YUF-16703-85540

2 vaccinations 9 coded responses 18 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 208 / MD
Registered: 2021-04-17

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

2021-04-17
Registered in v-safe
2021-04-17
Dose 1 — Pfizer-BioNTech
2021-04-17
Survey response — day 0, dose 1
MedDRA: Unevaluable event — Feeling: Good · Fatigue or tiredness

Free text: Sought out a warm area to sit; laid down to rest but never lost consciousness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-20
Survey response — days 1–6 daily, dose 1
MedDRA: Anxiety, Depression, Feeling of despair, Irritability — Feeling: Good

Free text: Little depressed (probably not related), hopeless, anxious, irritable

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-24
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-08
Dose 2 — Pfizer-BioNTech
2021-05-11
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Muscle or body aches

Free text: dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Health check-in — day 7, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-05-22
Survey response — day 14, dose 2
MedDRA: Rash, Rash pruritic — Feeling: Good

Free text: itchy rash on wrist; not diagnosed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Survey response — day 21, dose 2
MedDRA: Impaired healing, Incision site impaired healing, Injection site haemorrhage — Feeling: Good

Free text: injection site still has not healed; keep having to apply bandage because it reopens and bleeds

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-12
Survey response — day 35, dose 2
MedDRA: Nausea, Pyrexia — Feeling: Good · Be unable to do your normal daily activities

Free text: mild nausea and fever Friday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-08
Survey response — 3 months, dose 2
MedDRA: Ear pain, Facial pain, Headache, Pain in jaw, Toothache — 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: earache, headache including face area, jaw pain that manifested as an entire row of teeth hurting.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-08
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)
2021-11-08
Survey response — 6 months, dose 2
MedDRA: Fatigue, Headache, Lethargy — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: headaches frequent fatigue lethargic may be do to age, lack of sun, nutrition, or other.

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Call 1 — Left Voicemail
2022-05-09
Survey response — 12 months, dose 2
MedDRA: Rectal prolapse — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: rectal prolapse

MedDRA releases: 2024-11 · check-in free text available
2022-05-09
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-05-10
Call successful
Participant prefers to complete VAERS report online
2022-05-10
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-17	Pfizer-BioNTech
2	2021-05-08	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-08-08	Successful 2022-05-10	Participant prefers to complete VAERS report online
2022-05-09	Successful 2022-05-10	Participant prefers to complete VAERS report online

Free text

Release 7 — day 0, dose 1

2021-04-17

Systemic reaction (other): Sought out a warm area to sit; laid down to rest but never lost consciousness

Release 7 — days 1–6 daily, dose 1

2021-04-20

Systemic reaction (other): Little depressed (probably not related), hopeless, anxious, irritable

Release 8 — days 1–6 daily, dose 2

2021-05-11

Systemic reaction (other): dizziness

Release 8 — day 14, dose 2

2021-05-22

Symptoms: itchy rash on wrist; not diagnosed

Release 8 — day 21, dose 2

2021-05-31

Symptoms: injection site still has not healed; keep having to apply bandage because it reopens and bleeds

Release 9 — day 35, dose 2

2021-06-12

Symptoms: mild nausea and fever Friday

Release 9 — 3 months, dose 2

2021-08-08

Symptoms: earache, headache including face area, jaw pain that manifested as an entire row of teeth hurting.

Release 10 — 6 months, dose 2

2021-11-08

Symptoms: headaches frequent fatigue lethargic may be do to age, lack of sun, nutrition, or other.

Release 11 — 12 months, dose 2

2022-05-09

Symptoms: rectal prolapse

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	Ear pain	✓	·	✓
SD	Facial pain	✓	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	·	✓
SD	Impaired healing	✓	·	✓
SD	Incision site impaired healing	○	✓	○
SD	Injection site haemorrhage	✓	✓	✓
SD	Lethargy	·	·	✓
SD	Nausea	✓	✓	✓
SD	Pain in jaw	✓	·	✓
SD	Pyrexia	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SD	Rectal prolapse	·	·	✓
SD	Toothache	✓	·	✓
SRO	Anxiety	✓	✓	✓
SRO	Depression	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling of despair	✓	✓	✓
SRO	Irritability	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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