YPC-31956-45055

4 vaccinations 17 coded responses 44 check-ins 17 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 190 / PA
Registered: 2020-12-16

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2020-12-16
Registered in v-safe
2020-12-16
Dose 1 — Pfizer-BioNTech
2020-12-16
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-19
Survey response — days 1–6 daily, dose 1
MedDRA: Nausea — Feeling: Good · Site: Pain, Swelling · Nausea

Free text: Nausea just happened otgerquu Iss I would not have reported it. I am Unsure if nausea is connected to the shot since I have hx of reflux and gets nausea at times.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2020-12-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-25
Survey response — day 7, dose 1
MedDRA: Injection site pruritus — Feeling: Good · Site: Itching · Joint pains

Free text: But these are my usual back and hip and knee pain. Relieved by Tylenol. I had itch at the injection site 2 days agoBut not today. I had forgotten to report the itch then . No itch tiday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Survey response — day 14, dose 1
MedDRA: Dysgeusia, Nausea — Feeling: Good

Free text: Metallic taste in myMouth filled by nausea . This is sporadic.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Dose 2 — Pfizer-BioNTech
2021-01-06
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-01-07
Survey response — days 1–6 daily, dose 2
MedDRA: Diarrhoea, Malaise — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: More under the weather than when zi had the first shot.Big loose stoolThis am Not really doarehea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-13
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-01-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-10
Survey response — day 35, dose 2
MedDRA: Asthenia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Weakness 6 hrs into my work day for the past 5 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — day 42, dose 2
MedDRA: Abdominal pain, Fatigue, Irritable bowel syndrome — Feeling: Fair

Free text: I find that I may be tired more oftewhich may be fromThe vaccine . I also have Abdominal pain - flare up of my IBS but my GI Dr said it is not related to the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — 3 months, dose 2
MedDRA: Fatigue — Feeling: Good

Free text: Extreme & unusual Fatigue at end of the work day when I got home. I attributed this to the vaccine. It is less over the last 2 weeks.This was not regularend of the day tired I believe it was from the shot.I would sit & feel drained for 30 minu

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-08
Survey response — 6 months, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · 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: Flare up of IBS

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-08
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-14
Call 1 — Left Voicemail
2021-09-24
Dose 3 — Pfizer-BioNTech
2021-09-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-10-03
Health check-in — day 7, dose 3
Feeling: Fair · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-10-10
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-17
Survey response — day 21, dose 3
MedDRA: Head titubation, Headache, Pre-existing disease — Feeling: Fair

Free text: Persistent headache since the booster, daily or every other day. I had a fall &concussion Aug 2020 with headache. The headache with the booster is similar. It feels as if my brain Is shaking in my head or maybe it's a dizzy feeling with the headache.

MedDRA releases: 2024-11 · check-in free text available
2021-10-24
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-01
Survey response — day 35, dose 3
MedDRA: Headache, Immediate post-injection reaction, Pain, Pre-existing disease — Feeling: Fair

Free text: Headache continues . It had decreased and .I thought it had stopped but it came back. Overall its less than right after the booster. It's a motion headache similar to the headache I had 1 yr ago with a post fall concussion .I have a hx of migraines

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-25
Survey response — 3 months, dose 3
MedDRA: Fatigue, Headache — Feeling: Good

Free text: Milder headaches and less frequent. Done tiredness lately at the end of the day but nothing too debilitating. I usually go to sleep at10 pm . Fir the last week I have been going to sleep at 8pm. I am still working 32hrs per week.

MedDRA releases: 2024-11 · check-in free text available
2022-03-25
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-23
Dose 4 — Moderna
2022-04-28
Survey response — days 1–6 daily, dose 4
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Lightheadedness yesterday.treated with rest and Fluids Gatorade.

MedDRA releases: 2024-11 · check-in free text available
2022-04-30
Survey response — day 7, dose 4
MedDRA: Anal incontinence, Diarrhoea, Pre-existing disease — Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain

Free text: Had explosive diarrhea with stool incontinence X1 yesterday at work. This may be from my IBS.

MedDRA releases: 2024-11 · check-in free text available
2022-05-07
Survey response — day 14, dose 4
MedDRA: Fatigue, Hypersomnia — Feeling: Fair

Free text: Fatigue continues since the 2nd booster.I go to sleep earlier than usual.8.30pm as compared to 10 pm before. In the middle of the st at work I may feel tired.

MedDRA releases: 2024-11 · check-in free text available
2022-05-16
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-21
Survey response — day 28, dose 4
MedDRA: Somnolence — Feeling: Good

Free text: I Go to sleep earlier every night since the shot

MedDRA releases: 2024-11 · check-in free text available
2022-05-28
Survey response — day 35, dose 4
MedDRA: Diarrhoea — Feeling: Good

Free text: 2 separate diarrhea episodes this week. That is a big loose stool each time.Otherwise well.

