YQC-28638-50593

2 vaccinations 7 coded responses 15 check-ins 7 free-text entries 5 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 112 / NY
Registered: 2021-01-09

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

2020-12-18
Dose 1 — Pfizer-BioNTech
2021-01-08
Dose 2 — Pfizer-BioNTech
2021-01-09
Registered in v-safe
2021-01-09
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms, Photosensitivity reaction, Tinnitus — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Charley horse in both calf's. Ringing in ears. Photosensitivity

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-10
Survey response — days 1–6 daily, dose 2
MedDRA: Irritability, Muscular weakness — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Muscle weakness, irritable mood

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Survey response — days 1–6 daily, dose 2
MedDRA: Flatulence, Irritability — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal pain

Free text: Flatulence, irritability

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Feeling abnormal, Myalgia, Tinnitus, Vertigo — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Muscles in shoulders hurt, ringing in ears, spaciness, dizzy, vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-13
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site rash, Irritability, Muscle twitching, Myalgia — Feeling: Fair · Site: Redness, Swelling · Headache, Muscle or body aches, Nausea · Be unable to work

Free text: Face twitching, irritability, severe muscle pain in shoulder and neck on the side of the injection. There was also a hot round rash around the injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Report sent to call center — days 1–6 daily, dose 2
Be unable to work

1 call case(s)
2021-01-14
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain, Neck pain — Feeling: Fair · Headache, Muscle or body aches, Nausea

Free text: Pain in the shoulder and neck on the same side of the body as injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Muscle or body aches, Nausea · Be unable to work

Adult check-in
2021-01-15
Report sent to call center — day 7, dose 2
Be unable to work

1 call case(s)
2021-01-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-01-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-09
Survey response — 6 months, dose 2
MedDRA: Cough, Oropharyngeal pain, Productive cough, SARS-CoV-2 antibody test negative, SARS-CoV-2 test negative, Sinus congestion, Upper respiratory tract inflammation — 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: About 4 weeks ago I developed a sore throat and upper respiratory inflammation. Then a dry cough and sinus congestion. The cough became productive a day later. Went for a COVID19 rapid test and was negative. Antibody test also negative.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-09
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)
2021-07-12
Call 1 — Left Voicemail
2022-01-08
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-18	Pfizer-BioNTech
2	2021-01-08	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-01-09	priority 2/3
2021-01-12	priority 2/3
2021-01-13	priority 2/3
2021-01-15	priority 2/3
2021-07-09	Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 2

2021-01-09

Systemic reaction (other): Charley horse in both calf's. Ringing in ears. Photosensitivity

2021-01-10

Systemic reaction (other): Muscle weakness, irritable mood

2021-01-11

Systemic reaction (other): Flatulence, irritability

2021-01-12

Systemic reaction (other): Muscles in shoulders hurt, ringing in ears, spaciness, dizzy, vertigo

2021-01-13

Systemic reaction (other): Face twitching, irritability, severe muscle pain in shoulder and neck on the side of the injection. There was also a hot round rash around the injection site.

Release 2 — days 1–6 daily, dose 2

2021-01-14

Systemic reaction (other): Pain in the shoulder and neck on the same side of the body as injection site.

Release 9 — 6 months, dose 2

2021-07-09

Symptoms: About 4 weeks ago I developed a sore throat and upper respiratory inflammation. Then a dry cough and sinus congestion. The cough became productive a day later. Went for a COVID19 rapid test and was negative. Antibody test also negative.

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	Cough	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Productive cough	✓	✓	✓
SD	SARS-CoV-2 antibody test negative	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Sinus congestion	✓	✓	✓
SD	Upper respiratory tract inflammation	✓	✓	✓
SRO	Arthralgia	○	○	○
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Flatulence	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site rash	✓	✓	✓
SRO	Irritability	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Muscle twitching	✓	✓	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Photosensitivity reaction	✓	✓	✓
SRO	Tinnitus	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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