YSD-32651-99878

2 vaccinations 12 coded responses 25 check-ins 12 free-text entries 4 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 581 / ND
Registered: 2021-03-12

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

2021-03-12
Registered in v-safe
2021-03-12
Dose 1 — Pfizer-BioNTech
2021-03-12
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Malaise — Feeling: Fair

Free text: Not feeling good but it's not related to the shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good

Free text: Just my normal problems

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Fair

Free text: Normal pain. Nothing out of the ordinary

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair

Free text: My normal pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Fair

Free text: Usual pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — day 7, dose 1
MedDRA: Pre-existing disease — Feeling: Fair

Free text: My usual pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-31
Dose 2 — Pfizer-BioNTech
2021-03-31
Survey response — day 0, dose 2
MedDRA: Limb discomfort — Feeling: Good

Free text: Mild soreness in injection arm. No pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Pain — Feeling: Fair

Free text: Back to just normal pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-04-07
Health check-in — day 7, dose 2
Feeling: Fair · None

Adult check-in
2021-04-14
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-21
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-28
Survey response — day 28, dose 2
MedDRA: Pre-existing disease, Sciatica, Surgery — Feeling: Fair · 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: Not related to covid. Sciatica worsened and I ended up with surgery.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Report sent to call center — day 28, 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)
2021-05-05
Survey response — day 35, dose 2
MedDRA: Dizziness, Surgery — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: I had surgery and also some extreme dizziness for a day or 2.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Report sent to call center — day 35, 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)
2021-05-12
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-30
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-29
Survey response — 6 months, dose 2
MedDRA: Vertigo — Feeling: Fair · 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: Vertigo

MedDRA releases: 2024-11 · check-in free text available
2021-09-29
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-05
Call 1 — Left Voicemail
2021-10-11
Call 2 — Left Voicemail
2022-03-31
Survey response — 12 months, dose 2
MedDRA: Cataract operation, Condition aggravated, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Had cataract surgery and follow up treatments which has flared other issues.

MedDRA releases: 2024-11 · check-in free text available
2022-03-31
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-07
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-12	Pfizer-BioNTech
2	2021-03-31	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-04-28	Unsuccessful
2021-05-05	Unsuccessful
2021-09-29	Unsuccessful
2022-03-31	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-14

Systemic reaction (other): Not feeling good but it's not related to the shot

2021-03-15

Systemic reaction (other): Just my normal problems

2021-03-16

Systemic reaction (other): Normal pain. Nothing out of the ordinary

2021-03-17

Systemic reaction (other): My normal pain

2021-03-18

Systemic reaction (other): Usual pain

Release 5 — day 7, dose 1

2021-03-19

Systemic reaction (other): My usual pain

Release 6 — day 0, dose 2

2021-03-31

Systemic reaction (other): Mild soreness in injection arm. No pain

Release 6 — days 1–6 daily, dose 2

2021-04-04

Systemic reaction (other): Back to just normal pain.

Release 8 — day 28, dose 2

2021-04-28

Symptoms: Not related to covid. Sciatica worsened and I ended up with surgery.

Release 8 — day 35, dose 2

2021-05-05

Symptoms: I had surgery and also some extreme dizziness for a day or 2.

Release 9 — 6 months, dose 2

2021-09-29

Symptoms: Vertigo

Release 11 — 12 months, dose 2

2022-03-31

Symptoms: Had cataract surgery and follow up treatments which has flared other issues.

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	Cataract operation	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Sciatica	✓	✓	✓
SD	Surgery	✓	✓	✓
SD	Vertigo	·	·	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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