YSA-11473-08343

3 vaccinations 9 coded responses 28 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 857 / AZ
Registered: 2021-04-09

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

2021-03-31
Dose 1 — Pfizer-BioNTech
2021-04-09
Registered in v-safe
2021-04-09
Health check-in — day 7, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-04-14
Survey response — day 14, dose 1
MedDRA: Injection site rash, Rash erythematous — Feeling: Fair

Free text: A red oval rash developed just below the injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-22
Dose 2 — Pfizer-BioNTech
2021-04-22
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Back pain, Injection site nodule, Neck pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Neck pain; hip and lower back pain. Egg shaped knot below injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-04-29
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-05-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-22
Survey response — 3 months, dose 2
MedDRA: Office visit, Thyroid hormones decreased — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Low thyroid · Healthcare visit (other): Primary Care Doctor

MedDRA releases: 2024-11 · check-in free text available
2021-07-22
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-28
Call 1 — Left Voicemail
2021-10-19
Dose 3 — Pfizer-BioNTech
2021-10-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-10-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-10-24
Survey response — days 1–6 daily, dose 3
MedDRA: Dyspepsia — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness, Diarrhea

Free text: Sour stomach

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-10-28
Health check-in — day 7, dose 3
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-11-04
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-09
Survey response — day 21, dose 3
MedDRA: Urinary incontinence — Feeling: Fair

Free text: Since a week following my booster I am experiencing bladder leakage.

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Survey response — day 28, dose 3
MedDRA: Fatigue — Feeling: Fair

Free text: Constant fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-11-27
Survey response — day 35, dose 3
MedDRA: Diarrhoea, Fatigue, Urinary incontinence — Feeling: Fair

Free text: Fatigue continues, leaky bladder continues along with loose bowels

MedDRA releases: 2024-11 · check-in free text available
2021-12-01
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-18
Survey response — 3 months, dose 3
MedDRA: Hypertension, Nephrolithiasis, Office visit, Palpitations — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: High blood pressure; heart beating hard; kidney stones · Healthcare visit (other): PCP; Urologist

MedDRA releases: 2024-11 · check-in free text available
2022-01-18
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-19
Call 1 — Left Voicemail
2022-04-20
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-19
Survey response — 12 months, dose 3
MedDRA: Hypertension, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: High blood pressure · Healthcare visit (other): PCP

MedDRA releases: 2024-11 · check-in free text available
2022-10-19
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-20
Call 2 — Left Voicemail
2022-10-20
Call 2 — Left Voicemail
2022-10-20
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Pfizer-BioNTech
2	2021-04-22	Pfizer-BioNTech
3	2021-10-19	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-07-22	Unsuccessful
2022-01-18	Unsuccessful
2022-10-19	Unsuccessful

Free text

Release 7 — day 14, dose 1

2021-04-14

Symptoms: A red oval rash developed just below the injection site.

Release 7 — days 1–6 daily, dose 2

2021-04-24

Systemic reaction (other): Neck pain; hip and lower back pain. Egg shaped knot below injection site.

Release 9 — 3 months, dose 2

2021-07-22

Symptoms: Low thyroid

Healthcare visit (other): Primary Care Doctor

Release 10 — days 1–6 daily, dose 3

2021-10-24

Systemic reaction (other): Sour stomach

Release 10 — day 21, dose 3

2021-11-09

Symptoms: Since a week following my booster I am experiencing bladder leakage.

Release 10 — day 28, dose 3

2021-11-16

Symptoms: Constant fatigue

Release 10 — day 35, dose 3

2021-11-27

Symptoms: Fatigue continues, leaky bladder continues along with loose bowels

Release 10 — 3 months, dose 3

2022-01-18

Symptoms: High blood pressure; heart beating hard; kidney stones

Healthcare visit (other): PCP; Urologist

Release 12 — 12 months, dose 3

2022-10-19

Symptoms: High blood pressure

Healthcare visit (other): PCP

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	Office visit	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Hypertension	·	·	✓
SD	Injection site rash	✓	✓	✓
SD	Nephrolithiasis	·	·	✓
SD	Palpitations	·	·	✓
SD	Rash erythematous	✓	✓	✓
SD	Thyroid hormones decreased	·	·	✓
SD	Urinary incontinence	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Dyspepsia	·	·	✓
SRO	Injection site nodule	✓	✓	✓
SRO	Neck pain	✓	✓	✓

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