YPS-12249-48184

4 vaccinations 8 coded responses 51 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 480 / MI
Registered: 2021-03-23

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

Registered dependents

FWU-14464-35807 Child or adolescent in my care · Female · 2022-12-05

Timeline

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

2021-03-23
Registered in v-safe
2021-03-23
Dose 1 — Pfizer-BioNTech
2021-03-23
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-30
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-13
Dose 2 — Pfizer-BioNTech
2021-04-13
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · 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 · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — day 7, dose 2
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-04-27
Survey response — day 14, dose 2
MedDRA: Condition aggravated, Hypersensitivity, Oral allergy syndrome, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: New oral allergy reaction (apparently to mango); more flare ups than usual of costochondritis and fibromyalgia-type muscle pain. May not even be related to vaccine, but vaccine is still worth it regardless!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-11
Survey response — day 28, dose 2
MedDRA: Condition aggravated, Fatigue, Hypersensitivity, Myalgia, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: A fibromyalgia flare (muscle pains, fatigue, etc) and a worsening of allergy symptoms (I realize these may not be related to the vaccine).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-12
Survey response — 6 months, dose 2
MedDRA: Fatigue, Pain in extremity, Unevaluable event — Feeling: Fair

Free text: Arm pain, fatigue, and body achievement after flu shot this week.

MedDRA releases: 2024-11 · check-in free text available
2021-11-20
Dose 3 — Moderna
2021-11-20
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-11-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-11-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-27
Health check-in — day 7, dose 3
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-04
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-11
Survey response — day 21, dose 3
MedDRA: Diarrhoea, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Diarrhea and nausea since late last night

MedDRA releases: 2024-11 · check-in free text available
2021-12-18
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-25
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-01
Survey response — day 42, dose 3
MedDRA: Abdominal distension, Constipation, Diarrhoea, Irritable bowel syndrome, Pre-existing disease — Feeling: Good

Free text: Worsening IBS symptoms (mixed constipation, diarrhea, and bloating)

MedDRA releases: 2024-11 · check-in free text available
2022-02-19
Survey response — 3 months, dose 3
MedDRA: Dizziness, Lymph node pain, Lymphadenopathy, Mammary duct ectasia, Pyrexia, Tinnitus, Vertigo — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Unexplained low grade fever for over a week; plugged breast ducts; periodic thumping sound inside right ear; swollen/tender lymph node near base of skull on right side; occasional dizziness/vertigo. All resolved except occasional dizziness/vertigo.

MedDRA releases: 2024-11 · check-in free text available
2022-02-19
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-22
Call 1 — Left Voicemail
2022-05-21
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-24
Dose 4 — Moderna
Co-administered: Flu
2022-10-25
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-10-26
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-28
Survey response — days 1–6 daily, dose 4
MedDRA: Hot flush — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Free text: Hot flash

MedDRA releases: 2024-11 · check-in free text available
2022-10-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-30
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fever · Chills, Headache, Muscle or body aches

Adult check-in
2022-10-31
Health check-in — day 7, dose 4
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-07
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-14
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-21
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-28
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-05
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-23
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-24
Survey response — 6 months, dose 4
MedDRA: Anosmia, Conjunctivitis, Fatigue, Influenza virus test negative, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-24
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-04-25
Call 1 — Could Not Reach Participant
2023-04-25
Call 2 — Could Not Reach Participant
2023-04-25
Call 1 — Could Not Reach Participant
2023-04-28
Call 2 — Could Not Reach Participant
2023-04-28
Call 3 — Could Not Reach Participant
2023-04-28
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-23	Pfizer-BioNTech
2	2021-04-13	Pfizer-BioNTech
3	2021-11-20	Moderna	No
4	2022-10-24	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-04-27	Unsuccessful
2022-02-19	Unsuccessful
2023-04-24	Unsuccessful

Free text

Release 8 — day 14, dose 2

2021-04-27

Symptoms: New oral allergy reaction (apparently to mango); more flare ups than usual of costochondritis and fibromyalgia-type muscle pain. May not even be related to vaccine, but vaccine is still worth it regardless!

Release 8 — day 28, dose 2

2021-05-11

Symptoms: A fibromyalgia flare (muscle pains, fatigue, etc) and a worsening of allergy symptoms (I realize these may not be related to the vaccine).

Release 10 — 6 months, dose 2

2021-10-12

Symptoms: Arm pain, fatigue, and body achievement after flu shot this week.

Release 10 — day 21, dose 3

2021-12-11

Symptoms: Diarrhea and nausea since late last night

Release 10 — day 42, dose 3

2022-01-01

Symptoms: Worsening IBS symptoms (mixed constipation, diarrhea, and bloating)

Release 11 — 3 months, dose 3

2022-02-19

Symptoms: Unexplained low grade fever for over a week; plugged breast ducts; periodic thumping sound inside right ear; swollen/tender lymph node near base of skull on right side; occasional dizziness/vertigo. All resolved except occasional dizziness/vertigo. cut off by CDC

Release 12 — days 1–6 daily, dose 4

2022-10-28

Systemic reaction (other): Hot flash

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 distension	·	·	✓
SD	Anosmia	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Conjunctivitis	·	·	✓
SD	Constipation	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dizziness	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Influenza virus test negative	·	·	✓
SD	Irritable bowel syndrome	·	·	✓
SD	Lymph node pain	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Mammary duct ectasia	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	·	·	✓
SD	Oral allergy syndrome	✓	✓	○
SD	Oropharyngeal pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Tinnitus	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Vertigo	·	·	✓
SRO	Hot flush	·	·	✓

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