YRD-16274-13830

4 vaccinations 11 coded responses 53 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 750 / TX
Registered: 2021-05-12

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

2021-05-12
Registered in v-safe
2021-05-12
Dose 1 — Pfizer-BioNTech
2021-05-12
Survey response — day 0, dose 1
MedDRA: Pain, Pre-existing disease, Unevaluable event — Feeling: Good · Joint pains, Muscle or body aches

Free text: Pains are not new, not worse.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Fatigue not totally new-I have shift worker disorder.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-05-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-05-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-05-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-19
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-05-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-06-02
Dose 2 — Pfizer-BioNTech
2021-06-02
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-06-03
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good · Site: Pain

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-06-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-06-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-06-09
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-06-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-23
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-07
Survey response — day 35, dose 2
MedDRA: Fatigue, Nasal congestion, Pain, Sneezing — Feeling: Fair

Free text: Stuffy nose, sneezes, body aches, fatigue. NO FEVER. (I have bad allergies)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-14
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-09-01
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-01
Survey response — 6 months, dose 2
MedDRA: Chronic kidney disease, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Diagnosed with stage 3 chronic kidney disease, lot of fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-12-13
Dose 3 — Moderna
Co-administered: Flu
2021-12-13
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-12-14
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Fatigue or tiredness

Adult check-in
2021-12-15
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Fair · Site: Swelling, Itching · Joint pains, Muscle or body aches

Free text:

MedDRA releases: 2024-11 · check-in free text available
2021-12-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling · Joint pains, Muscle or body aches

Adult check-in
2021-12-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling · Fatigue or tiredness

Adult check-in
2021-12-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2021-12-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2021-12-20
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-12-27
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-03
Survey response — day 21, dose 3
MedDRA: Unevaluable event — Feeling: Good · Be unable to do your normal daily activities

Free text: Cycled through increased fatigue. No fever or other symptoms. It is a side effect of a medication I am still adapting to - pretty sure that's it.

MedDRA releases: 2024-11 · check-in free text available
2022-01-10
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-17
Survey response — day 35, dose 3
MedDRA: Headache, Pain, Rhinorrhoea, Sneezing, Throat irritation — Feeling: Fair · Be unable to do your normal daily activities

Free text: Scratchy throat, headache, runny nose, sneezing, and body aches.

MedDRA releases: 2024-11 · check-in free text available
2022-01-24
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-03-14
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-26
Dose 4 — Moderna
2022-04-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2022-04-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2022-04-29
Survey response — days 1–6 daily, dose 4
MedDRA: Headache — Feeling: Good · Site: Redness, Swelling, Itching · Headache, Muscle or body aches

Free text: I have headache almost daily, same as today

MedDRA releases: 2024-11 · check-in free text available
2022-04-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Itching · Joint pains, Muscle or body aches

Adult check-in
2022-05-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2022-05-02
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2022-05-03
Health check-in — day 7, dose 4
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-10
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-17
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-24
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-31
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-07
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-26
Survey response — 3 months, dose 4
MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Moderate to extreme fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-10-25
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-26
Survey response — 12 months, dose 4
MedDRA: Contusion, Dizziness, Dyspnoea, Fall, Laboratory test abnormal, Loss of personal independence in daily activities, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-26
Report sent to call center — 12 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-04-27
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-12	Pfizer-BioNTech
2	2021-06-02	Pfizer-BioNTech
3	2021-12-13	Moderna	Flu
4	2022-04-26	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2023-04-26	Successful 2023-04-27	Does not wish to fill out VAERS report

Free text

Release 8 — day 0, dose 1

2021-05-12

Systemic reaction (other): Pains are not new, not worse.

Release 8 — days 1–6 daily, dose 1

2021-05-13

Systemic reaction (other): Fatigue not totally new-I have shift worker disorder.

Release 8 — days 1–6 daily, dose 2

2021-06-03

Systemic reaction (other): None

Release 9 — day 35, dose 2

2021-07-07

Symptoms: Stuffy nose, sneezes, body aches, fatigue. NO FEVER. (I have bad allergies)

Release 10 — 6 months, dose 2

2021-12-01

Symptoms: Diagnosed with stage 3 chronic kidney disease, lot of fatigue

Release 10 — days 1–6 daily, dose 3

2021-12-15

Release 10 — day 21, dose 3

2022-01-03

Symptoms: Cycled through increased fatigue. No fever or other symptoms. It is a side effect of a medication I am still adapting to - pretty sure that's it.

Release 10 — day 35, dose 3

2022-01-17

Symptoms: Scratchy throat, headache, runny nose, sneezing, and body aches.

Release 11 — days 1–6 daily, dose 4

2022-04-29

Systemic reaction (other): I have headache almost daily, same as today

Release 12 — 3 months, dose 4

2022-07-26

Symptoms: Moderate to extreme fatigue

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	Unevaluable event	·	·	✓
SD	Chronic kidney disease	·	·	✓
SD	Contusion	·	·	✓
SD	Dizziness	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fall	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Laboratory test abnormal	·	·	✓
SD	Loss of personal independence in daily activities	·	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Sneezing	✓	✓	✓
SD	Throat irritation	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	·	·	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain	○	✓	○
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	○	✓	○

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