YQE-27799-32184

2 vaccinations 8 coded responses 21 check-ins 8 free-text entries 5 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 532 / WI
Registered: 2021-01-07

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

2021-01-07
Registered in v-safe
2021-01-07
Dose 1 — Pfizer-BioNTech
2021-01-07
Survey response — day 0, dose 1
MedDRA: Autoimmune disorder, Headache, Migraine, Pain, Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: With exception of headache (migraine that started before the injection), the aches are normal for my autoimmune condition

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

Adult check-in
2021-01-09
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness

Free text: All normal autoimmune for me

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-10
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease, Presyncope — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: All normal autoimmune symptoms for me, plus near syncope (also a known issue for me)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-13
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-16
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-16
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-21
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-01-28
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-06
Survey response — day 28, dose 1
MedDRA: Autoimmune disorder, Fatigue, Nausea, Pain, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities

Free text: I am currently in an autoimmune flare up, which includes mild grade fever, wide spread pain, fatigue and nausea. I have had these before i got the vaccine, though.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Dose 2 — Pfizer-BioNTech
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-15
Survey response — days 1–6 daily, dose 2
MedDRA: Autoimmune disorder, Insomnia, Pre-existing disease — Feeling: Poor · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: Insomnia/autoimmune flare up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Health check-in — day 7, dose 2
Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-25
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-04
Survey response — day 21, dose 2
MedDRA: Condition aggravated, Neck pain — Feeling: Poor · Be unable to work, 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: Neck pain significantly flared

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-16
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-24
Survey response — day 42, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Be unable to work, 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: Had a bad autoimmune flare that resulted in needing a steroid dosepac

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Report sent to call center — day 42, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-30
Call 1 — Left Voicemail
2021-08-10
Survey response — 6 months, dose 2
MedDRA: Infected cyst — Feeling: Fair · Be unable to work or attend school, 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: Infected cyst

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-10
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-18
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Pfizer-BioNTech
2	2021-02-09	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-01-13	priority 2/3
2021-01-16	priority 2/3
2021-03-04	Unsuccessful
2021-03-24	Unsuccessful
2021-08-10	Unsuccessful

Free text

Release 1 — day 0, dose 1

2021-01-07

Systemic reaction (other): With exception of headache (migraine that started before the injection), the aches are normal for my autoimmune condition

Release 1 — days 1–6 daily, dose 1

2021-01-09

Systemic reaction (other): All normal autoimmune for me

2021-01-10

Systemic reaction (other): All normal autoimmune symptoms for me, plus near syncope (also a known issue for me)

Release 3 — day 28, dose 1

2021-02-06

Symptoms: I am currently in an autoimmune flare up, which includes mild grade fever, wide spread pain, fatigue and nausea. I have had these before i got the vaccine, though.

Release 4 — days 1–6 daily, dose 2

2021-02-15

Systemic reaction (other): Insomnia/autoimmune flare up

Release 5 — day 21, dose 2

2021-03-04

Symptoms: Neck pain significantly flared

Release 6 — day 42, dose 2

2021-03-24

Symptoms: Had a bad autoimmune flare that resulted in needing a steroid dosepac

Release 9 — 6 months, dose 2

2021-08-10

Symptoms: Infected cyst

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	Autoimmune disorder	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Infected cyst	✓	·	✓
SD	Nausea	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SRO	Autoimmune disorder	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Presyncope	✓	✓	✓
SRO	Syncope	○	○	○
SRO	Unevaluable event	○	○	○

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