YWQ-32168-70986

3 vaccinations 23 coded responses 35 check-ins 22 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 800 / CO
Registered: 2021-10-22

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

2021-10-22
Registered in v-safe
2021-10-22
Dose 1 — Pfizer-BioNTech
2021-10-22
Survey response — day 0, dose 1
MedDRA: Flushing — Feeling: Fair · Site: Pain · Chills, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Felt like flushing

MedDRA releases: 2024-11 · check-in free text available
2021-10-23
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches

Free text: Slightly out of breath

MedDRA releases: 2024-11 · check-in free text available
2021-10-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-10-25
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Poor · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Left leg pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-27
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Hypertension — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Feel dizzy and high blood pressure

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Left leg pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Survey response — day 7, dose 1
MedDRA: Nausea, Office visit, Pain, Thrombosis — Feeling: Fair · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Doctor did check up today, prescribed nausea meds and also did blood work. She also is getting leg ultrasound for clots and exray for pain.

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Survey response — day 14, dose 1
MedDRA: Headache, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Severe head ache and fever today. I stay home and have not been around anyone. Only had grocery's delivered. I work from home.

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Dose 2 — Pfizer-BioNTech
2021-11-12
Survey response — day 0, dose 2
MedDRA: Paraesthesia, Vision blurred — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Blurred vision, funny tingling feeling everywhere

MedDRA releases: 2024-11 · check-in free text available
2021-11-13
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Neck pain, Vaccine positive rechallenge — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Same happened first shot, shoulder and neck pain side of arm vaccine

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Trouble breathing

MedDRA releases: 2024-11 · check-in free text available
2021-11-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-18
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Pain in extremity — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Back pain, leg pain

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Health check-in — day 7, dose 2
Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-26
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-12-03
Survey response — day 21, dose 2
MedDRA: Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activities

Free text: Leg swelling.

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-12-17
Survey response — day 35, dose 2
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Body joint pains

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Survey response — day 42, dose 2
MedDRA: Arthralgia, Neuralgia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Nerve and joint pain · Healthcare visit (other): Face to face with general

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-28
Call 2 — Left Voicemail
2022-02-14
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2022-04-18
Dose 3 — Pfizer-BioNTech
2022-04-19
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Injection site discolouration, Injection site induration, Injection site mass, Injection site pain, Injection site pruritus, Injection site swelling, Neck pain, Pain in extremity — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Hard enlarged quarter size lump about inch from injection site. Discolored, painful and itching. Pain going down arm in elbow and up neck.

MedDRA releases: 2024-11 · check-in free text available
2022-04-20
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site bruising, Injection site induration, Injection site nodule, Injection site swelling — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Knot next to injection site the is bruised, raised and hard.

MedDRA releases: 2024-11 · check-in free text available
2022-04-21
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site swelling, Pain, Rash, Skin discolouration — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Swollen arm near injection, discoloration and pain plus rash

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Survey response — days 1–6 daily, dose 3
MedDRA: Contusion, Pain in extremity, Peripheral swelling, Pruritus — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Arm sore, bruised, itching, swollen.

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
Survey response — days 1–6 daily, dose 3
MedDRA: Dyspnoea, Pain in extremity — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Severe pain in leg, trouble breathing

MedDRA releases: 2024-11 · check-in free text available
2022-04-25
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-05-02
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-05-09
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-05-16
Survey response — day 28, dose 3
MedDRA: Arthralgia, Headache, Oral pain, Pyrexia, Swelling, Toothache — Feeling: Poor · Be unable to do your normal daily activities

Free text: Joint pain teeth pain full mouth, head ache, fever swelling

MedDRA releases: 2024-11 · check-in free text available
2022-05-25
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-05-30
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-07-18
Survey response — 3 months, dose 3
MedDRA: Medical counselling, Office visit, Peripheral swelling, Postmenopause, Vaginal haemorrhage — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Post menopause. Spot bleeding. Severe swelling of legs and feet. · Healthcare visit (other): Office visits, email

MedDRA releases: 2024-11 · check-in free text available
2022-07-18
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-07-19
Call 1 — Left Voicemail
2022-07-19
Call 1 — Left Voicemail
2022-10-19
Survey response — 6 months, dose 3
MedDRA: Neoplasm malignant — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cancer

MedDRA releases: 2024-11 · check-in free text available
2023-04-18
Survey response — 12 months, dose 3
MedDRA: Breast cancer, Nervous system disorder, Squamous cell carcinoma of skin — Feeling: Poor · 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, Emergency room or emergency department visit, Hospitalization

