YR6-34545-98687

2 vaccinations 10 coded responses 24 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 462 / IN
Registered: 2021-05-10

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

2021-05-10
Registered in v-safe
2021-05-10
Dose 1 — Pfizer-BioNTech
2021-05-10
Health check-in — day 0, dose 1
Feeling: Good · Headache

Adult check-in
2021-05-11
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Eye swelling, Periorbital swelling — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Dizziness and swollen puffy eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-05-17
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-05-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-31
Survey response — day 21, dose 1
MedDRA: Cough, Eye pruritus, Nasal congestion, Oral pruritus — Feeling: Poor

Free text: Nasal congestion, itchy eyes, itchy mouth, occasional cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-06-12
Dose 2 — Pfizer-BioNTech
2021-06-14
Survey response — days 1–6 daily, dose 2
MedDRA: Abnormal menstrual clots, Dysmenorrhoea, Heavy menstrual bleeding, Medical counselling — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Started heavy, heavy menstrual bleeding with cramps and clots · Healthcare visit (other): Called my gynecologist and spoke to the nurse in the clinic who suggested I come in for an appointment

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-14
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-15
Survey response — days 1–6 daily, dose 2
MedDRA: Apathy, Dizziness, Malaise — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Extremely dizzy with apathy and malaise

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Survey response — days 1–6 daily, dose 2
MedDRA: Generalised oedema, Lethargy — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Lethargy, swelling of body

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Survey response — days 1–6 daily, dose 2
MedDRA: Heavy menstrual bleeding — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Still on my period that started day of my first shot!!!!!!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Survey response — days 1–6 daily, dose 2
MedDRA: Dysmenorrhoea, Heavy menstrual bleeding — Feeling: Good · Headache, Joint pains, Fatigue or tiredness

Free text: Still having a period and cramps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-19
Survey response — day 7, dose 2
MedDRA: Unevaluable event — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Still having period bleeding

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Call successful
Participant prefers to complete VAERS report online
2021-06-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-07-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-12
Survey response — 6 months, dose 2
MedDRA: COVID-19, Office visit — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Positive for Covid 9/19/21 · Healthcare visit (other): Dr visit after 10 days

MedDRA releases: 2024-11 · check-in free text available
2021-12-12
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)
2021-12-13
Call 1 — Left Voicemail
2022-06-13
Survey response — 12 months, dose 2
MedDRA: Arthralgia, COVID-19, Chills, Mitral valve disease, Pre-existing disease, Tachycardia, Tricuspid valve disease, Unevaluable event — Feeling: Good · 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: Symptoms: I have been diagnosed with mitral and tricuspid valve issues post Covid diagnosis in September and recently had been diagnosed again with Covid first of May. I have struggled with prolong joint pain and will be starting therapy for that · Healthcare visit (other): Echocardiogram, blood tests, X-rays

MedDRA releases: 2024-11 · check-in free text available
2022-06-13
Report sent to call center — 12 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-14
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-10	Pfizer-BioNTech
2	2021-06-12	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-06-14	Successful 2021-06-24	Participant prefers to complete VAERS report online
2021-12-12	Successful	Participant prefers to complete VAERS report online
2022-06-13	Successful 2022-06-14	Participant prefers to complete VAERS report online

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-11

Systemic reaction (other): Dizziness and swollen puffy eyes

Release 8 — day 21, dose 1

2021-05-31

Symptoms: Nasal congestion, itchy eyes, itchy mouth, occasional cough

Release 9 — days 1–6 daily, dose 2

2021-06-14

Systemic reaction (other): Started heavy, heavy menstrual bleeding with cramps and clots

Healthcare visit (other): Called my gynecologist and spoke to the nurse in the clinic who suggested I come in for an appointment

2021-06-15

Systemic reaction (other): Extremely dizzy with apathy and malaise

2021-06-16

Systemic reaction (other): Lethargy, swelling of body

2021-06-17

Systemic reaction (other): Still on my period that started day of my first shot!!!!!!

2021-06-18

Systemic reaction (other): Still having a period and cramps

Release 9 — day 7, dose 2

2021-06-19

Systemic reaction (other): Still having period bleeding

Release 10 — 6 months, dose 2

2021-12-12

Symptoms: Positive for Covid 9/19/21

Healthcare visit (other): Dr visit after 10 days

Release 12 — 12 months, dose 2

2022-06-13

Symptoms: I have been diagnosed with mitral and tricuspid valve issues post Covid diagnosis in September and recently had been diagnosed again with Covid first of May. I have struggled with prolong joint pain and will be starting therapy for that

Healthcare visit (other): Echocardiogram, blood tests, X-rays

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
HCVO	Chills	·	·	✓
HCVO	Medical counselling	✓	✓	✓
HCVO	Office visit	·	·	✓
HCVO	Tachycardia	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Arthralgia	·	·	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Eye pruritus	✓	✓	✓
SD	Mitral valve disease	·	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Oral pruritus	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Tricuspid valve disease	·	·	✓
SRO	Abnormal menstrual clots	✓	✓	✓
SRO	Apathy	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dysmenorrhoea	✓	✓	✓
SRO	Eye swelling	✓	✓	✓
SRO	Generalised oedema	✓	✓	✓
SRO	Heavy menstrual bleeding	✓	✓	✓
SRO	Lethargy	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Periorbital swelling	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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