MedDRA releases: 2024-11 · check-in free text available
2022-06-04
Survey response — day 42, dose 4
MedDRA: Fatigue, Injection site pain, Somnolence — Feeling: Good

Free text: Just the tiredness after work and going to sleep earlier than Before the shot and an occasional transitory mild stinging sensation at the injection site. I think the Moderna booster is stronger than the Pfizer booster.

MedDRA releases: 2024-11 · check-in free text available
2022-07-23
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-22
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-23
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-16	Pfizer-BioNTech
2	2021-01-06	Pfizer-BioNTech
3	2021-09-24	Pfizer-BioNTech	No
4	2022-04-23	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-07-08	Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-19

Systemic reaction (other): Nausea just happened otgerquu Iss I would not have reported it. I am Unsure if nausea is connected to the shot since I have hx of reflux and gets nausea at times.

Release 1 — day 7, dose 1

2020-12-25

Systemic reaction (other): But these are my usual back and hip and knee pain. Relieved by Tylenol. I had itch at the injection site 2 days agoBut not today. I had forgotten to report the itch then . No itch tiday

Release 1 — day 14, dose 1

2020-12-30

Symptoms: Metallic taste in myMouth filled by nausea . This is sporadic.

Release 1 — days 1–6 daily, dose 2

2021-01-07

Systemic reaction (other): More under the weather than when zi had the first shot.Big loose stoolThis am Not really doarehea

Release 4 — day 35, dose 2

2021-02-10

Symptoms: Weakness 6 hrs into my work day for the past 5 days.

Release 4 — day 42, dose 2

2021-02-19

Symptoms: I find that I may be tired more oftewhich may be fromThe vaccine . I also have Abdominal pain - flare up of my IBS but my GI Dr said it is not related to the vaccine.

Release 7 — 3 months, dose 2

2021-04-07

Symptoms: Extreme & unusual Fatigue at end of the work day when I got home. I attributed this to the vaccine. It is less over the last 2 weeks.This was not regularend of the day tired I believe it was from the shot.I would sit & feel drained for 30 minu

Release 9 — 6 months, dose 2

2021-07-08

Symptoms: Flare up of IBS

Release 10 — day 21, dose 3

2021-10-17

Symptoms: Persistent headache since the booster, daily or every other day. I had a fall &concussion Aug 2020 with headache. The headache with the booster is similar. It feels as if my brain Is shaking in my head or maybe it's a dizzy feeling with the headache. cut off by CDC

Release 10 — day 35, dose 3

2021-11-01

Symptoms: Headache continues . It had decreased and .I thought it had stopped but it came back. Overall its less than right after the booster. It's a motion headache similar to the headache I had 1 yr ago with a post fall concussion .I have a hx of migraines cut off by CDC

Release 10 — 3 months, dose 3

2021-12-25

Symptoms: Milder headaches and less frequent. Done tiredness lately at the end of the day but nothing too debilitating. I usually go to sleep at10 pm . Fir the last week I have been going to sleep at 8pm. I am still working 32hrs per week.

Release 11 — days 1–6 daily, dose 4

2022-04-28

Systemic reaction (other): Lightheadedness yesterday.treated with rest and Fluids Gatorade.

Release 11 — day 7, dose 4

2022-04-30

Systemic reaction (other): Had explosive diarrhea with stool incontinence X1 yesterday at work. This may be from my IBS.

Release 11 — day 14, dose 4

2022-05-07

Symptoms: Fatigue continues since the 2nd booster.I go to sleep earlier than usual.8.30pm as compared to 10 pm before. In the middle of the st at work I may feel tired.

Release 11 — day 28, dose 4

2022-05-21

Symptoms: I Go to sleep earlier every night since the shot

Release 11 — day 35, dose 4

2022-05-28

Symptoms: 2 separate diarrhea episodes this week. That is a big loose stool each time.Otherwise well.

Release 11 — day 42, dose 4

2022-06-04

Symptoms: Just the tiredness after work and going to sleep earlier than Before the shot and an occasional transitory mild stinging sensation at the injection site. I think the Moderna booster is stronger than the Pfizer booster.

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	Abdominal pain	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Dysgeusia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Head titubation	·	·	✓
SD	Headache	·	·	✓
SD	Hypersomnia	·	·	✓
SD	Immediate post-injection reaction	·	·	✓
SD	Injection site pain	·	·	✓
SD	Irritable bowel syndrome	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Somnolence	·	·	✓
SRO	Anal incontinence	·	·	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Dizziness	·	·	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pre-existing disease	·	·	✓

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