MedDRA releases: 2024-11
2023-04-18
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2023-04-19
Call successful
Participant prefers to complete VAERS report online
2023-04-19
Call successful
Participant prefers to complete VAERS report online
2023-04-19
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-10-22	Pfizer-BioNTech	No
2	2021-11-12	Pfizer-BioNTech	No
3	2022-04-18	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-12-24	Successful 2023-04-19	Participant prefers to complete VAERS report online
2022-07-18	Successful 2023-04-19	Participant prefers to complete VAERS report online
2023-04-18	Successful 2023-04-19	Participant prefers to complete VAERS report online

Free text

Release 10 — day 0, dose 1

2021-10-22

Systemic reaction (other): Felt like flushing

Release 10 — days 1–6 daily, dose 1

2021-10-23

Systemic reaction (other): Slightly out of breath

2021-10-25

Systemic reaction (other): Left leg pain

2021-10-27

Systemic reaction (other): Feel dizzy and high blood pressure

2021-10-28

Systemic reaction (other): Left leg pain

Release 10 — day 7, dose 1

2021-10-29

Systemic reaction (other): Doctor did check up today, prescribed nausea meds and also did blood work. She also is getting leg ultrasound for clots and exray for pain.

Release 10 — day 14, dose 1

2021-11-05

Symptoms: Severe head ache and fever today. I stay home and have not been around anyone. Only had grocery's delivered. I work from home.

Release 10 — day 0, dose 2

2021-11-12

Systemic reaction (other): Blurred vision, funny tingling feeling everywhere

Release 10 — days 1–6 daily, dose 2

2021-11-13

Systemic reaction (other): Same happened first shot, shoulder and neck pain side of arm vaccine

2021-11-14

Systemic reaction (other): Trouble breathing

2021-11-18

Systemic reaction (other): Back pain, leg pain

Release 10 — day 21, dose 2

2021-12-03

Symptoms: Leg swelling.

Release 10 — day 35, dose 2

2021-12-17

Symptoms: Body joint pains

Release 10 — day 42, dose 2

2021-12-24

Symptoms: Nerve and joint pain

Healthcare visit (other): Face to face with general

Release 11 — days 1–6 daily, dose 3

2022-04-19

Systemic reaction (other): Hard enlarged quarter size lump about inch from injection site. Discolored, painful and itching. Pain going down arm in elbow and up neck.

2022-04-20

Systemic reaction (other): Knot next to injection site the is bruised, raised and hard.

2022-04-21

Systemic reaction (other): Swollen arm near injection, discoloration and pain plus rash

2022-04-22

Systemic reaction (other): Arm sore, bruised, itching, swollen.

2022-04-23

Systemic reaction (other): Severe pain in leg, trouble breathing

Release 11 — day 28, dose 3

2022-05-16

Symptoms: Joint pain teeth pain full mouth, head ache, fever swelling

Release 12 — 3 months, dose 3

2022-07-18

Symptoms: Post menopause. Spot bleeding. Severe swelling of legs and feet.

Healthcare visit (other): Office visits, email

Release 12 — 6 months, dose 3

2022-10-19

Symptoms: Cancer

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	Medical counselling	·	·	✓
HCVO	Office visit	·	·	✓
SD	Arthralgia	·	·	✓
SD	Breast cancer	·	·	✓
SD	Headache	·	·	✓
SD	Neoplasm malignant	·	·	✓
SD	Nervous system disorder	·	·	✓
SD	Neuralgia	·	·	✓
SD	Oral pain	·	·	✓
SD	Peripheral swelling	·	·	✓
SD	Postmenopause	·	·	✓
SD	Pyrexia	·	·	✓
SD	Squamous cell carcinoma of skin	·	·	✓
SD	Swelling	·	·	✓
SD	Toothache	·	·	✓
SD	Vaginal haemorrhage	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Back pain	·	·	✓
SRO	Contusion	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Dyspnoea	·	·	✓
SRO	Flushing	·	·	✓
SRO	Hypertension	·	·	✓
SRO	Injection site bruising	·	·	✓
SRO	Injection site discolouration	·	·	✓
SRO	Injection site induration	·	·	✓
SRO	Injection site mass	·	·	✓
SRO	Injection site nodule	·	·	✓
SRO	Injection site pain	·	·	✓
SRO	Injection site pruritus	·	·	✓
SRO	Injection site swelling	·	·	✓
SRO	Nausea	·	·	✓
SRO	Neck pain	·	·	✓
SRO	Office visit	·	·	✓
SRO	Pain	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Paraesthesia	·	·	✓
SRO	Peripheral swelling	·	·	✓
SRO	Pruritus	·	·	✓
SRO	Rash	·	·	✓
SRO	Skin discolouration	·	·	✓
SRO	Thrombosis	·	·	✓
SRO	Vaccine positive rechallenge	·	·	✓
SRO	Vision blurred	·	·	✓

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