YSP-19489-80118

3 vaccinations 15 coded responses 24 check-ins 15 free-text entries 6 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 019 / MA
Registered: 2021-03-29

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

2021-03-27
Dose 1 — Pfizer-BioNTech
2021-03-29
Registered in v-safe
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: Migraine — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Suffer from migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Hx multi Med problems dx with Covid in 12:/39

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Hypertension — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness

Free text: High blood pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Free text: Tiredness wont leave

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-10
Survey response — day 14, dose 1
MedDRA: Blood pressure abnormal, Fatigue, Headache — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Headaches & blood pressure issues & very tired all the time otherwise ok. Consulted dr . Have hx of high bp

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-17
Dose 2 — Pfizer-BioNTech
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain, Immediate post-injection reaction — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Abdominal pain was awful & came so quickly after shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I just csnt seem to gain strength

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-24
Survey response — day 7, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Just not feeling myself at all

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-08
Survey response — day 21, dose 2
MedDRA: Headache, Myalgia, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Headaches & extreme muscle aches Dr appt 5/14 · Healthcare visit (other): Scheduled 5/14

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-16
Survey response — day 28, dose 2
MedDRA: Bone pain, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: The bone aches dont go away nor the headache come & goes. I suffer migraines but these are different.BP been high but Dr did not feel vaccine related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-29
Survey response — day 42, dose 2
MedDRA: COVID-19, Feeling abnormal, Hypertension, Office visit, Pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: High blood pressure aching body · Healthcare visit (other): Ive not felt right since having Covid in 12/2020 or since vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-17
Survey response — 3 months, dose 2
MedDRA: Nerve compression — 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: Nerve compression spine unrelated I think

MedDRA releases: 2024-11 · check-in free text available
2021-07-17
Report sent to call center — 3 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

1 call case(s)
2021-07-27
Call 1 — Left Voicemail
2021-10-16
Survey response — 6 months, dose 2
MedDRA: Oropharyngeal pain, Sinusitis, Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sinus infection, sore throat, UTI

MedDRA releases: 2024-11 · check-in free text available
2021-10-16
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-19
Call 1 — Left Voicemail
2021-10-25
Dose 3 — Pfizer-BioNTech
2022-04-19
Survey response — 12 months, dose 2
MedDRA: Brain fog, Headache, Malaise — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Brain fog . Headaches . Just overall lousey

MedDRA releases: 2024-11 · check-in free text available
2022-04-19
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-20
Call 1 — Left Voicemail
2022-04-27
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-10-25
Survey response — 12 months, dose 3
MedDRA: Fatigue, Injection site discolouration, Nasopharyngitis, Nausea, Pain, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities

Free text: Multiple cold symptoms fatigue after receiving covid 19 bivalent vaccine. Sore arm also black & blue injection site . Body aches nausea

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-27	Pfizer-BioNTech
2	2021-04-17	Pfizer-BioNTech
3	2021-10-25	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-10	Unsuccessful
2021-05-08	Unsuccessful
2021-05-29	Unsuccessful
2021-07-17	Unsuccessful
2021-10-16	Unsuccessful
2022-04-19	Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-29

Systemic reaction (other): Suffer from migraine

2021-03-30

Systemic reaction (other): Hx multi Med problems dx with Covid in 12:/39

2021-04-01

Systemic reaction (other): High blood pressure

2021-04-02

Systemic reaction (other): Tiredness wont leave

Release 7 — day 14, dose 1

2021-04-10

Symptoms: Headaches & blood pressure issues & very tired all the time otherwise ok. Consulted dr . Have hx of high bp

Release 7 — days 1–6 daily, dose 2

2021-04-18

Systemic reaction (other): Abdominal pain was awful & came so quickly after shot

2021-04-22

Systemic reaction (other): I just csnt seem to gain strength

Release 7 — day 7, dose 2

2021-04-24

Systemic reaction (other): Just not feeling myself at all

Release 8 — day 21, dose 2

2021-05-08

Symptoms: Headaches & extreme muscle aches Dr appt 5/14

Healthcare visit (other): Scheduled 5/14

Release 8 — day 28, dose 2

2021-05-16

Symptoms: The bone aches dont go away nor the headache come & goes. I suffer migraines but these are different.BP been high but Dr did not feel vaccine related

Release 8 — day 42, dose 2

2021-05-29

Symptoms: High blood pressure aching body

Healthcare visit (other): Ive not felt right since having Covid in 12/2020 or since vaccine

Release 9 — 3 months, dose 2

2021-07-17

Symptoms: Nerve compression spine unrelated I think

Release 10 — 6 months, dose 2

2021-10-16

Symptoms: Sinus infection, sore throat, UTI

Release 11 — 12 months, dose 2

2022-04-19

Symptoms: Brain fog . Headaches . Just overall lousey

Release 12 — 12 months, dose 3

2022-10-25

Symptoms: Multiple cold symptoms fatigue after receiving covid 19 bivalent vaccine. Sore arm also black & blue injection site . Body aches nausea

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	COVID-19	·	·	✓
HCVO	Feeling abnormal	·	·	✓
HCVO	Office visit	✓	✓	○
HCVO	Unevaluable event	✓	✓	✓
SD	Blood pressure abnormal	✓	✓	✓
SD	Bone pain	✓	✓	✓
SD	Brain fog	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Injection site discolouration	·	·	✓
SD	Malaise	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	·	·	✓
SD	Nerve compression	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Sinusitis	·	·	✓
SD	Urinary tract infection	·	·	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Hypertension	✓	✓	✓
SRO	Immediate post-injection reaction	·	·	✓
SRO	Migraine	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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