YKM-33144-62819

2 vaccinations 15 coded responses 24 check-ins 15 free-text entries 6 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 468 / IN
Registered: 2021-08-04

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

2021-08-04
Registered in v-safe
2021-08-04
Dose 1 — Pfizer-BioNTech
2021-08-04
Health check-in — day 0, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-08-05
Survey response — days 1–6 daily, dose 1
MedDRA: Influenza like illness — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Light flu type feelings

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-08-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-08-08
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: I feel like some of this is too vague because of my preexisting health concerns. I can't really tell at this point how bad the shot is affecting them but I can definitely tell it is.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-08-10
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Co- health conditions are most likely these symptoms are not related to the shot. I also had a "presumptive" case end of February first off March 2020 and have not felt 100% since then.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-11
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-08-20
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-08-25
Survey response — day 21, dose 1
MedDRA: Angina pectoris, Fatigue, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Heartache and body pain getting worse, fatigue is worse.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Dose 2 — Pfizer-BioNTech
2021-08-28
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Chest discomfort, Chest pain, Eye irritation, Influenza like illness, Lacrimation increased, Renal disorder — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Joint pain, chest pain/ tightness, flu- like, kidney symptoms, burning/ watering eyes

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-29
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Possible cellulitis at injection site

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-29
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-30
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site cellulitis — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Developed cellulitis at injection site and surrounding area, started antibiotic 8/29 for 10 days. Will follow up if no improvement after 24 hours

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-09-01
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph nodes

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-02
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Swollen lymph nodes

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-09
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-09-16
Survey response — day 21, dose 2
MedDRA: Brain fog, Diarrhoea haemorrhagic, Fatigue, Headache — Feeling: Fair · 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: Fatigue headache foggy brain diarrhea with bleeding

MedDRA releases: 2024-11 · check-in free text available
2021-09-16
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-20
Call 1 — Requested Callback
2021-09-21
Call successful
Completed over the phone
2021-09-23
Survey response — day 28, dose 2
MedDRA: Unevaluable event — Feeling: Fair · 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: GI and neurological

MedDRA releases: 2024-11 · check-in free text available
2021-09-23
Report sent to call center — day 28, dose 2
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 · 1 call case(s)
2021-09-27
Call 1 — Left Voicemail
2021-09-30
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-10-07
Survey response — day 42, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities

Free text: Call if you need extra info

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Survey response — 3 months, dose 2
MedDRA: Condition aggravated, Influenza like illness, Injection site irritation, Injection site pain, Office visit, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Symptoms: Pain and irritation at injection site. Autoimmune flair, continued flu like symptoms · Healthcare visit (other): New specialists

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-01-13
Call 1 — Could Not Reach Participant
2022-01-18
Call 2 — Could Not Reach Participant
2022-02-24
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Cholecystitis, Headache, Injection site nodule, Injection site pain, Injection site pruritus, Nausea — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Gallbladder inflammation, constant nausea, headaches, frequent increased joint pain, still have itching and pain with Knots at the places where the covid injections were done.

MedDRA releases: 2024-11 · check-in free text available
2022-02-24
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-02-25
Call successful
Reported to VAERS during previous contact from GDIT
2022-08-26
Survey response — 12 months, dose 2
MedDRA: Adverse reaction — Feeling: Poor · 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

Free text: To many to list really

MedDRA releases: 2024-11 · check-in free text available
2022-08-26
Report sent to call center — 12 months, dose 2
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 · 1 call case(s)
2022-08-29
Call 1 — Requested Callback
2022-08-30
Call 2 — Could Not Reach Participant
2022-08-30
Callback requested for
10:00AM ET

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-04	Pfizer-BioNTech	No
2	2021-08-26	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-08-29	Successful	Completed over the phone
2021-09-16	Successful 2021-09-21	Completed over the phone
2021-09-23	Unsuccessful
2021-11-25	Unsuccessful
2022-02-24	Successful 2022-02-25	Reported to VAERS during previous contact from GDIT
2022-08-26	Unsuccessful

Free text

Release 9 — days 1–6 daily, dose 1

2021-08-05

Systemic reaction (other): Light flu type feelings

2021-08-08

Systemic reaction (other): I feel like some of this is too vague because of my preexisting health concerns. I can't really tell at this point how bad the shot is affecting them but I can definitely tell it is.

2021-08-10

Systemic reaction (other): Co- health conditions are most likely these symptoms are not related to the shot. I also had a "presumptive" case end of February first off March 2020 and have not felt 100% since then.

Release 9 — day 21, dose 1

2021-08-25

Symptoms: Heartache and body pain getting worse, fatigue is worse.

Release 9 — days 1–6 daily, dose 2

2021-08-28

Systemic reaction (other): Joint pain, chest pain/ tightness, flu- like, kidney symptoms, burning/ watering eyes

2021-08-29

Systemic reaction (other): Possible cellulitis at injection site

2021-08-30

Systemic reaction (other): Developed cellulitis at injection site and surrounding area, started antibiotic 8/29 for 10 days. Will follow up if no improvement after 24 hours

2021-09-01

Systemic reaction (other): Swollen lymph nodes

Release 9 — day 7, dose 2

2021-09-02

Systemic reaction (other): Swollen lymph nodes

Release 9 — day 21, dose 2

2021-09-16

Symptoms: Fatigue headache foggy brain diarrhea with bleeding

Release 9 — day 28, dose 2

2021-09-23

Symptoms: GI and neurological

Release 10 — day 42, dose 2

2021-10-07

Symptoms: Call if you need extra info

Release 10 — 3 months, dose 2

2021-11-25

Symptoms: Pain and irritation at injection site. Autoimmune flair, continued flu like symptoms

Healthcare visit (other): New specialists

Release 11 — 6 months, dose 2

2022-02-24

Symptoms: Gallbladder inflammation, constant nausea, headaches, frequent increased joint pain, still have itching and pain with Knots at the places where the covid injections were done.

Release 12 — 12 months, dose 2

2022-08-26

Symptoms: To many to list really

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	Adverse reaction	·	·	✓
SD	Angina pectoris	✓	·	✓
SD	Arthralgia	·	·	✓
SD	Brain fog	·	·	✓
SD	Cholecystitis	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Diarrhoea haemorrhagic	·	·	✓
SD	Fatigue	✓	·	✓
SD	Headache	·	·	✓
SD	Influenza like illness	·	·	✓
SD	Injection site irritation	·	·	✓
SD	Injection site nodule	·	·	✓
SD	Injection site pain	·	·	✓
SD	Injection site pruritus	·	·	✓
SD	Nausea	·	·	✓
SD	Pain	✓	·	✓
SD	Pre-existing disease	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Arthralgia	✓	·	✓
SRO	Chest discomfort	✓	·	✓
SRO	Chest pain	✓	·	✓
SRO	Condition aggravated	✓	·	✓
SRO	Eye irritation	✓	·	✓
SRO	Influenza like illness	✓	·	✓
SRO	Injection site cellulitis	✓	·	✓
SRO	Lacrimation increased	✓	·	✓
SRO	Lymphadenopathy	✓	·	✓
SRO	Pre-existing disease	✓	·	✓
SRO	Renal disorder	✓	·	✓
SRO	Unevaluable event	✓	·	✓

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