YNT-76420-09713

3 vaccinations 8 coded responses 39 check-ins 8 free-text entries 5 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 465 / IN
Registered: 2021-03-18

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-18
Registered in v-safe
2021-03-18
Dose 1 — Pfizer-BioNTech
2021-03-18
Health check-in — day 0, dose 1
Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Heart rate increased — Feeling: Good · Site: Swelling · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: High heart rate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Free text: These symptoms are normal for me and probably are non-vaccine related

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 · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-25
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-04-01
Survey response — day 14, dose 1
MedDRA: Fatigue, Pain, Unevaluable event — Feeling: Poor · Be unable to work, Get care from a doctor or other healthcare professional

Free text: Symptoms: Extremely fatigue, all over body aches/pain · Healthcare visit (other): I have an upcoming appointment with my doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Report sent to call center — day 14, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-08
Dose 2 — Pfizer-BioNTech
2021-04-08
Health check-in — day 0, dose 2
Feeling: Fair · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-15
Health check-in — day 7, dose 2
Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-22
Survey response — day 14, dose 2
MedDRA: Vertigo — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — day 14, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-29
Survey response — day 21, dose 2
MedDRA: Asthenia, Vertigo — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Vertigo, lack of energy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — day 28, dose 2
MedDRA: Chest pain, Heart rate increased — Feeling: Fair

Free text: Chest pains, high heart rate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Survey response — day 35, dose 2
MedDRA: Arthralgia, Chest discomfort, Pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Heaviness at chest, pain at left shoulder, intermittent body aches and pains

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-20
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-08
Call 1 — Left Voicemail
2021-07-08
Survey response — 3 months, dose 2
MedDRA: Chest pain, Dyspnoea, Injection site pain, Phantom limb syndrome — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Chest pain with difficulty breathing. Had phantom pain at COVID-19 vaccine injection site that lasted about a week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-08
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-13
Call 1 — Left Voicemail
2021-07-14
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-29
Dose 3 — Pfizer-BioNTech
2021-11-29
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-11-30
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-11-30
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-12-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Swelling · Headache, Muscle or body aches

Adult check-in
2021-12-02
Call 1 — Left Voicemail
2021-12-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling · None

Adult check-in
2021-12-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-12-06
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-20
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-28
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-30
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-29
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Pfizer-BioNTech
2	2021-04-08	Pfizer-BioNTech
3	2021-11-29	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-01	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-04-22	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-05-15	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-07-08	Successful 2021-07-14	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-30	Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): High heart rate

2021-03-21

Systemic reaction (other): These symptoms are normal for me and probably are non-vaccine related

Release 6 — day 14, dose 1

2021-04-01

Symptoms: Extremely fatigue, all over body aches/pain

Healthcare visit (other): I have an upcoming appointment with my doctor

Release 7 — day 14, dose 2

2021-04-22

Symptoms: Vertigo

Release 8 — day 21, dose 2

2021-04-29

Symptoms: Vertigo, lack of energy

Release 8 — day 28, dose 2

2021-05-08

Symptoms: Chest pains, high heart rate

Release 8 — day 35, dose 2

2021-05-15

Symptoms: Heaviness at chest, pain at left shoulder, intermittent body aches and pains

Release 9 — 3 months, dose 2

2021-07-08

Symptoms: Chest pain with difficulty breathing. Had phantom pain at COVID-19 vaccine injection site that lasted about a week.

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	Unevaluable event	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Phantom limb syndrome	✓	✓	✓
SD	Vertigo	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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