YQP-40936-62711

3 vaccinations 8 coded responses 12 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 26-30
ZIP prefix: 166 / PA
Registered: 2021-01-24

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

2021-01-24
Registered in v-safe
2021-01-24
Dose 1 — Pfizer-BioNTech
2021-01-24
Survey response — day 0, dose 1
MedDRA: Hypoaesthesia oral, Pruritus — Feeling: Fair · Site: Pain, Redness · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Free text: Itching all over body, numb tongue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Asthma — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Fatigue or tiredness

Free text: Asthma symptoms have increased since shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-29
Survey response — days 1–6 daily, dose 1
MedDRA: Asthma — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea, Diarrhea

Free text: Asthma is heightened

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Dose 2 — Pfizer-BioNTech
2021-02-14
Survey response — day 0, dose 2
MedDRA: Back pain, Renal pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Lower back pain near kidneys

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — days 1–6 daily, dose 2
MedDRA: Asthma, Chest discomfort — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · 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: Asthma worse, chest heaviness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Report sent to call center — days 1–6 daily, 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)
2021-02-18
Survey response — days 1–6 daily, dose 2
MedDRA: Urinary tract discomfort — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Had UTI symptoms the day of receiving both shots- no UTI

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — day 42, dose 2
MedDRA: Arthralgia, Dizziness, Fatigue, Pain in extremity — Feeling: Fair

Free text: Feeling fatigued, light headed, stand up and hips will tingle and ache, legs get weak almost like Im going to fall over and pass out

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-02
Call 1 — Left Voicemail
2021-12-13
Dose 3 — Pfizer-BioNTech
2021-12-13
Survey response — day 0, dose 3
MedDRA: Dysgeusia, Immediate post-injection reaction, Paraesthesia, Pruritus — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Immediately got itchy on my head and then on my body- pins and needles all over in first 15 minutes, metal taste in mouth

MedDRA releases: 2024-11 · check-in free text available
2021-12-14
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-24	Pfizer-BioNTech
2	2021-02-14	Pfizer-BioNTech
3	2021-12-13	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-02-15	Unsuccessful

Free text

Release 2 — day 0, dose 1

2021-01-24

Systemic reaction (other): Itching all over body, numb tongue

Release 2 — days 1–6 daily, dose 1

2021-01-27

Systemic reaction (other): Asthma symptoms have increased since shot

Release 3 — days 1–6 daily, dose 1

2021-01-29

Systemic reaction (other): Asthma is heightened

Release 4 — day 0, dose 2

2021-02-14

Systemic reaction (other): Lower back pain near kidneys

Release 4 — days 1–6 daily, dose 2

2021-02-15

Systemic reaction (other): Asthma worse, chest heaviness

2021-02-18

Systemic reaction (other): Had UTI symptoms the day of receiving both shots- no UTI

Release 6 — day 42, dose 2

2021-03-30

Symptoms: Feeling fatigued, light headed, stand up and hips will tingle and ache, legs get weak almost like Im going to fall over and pass out

Release 10 — day 0, dose 3

2021-12-13

Systemic reaction (other): Immediately got itchy on my head and then on my body- pins and needles all over in first 15 minutes, metal taste in mouth

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	Arthralgia	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SRO	Asthma	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Dysgeusia	·	·	✓
SRO	Hypoaesthesia oral	✓	✓	✓
SRO	Immediate post-injection reaction	·	·	✓
SRO	Paraesthesia	·	·	✓
SRO	Pruritus	✓	✓	✓
SRO	Renal pain	✓	✓	✓
SRO	Urinary tract discomfort	✓	✓	✓

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