YV8-12135-29321

2 vaccinations 6 coded responses 16 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 857 / AZ
Registered: 2021-01-28

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

2021-01-28
Registered in v-safe
2021-01-28
Dose 1 — Pfizer-BioNTech
2021-01-28
Survey response — day 0, dose 1
MedDRA: Confusional state, Emotional distress, Unevaluable event, Wrong technique in product usage process — Feeling: Fair · Site: Pain · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): There was a problem with the injection of the vaccine and the doctor thought the needle got stuck in my arm. He was using a retractable syringe and didnt see the needle after the administration of the first dose. The incident was confusing and caused a lot of emotional distress. I have to get my arm x-rayed or US to make sure there isnt anything in my arm. I cant really feel anything at the injection site and the nurses couldnt feel anything after the observation period. Please make sure all doctors are properly trained in how to use the syringes!!! · Healthcare visit (other): I have an x-ray scheduled for tomorrow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Report sent to call center — day 0, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

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

Adult check-in
2021-02-03
Survey response — days 1–6 daily, dose 1
MedDRA: Menstruation normal — Feeling: Fair · Fever · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: I just started my period so most of my symptoms are from the menstruation.0

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Headache

Free text: A dear teacher just died of covid and I am devastated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Dose 2 — Pfizer-BioNTech
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Chills, Headache — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: Day of vaccine and for 24 hours I had mild chills and joint aches and a mild headache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Abdominal pain

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-01
Survey response — day 7, dose 2
MedDRA: Anxiety — Feeling: Poor · Headache, Fatigue or tiredness

Free text: anxiety related to non vaccine issue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — day 14, dose 2
MedDRA: Dizziness, Headache, Vertigo — Feeling: Fair · Be unable to do your normal daily activities

Free text: dizziness, headache, vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Call 1 — Left Voicemail
2021-08-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-01
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-28	Pfizer-BioNTech
2	2021-02-22	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-01-28	Unsuccessful

Free text

Release 3 — day 0, dose 1

2021-01-28

Systemic reaction (other): There was a problem with the injection of the vaccine and the doctor thought the needle got stuck in my arm. He was using a retractable syringe and didnt see the needle after the administration of the first dose. The incident was confusing and caused a lot of emotional distress. I have to get my arm x-rayed or US to make sure there isnt anything in my arm. I cant really feel anything at the injection site and the nurses couldnt feel anything after the observation period. Please make sure all doctors are properly trained in how to use the syringes!!!

Healthcare visit (other): I have an x-ray scheduled for tomorrow

Release 3 — days 1–6 daily, dose 1

2021-02-03

Systemic reaction (other): I just started my period so most of my symptoms are from the menstruation.0

Release 3 — day 7, dose 1

2021-02-04

Systemic reaction (other): A dear teacher just died of covid and I am devastated

Release 4 — days 1–6 daily, dose 2

2021-02-25

Systemic reaction (other): Day of vaccine and for 24 hours I had mild chills and joint aches and a mild headache.

Release 4 — day 7, dose 2

2021-03-01

Systemic reaction (other): anxiety related to non vaccine issue

Release 5 — day 14, dose 2

2021-03-08

Symptoms: dizziness, headache, vertigo

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	Dizziness	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Vertigo	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Confusional state	✓	✓	✓
SRO	Emotional distress	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Menstruation normal	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓
SRO	Wrong technique in product usage process	✓	✓	✓

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