YKZ-27602-76206

3 vaccinations 8 coded responses 29 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 349 / FL
Registered: 2021-02-16

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

2021-01-26
Dose 1 — Pfizer-BioNTech
2021-02-16
Registered in v-safe
2021-02-16
Survey response — day 21, dose 1
MedDRA: Headache, Myalgia, Nausea, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: I received the first dose @7pm. During the night about 1 am I developed nausea, headache, arm soreness, muscle aches & pains. Headache , fatigue & nausea persisted about 48 hours. Arm soreness lasted 1/2 day or less.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Dose 2 — Pfizer-BioNTech
2021-02-19
Health check-in — days 1–6 daily, dose 2
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
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-19
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-29
Dose 3 — Pfizer-BioNTech
2021-10-01
Survey response — days 1–6 daily, dose 3
MedDRA: Headache, Pain of skin — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Sharp pains in head & skin

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Good · Site: Pain

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Diarrhea

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-10-06
Survey response — day 7, dose 3
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizzy

MedDRA releases: 2024-11 · check-in free text available
2021-10-13
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-10-20
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-10-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-03
Survey response — day 35, dose 3
MedDRA: Fatigue, Headache, Nausea, Oropharyngeal pain, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue, headache, sore throat, nausea, body aches

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Survey response — day 42, dose 3
MedDRA: Ear pain, Fatigue, Headache, Nausea, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sore throat, earache, Fatigue, headache, nausea

MedDRA releases: 2024-11 · check-in free text available
2021-12-29
Survey response — 3 months, dose 3
MedDRA: Chest discomfort, Cough, Dyspnoea, Headache, Influenza A virus test positive, Nausea, Oropharyngeal pain, Pain, Pyrexia, Wheezing — 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: Dec 15 tested positive for flu A. Fever 100.5, cough, bodyaches, headache, nausea, sore throat. · Healthcare visit (other): Wheezing, chest tightness, shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2021-12-29
Report sent to call center — 3 months, dose 3
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)
2022-01-04
Call successful
Participant prefers to complete VAERS report online
2022-03-30
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-29
Survey response — 12 months, dose 3
MedDRA: Cough, Nasal congestion, Pain, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Fever, cough, nasal congestion, body aches

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Pfizer-BioNTech
2	2021-02-18	Pfizer-BioNTech
3	2021-09-29	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-12-29	Successful 2022-01-04	Participant prefers to complete VAERS report online

Free text

Release 4 — day 21, dose 1

2021-02-16

Symptoms: I received the first dose @7pm. During the night about 1 am I developed nausea, headache, arm soreness, muscle aches & pains. Headache , fatigue & nausea persisted about 48 hours. Arm soreness lasted 1/2 day or less.

Release 9 — days 1–6 daily, dose 3

2021-10-01

Systemic reaction (other): Sharp pains in head & skin

2021-10-02

Systemic reaction (other): No

Release 10 — day 7, dose 3

2021-10-06

Systemic reaction (other): Dizzy

Release 10 — day 35, dose 3

2021-11-03

Symptoms: Fatigue, headache, sore throat, nausea, body aches

Release 10 — day 42, dose 3

2021-11-11

Symptoms: Sore throat, earache, Fatigue, headache, nausea

Release 10 — 3 months, dose 3

2021-12-29

Symptoms: Dec 15 tested positive for flu A. Fever 100.5, cough, bodyaches, headache, nausea, sore throat.

Healthcare visit (other): Wheezing, chest tightness, shortness of breath

Release 12 — 12 months, dose 3

2022-09-29

Symptoms: Fever, cough, nasal congestion, body aches

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	Chest discomfort	·	·	✓
HCVO	Dyspnoea	·	·	✓
HCVO	Wheezing	·	·	✓
SD	Cough	·	·	✓
SD	Ear pain	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Influenza A virus test positive	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pyrexia	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Headache	·	·	✓
SRO	No adverse event	·	·	✓
SRO	Pain of skin	·	·	✓

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