain · Headache

Free text: Not now

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal discomfort, Flushing, Photophobia — Feeling: Good · Site: Pain · Fever · Joint pains

Free text: Flushing of cheeks, stomach upset, light sensitity

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Flushing — Feeling: Fair · Fever · Fatigue or tiredness

Free text: Flushing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-10
Dose 2 — Pfizer-BioNTech
2021-04-10
Survey response — day 0, dose 2
MedDRA: Abdominal discomfort, Dizziness, Erythema, Hot flush — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Abdominal pain

Free text: facial redness, hot flashes, stomach upset, lightheadedness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Flushing — Feeling: Fair · Site: Pain, Swelling

Free text: Facial Flushing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Muscle or body aches

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-17
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-10
Survey response — 3 months, dose 2
MedDRA: Office visit, Oral candidiasis — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Oral thrush · Healthcare visit (other): Monthly allergist visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-10
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-18
Call 1 — Left Voicemail
2021-10-10
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-20
Dose 3 — Pfizer-BioNTech
2022-04-10
Survey response — 12 months, dose 2
MedDRA: Aphonia, Asthma, Dysphonia, Office visit, Oropharyngeal pain, Plantar fasciitis, Pre-existing disease, Unevaluable event — Feeling: Good · 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

Free text: Symptoms: Upper respiratory, asthma exacerbation, bad sore throat, loss of voice February into March. Plantar fascitis starting in March, ongoing. Voice hoarseness intermittent · Healthcare visit (other): Doctor offices

MedDRA releases: 2024-11 · check-in free text available
2022-04-10
Report sent to call center — 12 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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-12
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-21
Dose 4 — Pfizer-BioNTech
2022-06-20
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-25
Survey response — day 35, dose 4
MedDRA: Echocardiogram abnormal, Office visit, Pericardial effusion — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Had echocardigram showing fluid around heart · Healthcare visit (other): Follow up visit with provider

MedDRA releases: 2024-11 · check-in free text available
2022-06-25
Report sent to call center — day 35, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-06-27
Call 1 — Left Voicemail
2022-07-02
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-08-20
Survey response — 3 months, dose 4
MedDRA: Chest discomfort, Chest pain, Computerised tomogram abnormal, Emergency care, Office visit, Respiratory disorder — 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 · Emergency room or emergency department visit

Free text: Symptoms: Chest pain, tightness, breathing discomfort over last 3 weeks. Fluid around heart found on CT scan in February and still present on CT scan of 8/19/22. Possible lung infection per this latest scan Visited ER twice over last 3 weeks · Healthcare visit (other): Allergist, cardiologist, pulmonologist

MedDRA releases: 2024-11 · check-in free text available
2022-08-20
Report sent to call center — 3 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

Emergency room or emergency department visit · 1 call case(s)
2022-08-22
Call 2 — Left Voicemail
2022-08-22
Call 1 — Left Voicemail
2022-11-22
Survey response — 6 months, dose 4
MedDRA: Asthma, Impaired work ability, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Asthma exacerbation July through September Out of work for 7 weeks

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-20	Pfizer-BioNTech
2	2021-04-10	Pfizer-BioNTech
3	2021-11-20	Pfizer-BioNTech	No
4	2022-05-21	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-07-10	Successful	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-04-10	Successful 2022-04-12	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-25	Unsuccessful
2022-08-20	Unsuccessful

Free text

Release 6 — day 0, dose 1

2021-03-20

Systemic reaction (other): Not now

Release 6 — days 1–6 daily, dose 1

2021-03-21

Systemic reaction (other): Flushing of cheeks, stomach upset, light sensitity

2021-03-26

Systemic reaction (other): Flushing

Release 7 — day 0, dose 2

2021-04-10

Systemic reaction (other): facial redness, hot flashes, stomach upset, lightheadedness

Release 7 — days 1–6 daily, dose 2

2021-04-11

Systemic reaction (other): Facial Flushing

Release 9 — 3 months, dose 2

2021-07-10

Symptoms: Oral thrush

Healthcare visit (other): Monthly allergist visit

Release 11 — 12 months, dose 2

2022-04-10

Symptoms: Upper respiratory, asthma exacerbation, bad sore throat, loss of voice February into March. Plantar fascitis starting in March, ongoing. Voice hoarseness intermittent

Healthcare visit (other): Doctor offices

Release 12 — day 35, dose 4

2022-06-25

Symptoms: Had echocardigram showing fluid around heart

Healthcare visit (other): Follow up visit with provider

Release 12 — 3 months, dose 4

2022-08-20

Symptoms: Chest pain, tightness, breathing discomfort over last 3 weeks. Fluid around heart found on CT scan in February and still present on CT scan of 8/19/22. Possible lung infection per this latest scan Visited ER twice over last 3 weeks

Healthcare visit (other): Allergist, cardiologist, pulmonologist

Release 12 — 6 months, dose 4

2022-11-22

Symptoms: Asthma exacerbation July through September Out of work for 7 weeks

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	Aphonia	·	·	✓
SD	Asthma	·	·	✓
SD	Chest discomfort	·	·	✓
SD	Chest pain	·	·	✓
SD	Computerised tomogram abnormal	·	·	✓
SD	Dysphonia	·	·	✓
SD	Echocardiogram abnormal	·	·	✓
SD	Emergency care	·	·	✓
SD	Impaired work ability	·	·	✓
SD	Oral candidiasis	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pericardial effusion	·	·	✓
SD	Plantar fasciitis	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory disorder	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Photophobia	✓	✓	✓

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