YND-12916-49468

4 vaccinations 9 coded responses 24 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 981 / WA
Registered: 2021-02-21

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
2021-02-21
Registered in v-safe
2021-02-21
Health check-in — day 21, dose 1
Feeling: Poor

Adult check-in
2021-02-23
Dose 2 — Pfizer-BioNTech
2021-02-23
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Joint pains

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Joint pains · Be unable to do your normal daily activities

Free text: Joint pain is normal for me. Not new

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-02
Survey response — day 7, dose 2
MedDRA: Genital herpes, Pre-existing disease — Feeling: Fair · Joint pains, Rash, not including the immediate area around the injection site

Free text: Bad g. Herpes outbreak past days. Stress?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-25
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-30
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-06
Survey response — day 42, dose 2
MedDRA: Blood immunoglobulin M increased, Blood test abnormal, Pre-existing disease, Stress, Tachycardia — Feeling: Fair

Free text: Very stressed family situation and taking sleep meds but had tachycardia. Also valtrex stopped working for ongoing herpes infection. May have nothing to do with vaccine. I had a blood test mar 11 and have high IgM but I had IgMs high to chemicals b4.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Survey response — 3 months, dose 2
MedDRA: Palpitations, Pruritus — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Palpitation increase. Itchy bra line.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-24
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-03
Dose 3 — Pfizer-BioNTech
2022-02-23
Survey response — 12 months, dose 2
MedDRA: Hypoaesthesia, Insomnia, Peripheral coldness — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Feet getting numb at night but then wake up. Feet feel more cold when sitting. Bad insomnia too.

MedDRA releases: 2024-11 · check-in free text available
2022-02-23
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-24
Call 1 — Left Voicemail
2022-04-07
Dose 4 — Moderna
2022-04-08
Call 2 — Left Voicemail
2022-04-19
Survey response — day 7, dose 4
MedDRA: Upper-airway cough syndrome — Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Post nasal drip

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-05
Survey response — day 28, dose 4
MedDRA: Cough, Fatigue — Feeling: Poor · Be unable to do your normal daily activities

Free text: Very tired from trip. Got an exposure notification most likely from plane with most people without masks ( bad) Some minor cough but could be allergy and sinus condition from snorkeling and flying. Haven't tested yet.

MedDRA releases: 2024-11 · check-in free text available
2022-05-13
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-19
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-07
Survey response — 3 months, dose 4
MedDRA: Back disorder, Fall — 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

Free text: Back problem due to fall

MedDRA releases: 2024-11 · check-in free text available
2022-07-07
Report sent to call center — 3 months, dose 4
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)
2022-07-08
Call 1 — Left Voicemail
2022-07-08
Call 3 — Left Voicemail
2022-07-08
Call 1 — Left Voicemail
2022-10-06
Health check-in — 6 months, dose 4
Feeling: Poor

Adult check-in
2023-04-09
Survey response — 12 months, dose 4
MedDRA: Arthralgia, Cataract operation, Dry eye, Insomnia, Office visit, Oropharyngeal pain, Post procedural complication, Rhinorrhoea, Vitreous floaters — Feeling: Fair · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-04-09
Report sent to call center — 12 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2023-04-11
Call successful
Participant prefers to complete VAERS report online
2023-04-11
Call successful
Participant prefers to complete VAERS report online
2023-04-11
Call successful
Participant prefers to complete VAERS report online
2023-04-11
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Pfizer-BioNTech
2	2021-02-23	Pfizer-BioNTech
3	2021-10-03	Pfizer-BioNTech	No
4	2022-04-07	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-25	Successful 2023-04-11	Participant prefers to complete VAERS report online
2022-02-23	Successful 2023-04-11	Participant prefers to complete VAERS report online
2022-07-07	Successful 2023-04-11	Participant prefers to complete VAERS report online
2023-04-09	Successful 2023-04-11	Participant prefers to complete VAERS report online

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-25

Systemic reaction (other): Joint pain is normal for me. Not new

Release 4 — day 7, dose 2

2021-03-02

Systemic reaction (other): Bad g. Herpes outbreak past days. Stress?

Release 7 — day 42, dose 2

2021-04-06

Symptoms: Very stressed family situation and taking sleep meds but had tachycardia. Also valtrex stopped working for ongoing herpes infection. May have nothing to do with vaccine. I had a blood test mar 11 and have high IgM but I had IgMs high to chemicals b4. cut off by CDC

Release 8 — 3 months, dose 2

2021-05-25

Symptoms: Palpitation increase. Itchy bra line.

Release 11 — 12 months, dose 2

2022-02-23

Symptoms: Feet getting numb at night but then wake up. Feet feel more cold when sitting. Bad insomnia too.

Release 11 — day 7, dose 4

2022-04-19

Systemic reaction (other): Post nasal drip

Release 11 — day 28, dose 4

2022-05-05

Symptoms: Very tired from trip. Got an exposure notification most likely from plane with most people without masks ( bad) Some minor cough but could be allergy and sinus condition from snorkeling and flying. Haven't tested yet.

Release 12 — 3 months, dose 4

2022-07-07

Symptoms: Back problem due to fall

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	Arthralgia	·	·	✓
SD	Back disorder	·	·	✓
SD	Blood immunoglobulin M increased	✓	✓	✓
SD	Blood test abnormal	✓	✓	✓
SD	Cataract operation	·	·	✓
SD	Cough	·	·	✓
SD	Dry eye	·	·	✓
SD	Fall	·	·	✓
SD	Fatigue	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Insomnia	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Palpitations	✓	✓	✓
SD	Peripheral coldness	·	·	✓
SD	Post procedural complication	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Stress	✓	✓	✓
SD	Tachycardia	✓	✓	✓
SD	Vitreous floaters	·	·	✓
SRO	Genital herpes	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Upper-airway cough syndrome	·	·	✓

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