YTL-56897-45880

4 vaccinations 12 coded responses 40 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 774 / TX
Registered: 2020-12-21

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

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

2020-12-19
Dose 1 — Pfizer-BioNTech
2020-12-21
Registered in v-safe
2020-12-21
Survey response — days 1–6 daily, dose 1
MedDRA: Productive cough — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Phlegmy cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-28
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-02
Survey response — day 14, dose 1
MedDRA: Arthralgia, Asthenia, Depressed mood, Hypogeusia, Memory impairment, Thinking abnormal — Feeling: Good

Free text: Depressed mood and thinking for 3-4 days (this is very atypical for me - I do not suffer from clinical nor subclinical depression; no precipitating factors), decreased short term memory, Low energy, 3 days of mild loss of taste, 3 days mild joint pai

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Dose 2 — Pfizer-BioNTech
2021-01-09
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-01-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-10
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-29
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-09-29
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-09-30
Survey response — days 1–6 daily, dose 3
MedDRA: Chest discomfort, Decreased appetite, Disturbance in attention, Limb discomfort — Feeling: Poor · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Decreased appetite, Chest tightness/constriction, Heavy limbs, loss of focus

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Depressed mood — Feeling: Fair

Free text: Forgot to report a significant change in mood (depressed) starting day 2 of the vaccination including today.

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Anxiety, Cognitive disorder, Depressed mood, Emotional distress, Reaction to previous exposure to any vaccine, Stress — Feeling: Fair

Free text: Depressed mood, increased worry & stress. My emotional & cognitive responses to stressors (workplace burnout, micro aggressions) are significantly different than usual. I recall that I also experienced this same mood and anxiety effect after dose 2.

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Anxiety, Depressed mood, Feeling abnormal — Feeling: Fair · Fatigue or tiredness

Free text: Depressed mood, increased worry (this is very unusual for me so I can recognize the onset of these symptoms)

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Survey response — days 1–6 daily, dose 3
MedDRA: Anxiety, Negative thoughts — Feeling: Fair

Free text: Increased worry and negative cognitions (this is highly unusual for me and the onset was sudden within 24 hrs of the booster)

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Health check-in — day 7, dose 3
Feeling: Fair · None

Adult check-in
2021-10-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-20
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-11
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-29
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-01
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-09-29
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2022-11-18
Dose 4 — Pfizer-BioNTech
2022-11-29
Survey response — day 7, dose 4
MedDRA: Brain fog, Chest discomfort, Depression, Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Clinically significant level of depression for the last 1.5 weeks. It suddenly remitted today and I feel a fog has lifted from my brain and that a weight has been lifted from my chest. I am a clinical psychologist and understand how to diagnose MDD. · Healthcare visit (other): Started to look for a psychotherapist but then my MDD symptoms suddenly cleared.

MedDRA releases: 2024-11 · check-in free text available
2022-11-29
Report sent to call center — day 7, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-11-30
Call 2 — Left Voicemail
2022-12-02
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-12-09
Survey response — day 21, dose 4
MedDRA: Rhinorrhoea, Sneezing — Feeling: Good

Free text: Sneezing, very slight runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-12-16
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-12-23
Survey response — day 35, dose 4
MedDRA: Depressed mood, Irritability, Mobility decreased, Musculoskeletal stiffness, Oral pain, Respiratory tract congestion, Restlessness, Rhinorrhoea, Weight bearing difficulty — Feeling: Fair

Free text: Runny nose, Congestion, Mouth sore, depressed irritable mood, stiffness and decreased mobility and weight bearing in shoulder joint, stiffness in finger joint, unrestful sleep

MedDRA releases: 2024-11 · check-in free text available
2022-12-30
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-02-17
Survey response — 3 months, dose 4
MedDRA: Immunisation reaction — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-05-19
Survey response — 6 months, dose 4
MedDRA: Rotator cuff syndrome — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-05-19
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-05-22
Call 1 — Left Voicemail
2023-05-22
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-19	Pfizer-BioNTech
2	2021-01-09	Pfizer-BioNTech
3	2021-09-29	Pfizer-BioNTech	Flu
4	2022-11-18	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-11-29	Unsuccessful
2023-05-19	Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-21

Systemic reaction (other): Phlegmy cough

Release 1 — day 14, dose 1

2021-01-02

Symptoms: Depressed mood and thinking for 3-4 days (this is very atypical for me - I do not suffer from clinical nor subclinical depression; no precipitating factors), decreased short term memory, Low energy, 3 days of mild loss of taste, 3 days mild joint pai cut off by CDC

Release 9 — days 1–6 daily, dose 3

2021-09-30

Systemic reaction (other): Decreased appetite, Chest tightness/constriction, Heavy limbs, loss of focus

2021-10-02

Systemic reaction (other): Forgot to report a significant change in mood (depressed) starting day 2 of the vaccination including today.

2021-10-03

Systemic reaction (other): Depressed mood, increased worry & stress. My emotional & cognitive responses to stressors (workplace burnout, micro aggressions) are significantly different than usual. I recall that I also experienced this same mood and anxiety effect after dose 2. cut off by CDC

Release 10 — days 1–6 daily, dose 3

2021-10-04

Systemic reaction (other): Depressed mood, increased worry (this is very unusual for me so I can recognize the onset of these symptoms)

2021-10-05

Systemic reaction (other): Increased worry and negative cognitions (this is highly unusual for me and the onset was sudden within 24 hrs of the booster)

Release 12 — day 7, dose 4

2022-11-29

Systemic reaction (other): Clinically significant level of depression for the last 1.5 weeks. It suddenly remitted today and I feel a fog has lifted from my brain and that a weight has been lifted from my chest. I am a clinical psychologist and understand how to diagnose MDD. cut off by CDC

Healthcare visit (other): Started to look for a psychotherapist but then my MDD symptoms suddenly cleared.

Release 12 — day 21, dose 4

2022-12-09

Symptoms: Sneezing, very slight runny nose

Release 12 — day 35, dose 4

2022-12-23

Symptoms: Runny nose, Congestion, Mouth sore, depressed irritable mood, stiffness and decreased mobility and weight bearing in shoulder joint, stiffness in finger joint, unrestful sleep

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	Unevaluable event	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Depressed mood	✓	✓	✓
SD	Hypogeusia	✓	✓	✓
SD	Immunisation reaction	·	·	✓
SD	Irritability	·	·	✓
SD	Memory impairment	✓	✓	✓
SD	Mobility decreased	·	·	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Oral pain	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Restlessness	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Rotator cuff syndrome	·	·	✓
SD	Sneezing	·	·	✓
SD	Thinking abnormal	✓	✓	✓
SD	Weight bearing difficulty	·	·	✓
SRO	Anxiety	·	·	✓
SRO	Brain fog	·	·	✓
SRO	Chest discomfort	·	·	✓
SRO	Cognitive disorder	·	·	✓
SRO	Decreased appetite	·	·	✓
SRO	Depressed mood	·	·	✓
SRO	Depression	·	·	✓
SRO	Disturbance in attention	·	·	✓
SRO	Emotional distress	·	·	✓
SRO	Feeling abnormal	·	·	✓
SRO	Limb discomfort	·	·	✓
SRO	Negative thoughts	·	·	✓
SRO	Productive cough	✓	✓	✓
SRO	Reaction to previous exposure to any vaccine	·	·	✓
SRO	Stress	·	·	✓

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