YLR-21225-18544

4 vaccinations 8 coded responses 50 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 781 / TX
Registered: 2021-01-22

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

2021-01-22
Registered in v-safe
2021-01-22
Dose 1 — Pfizer-BioNTech
2021-01-22
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-12
Dose 2 — Pfizer-BioNTech
2021-02-12
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-28
Dose 3 — Pfizer-BioNTech
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-01
Survey response — days 1–6 daily, dose 3
MedDRA: Paraesthesia — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Tingling in my arm and hand

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Paraesthesia — Feeling: Good · Joint pains, Muscle or body aches

Free text: Tingling in arm and hand

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Paraesthesia — Feeling: Good

Free text: Tingling in arm and hand

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Paraesthesia, Pre-existing disease — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Symptoms above are unrelated to the vaccine that I received. My arm and hand still have a bit of a tingling feeling.

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-12
Survey response — day 14, dose 3
MedDRA: Pain in extremity, Paraesthesia, Self-medication — 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

Free text: Arm pain is severe. Achy and nerve tingling pain all the way to fingers. I am in severe pain. I'm using a heating pain, Tylenol and aspirin. I have a sling I also bought.

MedDRA releases: 2024-11 · check-in free text available
2021-10-12
Report sent to call center — day 14, 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 · 1 call case(s)
2021-10-20
Survey response — day 21, dose 3
MedDRA: Emergency care, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Arm pain but it's not really related to vaccine I'm pretty sure. I went to ER and they were considering cervical radiculopothy sp? As cause. I'm on steroids and pain meds and see Orthopedic surgeon Friday.

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
2021-10-21
Call 1 — Left Voicemail
2021-10-27
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-02
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-11-09
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-12-28
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-03-29
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-04-12
Dose 4 — Pfizer-BioNTech
Co-administered: Shingles
2022-04-15
Survey response — days 1–6 daily, dose 4
MedDRA: Blood urine present — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Blood in urine

MedDRA releases: 2024-11 · check-in free text available
2022-04-16
Survey response — days 1–6 daily, dose 4
MedDRA: Stomatitis — Feeling: Good · Site: Pain · Diarrhea

Free text: Mouth sores probably from the Shingles vaccine

MedDRA releases: 2024-11 · check-in free text available
2022-04-17
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-19
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-28
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-03
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-10
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-17
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-24
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-12
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-11
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-12
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Pfizer-BioNTech
2	2021-02-12	Pfizer-BioNTech
3	2021-09-28	Pfizer-BioNTech	No
4	2022-04-12	Pfizer-BioNTech	Shingles

Call center

Reported	Outcome	VAERS-related outcome
2021-10-12	Unsuccessful
2021-10-20	Unsuccessful

Free text

Release 9 — days 1–6 daily, dose 3

2021-10-01

Systemic reaction (other): Tingling in my arm and hand

2021-10-02

Systemic reaction (other): Tingling in arm and hand

2021-10-03

Systemic reaction (other): Tingling in arm and hand

2021-10-04

Systemic reaction (other): Symptoms above are unrelated to the vaccine that I received. My arm and hand still have a bit of a tingling feeling.

Release 10 — day 14, dose 3

2021-10-12

Symptoms: Arm pain is severe. Achy and nerve tingling pain all the way to fingers. I am in severe pain. I'm using a heating pain, Tylenol and aspirin. I have a sling I also bought.

Release 10 — day 21, dose 3

2021-10-20

Symptoms: Arm pain but it's not really related to vaccine I'm pretty sure. I went to ER and they were considering cervical radiculopothy sp? As cause. I'm on steroids and pain meds and see Orthopedic surgeon Friday.

Release 11 — days 1–6 daily, dose 4

2022-04-15

Systemic reaction (other): Blood in urine

2022-04-16

Systemic reaction (other): Mouth sores probably from the Shingles 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	Emergency care	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Paraesthesia	·	·	✓
SD	Self-medication	·	·	✓
SRO	Blood urine present	·	·	✓
SRO	Paraesthesia	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Stomatitis	·	·	✓

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