YSG-30395-60853

4 vaccinations 8 coded responses 39 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 380 / TN
Registered: 2021-03-31

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-30
Dose 1 — Pfizer-BioNTech
2021-03-31
Registered in v-safe
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-21
Dose 2 — Pfizer-BioNTech
2021-04-21
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Good · Site: Pain

Free text: Sore arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Arm and hand pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-28
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-05
Survey response — day 14, dose 2
MedDRA: Office visit, Vaccination site pruritus, Vaccination site rash, Vaccination site swelling — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Itching at the site of vaccination. Slight swelling and a bump/pimple. Soreness. · Healthcare visit (other): Dermatologist

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

1 call case(s)
2021-05-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-05
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-21
Survey response — 3 months, dose 2
MedDRA: Joint stiffness, Pain in extremity, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Hand/finger pain. When I wake each morning it takes a few minutes before I can bend my fingers on the hand. This is the same arm as the injection. · Healthcare visit (other): I have been referred to a rheumatologist

MedDRA releases: 2024-11 · check-in free text available
2021-07-21
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-24
Call successful
Participant prefers to complete VAERS report online
2021-07-24
Call successful
Participant prefers to complete VAERS report online
2021-10-20
Survey response — 6 months, dose 2
MedDRA: Musculoskeletal stiffness, Pain in extremity — 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: In the arm where are received the shot I have developed hand pain and stiffness.

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
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)
2021-10-24
Call 1 — Requested Callback
2021-10-26
Call 2 — Left Voicemail
2021-10-26
Callback requested for
07:00PM ET
2022-04-21
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Shoulder pain. Tiredness

MedDRA releases: 2024-11 · check-in free text available
2022-06-30
Dose 3 — Pfizer-BioNTech
2023-01-05
Dose 4 — Pfizer-BioNTech
2023-01-05
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2023-01-06
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2023-01-07
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2023-01-08
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2023-01-09
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2023-01-10
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2023-01-11
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2023-01-12
Health check-in — day 7, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2023-01-19
Survey response — day 14, dose 4
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-01-26
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2023-02-02
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2023-02-09
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2023-02-17
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2023-04-08
Survey response — 3 months, dose 4
MedDRA: Menstruation irregular — Feeling: Fair · Be unable to work or attend school

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Pfizer-BioNTech
2	2021-04-21	Pfizer-BioNTech
3	2022-06-30	Pfizer-BioNTech	No
4	2023-01-05	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-05	Successful 2021-07-24	Participant prefers to complete VAERS report online
2021-07-21	Successful 2021-07-24	Participant prefers to complete VAERS report online
2021-10-20	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-22

Systemic reaction (other): Sore arm

2021-04-23

Systemic reaction (other): Arm and hand pain

Release 8 — day 14, dose 2

2021-05-05

Symptoms: Itching at the site of vaccination. Slight swelling and a bump/pimple. Soreness.

Healthcare visit (other): Dermatologist

Release 9 — 3 months, dose 2

2021-07-21

Symptoms: Hand/finger pain. When I wake each morning it takes a few minutes before I can bend my fingers on the hand. This is the same arm as the injection.

Healthcare visit (other): I have been referred to a rheumatologist

Release 10 — 6 months, dose 2

2021-10-20

Symptoms: In the arm where are received the shot I have developed hand pain and stiffness.

Release 11 — 12 months, dose 2

2022-04-21

Symptoms: Shoulder pain. Tiredness

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	✓	✓	✓
HCVO	Unevaluable event	·	·	✓
SD	Arthralgia	·	·	✓
SD	Fatigue	·	·	✓
SD	Joint stiffness	·	·	✓
SD	Menstruation irregular	·	·	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Vaccination site pruritus	✓	✓	✓
SD	Vaccination site rash	✓	✓	✓
SD	Vaccination site swelling	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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