YT3-16828-54082

2 vaccinations 11 coded responses 20 check-ins 11 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 017 / MA
Registered: 2021-04-02

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
2021-04-02
Registered in v-safe
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Dysphagia, Dyspnoea, Heart rate increased — Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness, Nausea

Free text: Difficulty breathing at first, rapid heart beat, dizziness, difficulty swallowing

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

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Rash, not including the immediate area around the injection site

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

Adult check-in
2021-04-09
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-16
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-21
Dose 2 — Pfizer-BioNTech
2021-04-21
Survey response — day 0, dose 2
MedDRA: Anaphylactic reaction, Cardio-respiratory arrest, Unevaluable event — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Muscle or body aches, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Systemic reaction (other): Anaphylactic reaction · Healthcare visit (other): I was a code blue at vax site in hospital

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Report sent to call center — day 0, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Throat tightness — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Throat tightening

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: Lacrimation increased, Rhinorrhoea — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Watering eyes, running nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Lacrimation increased, Rhinorrhoea — Feeling: Poor · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: Watering eyes and nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-04-28
Health check-in — day 7, dose 2
Feeling: Fair · Site: Redness, Itching · Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-05-05
Survey response — day 14, dose 2
MedDRA: Fatigue — Feeling: Poor · Be unable to do your normal daily activities

Free text: Significant fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — day 21, dose 2
MedDRA: Arthralgia, Back pain, Bone pain, Decreased appetite, Myalgia, Visual impairment — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Significant pain In joints, bones and muscles in upper and lower back. No appetiteVision changes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Report sent to call center — day 21, 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)
2021-05-21
Survey response — day 28, dose 2
MedDRA: Back pain, Dysgeusia, Muscle spasms — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Muscle spasms and pain from spine to lower back. Metallic taste.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Report sent to call center — day 28, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-26
Survey response — day 35, dose 2
MedDRA: Back pain, Muscle spasms, Pain in extremity — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Severe back and arm spasms and pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-02
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-23
Survey response — 3 months, dose 2
MedDRA: Periarthritis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Frozen shoulder

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-14
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Pfizer-BioNTech
2	2021-04-21	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-04-21	Unsuccessful
2021-05-12	Unsuccessful
2021-05-21	Unsuccessful
2021-05-26	Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-02

Systemic reaction (other): Difficulty breathing at first, rapid heart beat, dizziness, difficulty swallowing

2021-04-03

Systemic reaction (other): Dizziness

Release 7 — day 0, dose 2

2021-04-21

Systemic reaction (other): Anaphylactic reaction

Healthcare visit (other): I was a code blue at vax site in hospital

Release 7 — days 1–6 daily, dose 2

2021-04-22

Systemic reaction (other): Throat tightening

2021-04-23

Systemic reaction (other): Watering eyes, running nose

2021-04-24

Systemic reaction (other): Watering eyes and nose

Release 8 — day 14, dose 2

2021-05-05

Symptoms: Significant fatigue

Release 8 — day 21, dose 2

2021-05-12

Symptoms: Significant pain In joints, bones and muscles in upper and lower back. No appetiteVision changes

Release 8 — day 28, dose 2

2021-05-21

Symptoms: Muscle spasms and pain from spine to lower back. Metallic taste.

Release 8 — day 35, dose 2

2021-05-26

Symptoms: Severe back and arm spasms and pain

Release 9 — 3 months, dose 2

2021-07-23

Symptoms: Frozen shoulder

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	Cardio-respiratory arrest	✓	·	✓
HCVO	Unevaluable event	○	✓	○
SD	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Bone pain	✓	✓	✓
SD	Decreased appetite	✓	✓	✓
SD	Dysgeusia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Periarthritis	✓	·	✓
SD	Visual impairment	✓	✓	✓
SRO	Anaphylactic reaction	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dysphagia	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Lacrimation increased	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Throat tightness	✓	✓	✓

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