YRH-33561-49778

4 vaccinations 15 coded responses 32 check-ins 15 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 980 / WA
Registered: 2021-05-06

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

2021-04-14
Dose 1 — Pfizer-BioNTech
2021-05-05
Dose 2 — Pfizer-BioNTech
2021-05-06
Registered in v-safe
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-12
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-19
Survey response — day 14, dose 2
MedDRA: Pelvic pain — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Pelvic pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-26
Survey response — day 21, dose 2
MedDRA: Pelvic pain — Feeling: Good

Free text: Pelvic pain. Not sure if its related to the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Survey response — day 28, dose 2
MedDRA: Ovarian cyst — 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

Free text: Ovarian cyst. Not sure if it has anything to do with the vaccine but want to note it in case this data is useful.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-06
Survey response — 3 months, dose 2
MedDRA: Eye infection — Feeling: Good

Free text: Eye infection

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-03
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-15
Dose 3 — Pfizer-BioNTech
2022-01-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-01-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-24
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-29
Survey response — day 14, dose 3
MedDRA: Adnexa uteri pain — Feeling: Good

Free text: Pain in ovary

MedDRA releases: 2024-11 · check-in free text available
2022-02-05
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-12
Survey response — day 28, dose 3
MedDRA: Neuralgia — Feeling: Good

Free text: Nerve pain in my foot

MedDRA releases: 2024-11 · check-in free text available
2022-02-19
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-26
Survey response — day 42, dose 3
MedDRA: Malaise — Feeling: Fair · Be unable to work or attend school

Free text: Had a shingles vaccine. Made me feel sick.

MedDRA releases: 2024-11 · check-in free text available
2022-04-07
Call 1 — Left Voicemail
2022-04-18
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-25
Dose 4 — Pfizer-BioNTech
2022-06-25
Survey response — day 0, dose 4
MedDRA: Oropharyngeal pain — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches

Free text: Soar throat

MedDRA releases: 2024-11 · check-in free text available
2022-06-26
Survey response — days 1–6 daily, dose 4
MedDRA: Decreased appetite — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Loss of appetite

MedDRA releases: 2024-11 · check-in free text available
2022-06-27
Survey response — days 1–6 daily, dose 4
MedDRA: Paranasal sinus discomfort, Respiratory tract congestion — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: Sinus pressure and congestion

MedDRA releases: 2024-11 · check-in free text available
2022-06-29
Survey response — days 1–6 daily, dose 4
MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I tested positive for COVID on 6/28/22

MedDRA releases: 2024-11 · check-in free text available
2022-06-30
Survey response — days 1–6 daily, dose 4
MedDRA: SARS-CoV-2 test positive — Feeling: Good · Fatigue or tiredness, Diarrhea

Free text: I tested positive for COVID on 6/28/22

MedDRA releases: 2024-11 · check-in free text available
2022-07-01
Survey response — days 1–6 daily, dose 4
MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Diarrhea

Free text: Tested positive for COVID 6/28/22

MedDRA releases: 2024-11 · check-in free text available
2022-07-02
Survey response — day 7, dose 4
MedDRA: SARS-CoV-2 test negative — Feeling: Good · Diarrhea

Free text: Tested Negative for COVID 7/2/22

MedDRA releases: 2024-11 · check-in free text available
2022-07-09
Survey response — day 14, dose 4
MedDRA: Fatigue, Paranasal sinus discomfort, Paranasal sinus hypersecretion, Pre-existing disease — Feeling: Fair

Free text: I had COVID when I received my vaccine. So I think the symptoms that I am feeling now are from having COVID. A lot of fatigue Sinus pressure and drainage

MedDRA releases: 2024-11 · check-in free text available
2022-07-16
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-07-23
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-14	Pfizer-BioNTech
2	2021-05-05	Pfizer-BioNTech
3	2022-01-15	Pfizer-BioNTech	No
4	2022-06-25	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-19	Unsuccessful
2021-06-02	Unsuccessful

Free text

Release 8 — day 14, dose 2

2021-05-19

Symptoms: Pelvic pain

Release 8 — day 21, dose 2

2021-05-26

Symptoms: Pelvic pain. Not sure if its related to the vaccine.

Release 8 — day 28, dose 2

2021-06-02

Symptoms: Ovarian cyst. Not sure if it has anything to do with the vaccine but want to note it in case this data is useful.

Release 9 — 3 months, dose 2

2021-08-06

Symptoms: Eye infection

Release 11 — day 14, dose 3

2022-01-29

Symptoms: Pain in ovary

Release 11 — day 28, dose 3

2022-02-12

Symptoms: Nerve pain in my foot

Release 11 — day 42, dose 3

2022-02-26

Symptoms: Had a shingles vaccine. Made me feel sick.

Release 12 — day 0, dose 4

2022-06-25

Systemic reaction (other): Soar throat

Release 12 — days 1–6 daily, dose 4

2022-06-26

Systemic reaction (other): Loss of appetite

2022-06-27

Systemic reaction (other): Sinus pressure and congestion

2022-06-29

Systemic reaction (other): I tested positive for COVID on 6/28/22

2022-06-30

Systemic reaction (other): I tested positive for COVID on 6/28/22

2022-07-01

Systemic reaction (other): Tested positive for COVID 6/28/22

Release 12 — day 7, dose 4

2022-07-02

Systemic reaction (other): Tested Negative for COVID 7/2/22

Release 12 — day 14, dose 4

2022-07-09

Symptoms: I had COVID when I received my vaccine. So I think the symptoms that I am feeling now are from having COVID. A lot of fatigue Sinus pressure and drainage

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	Adnexa uteri pain	·	·	✓
SD	Eye infection	✓	·	✓
SD	Fatigue	·	·	✓
SD	Malaise	·	·	✓
SD	Neuralgia	·	·	✓
SD	Ovarian cyst	✓	✓	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Paranasal sinus hypersecretion	·	·	✓
SD	Pelvic pain	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SRO	Decreased appetite	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Paranasal sinus discomfort	·	·	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	SARS-CoV-2 test negative	·	·	✓
SRO	SARS-CoV-2 test positive	·	·	✓

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