YWT-34162-09060

4 vaccinations 13 coded responses 40 check-ins 13 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 631 / MO
Registered: 2021-04-01

Relationship: Self
Race: Other
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
2021-04-01
Registered in v-safe
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Facial discomfort, Paraesthesia oral, Swelling face — Feeling: Fair · Site: Pain · Muscle or body aches, Nausea · Be unable to do your normal daily activities

Free text: Puffiness in nose area, mouth tingling and pressure around theese area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains

Adult check-in
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Sensory disturbance — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Nausea, Abdominal pain

Free text: Still haave the funny sensation around my nose and mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Chest pain, Headache — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Head pain. Went to my chest area but didn't last also notice shoulder tip pain :I on pain management ( medications)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite, Headache, Paranasal sinus discomfort — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Don't have a appetite sometimes: headache on right side that goes in neck .still having some pressure around my and nose area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Oropharyngeal pain — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Free text: Sore throat: headache center of my head

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Abdominal pain

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

Adult check-in
2021-04-21
Dose 2 — Pfizer-BioNTech
2021-05-05
Survey response — day 14, dose 2
MedDRA: Hypoaesthesia oral — Feeling: Fair

Free text: Numbines in area around my mouth at night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — day 21, dose 2
MedDRA: Asthenia, Muscular weakness — Feeling: Fair

Free text: Right arm was weak: low energy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Survey response — day 28, dose 2
MedDRA: Abdominal pain upper, Arthralgia, Malaise — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain in top of stomach: shoulder tip pain: lousy feel ing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-02
Survey response — day 42, dose 2
MedDRA: Unevaluable event — Feeling: Fair

Free text: Yes bad shoulder tip on left side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-21
Survey response — 3 months, dose 2
MedDRA: Headache, Oropharyngeal pain, Upper respiratory tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Upper respiratory infection. Sore throat headaches, headaches

MedDRA releases: 2024-11 · check-in free text available
2021-07-21
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-27
Call 1 — Left Voicemail
2021-10-20
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-27
Dose 3 — Pfizer-BioNTech
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-11-03
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-10
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-17
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-25
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-01
Survey response — day 35, dose 3
MedDRA: Urticaria — Feeling: Fair · Be unable to do your normal daily activities

Free text: Hives. I have appointment to see Dr later this week.

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-26
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-29
Survey response — 6 months, dose 3
MedDRA: Ear infection, Emergency care — Feeling: Fair · 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

Free text: Had ear infection was put on arathmycin did not clear up. Had to go to Er was place on a 10 day amoxicill 875Ã—2 a day because both of ears was infected . I have never had a ear infection before

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Report sent to call center — 6 months, dose 3
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 · 1 call case(s)
2022-05-02
Call 1 — Left Voicemail
2022-06-08
Dose 4 — Pfizer-BioNTech
2022-06-08
Health check-in — day 0, dose 4
Feeling: Fair · None

Adult check-in
2022-06-09
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2022-06-10
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Nausea, Diarrhea

Adult check-in
2022-06-11
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2022-06-12
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-06-14
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-06-15
Health check-in — day 7, dose 4
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-06-24
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-06-29
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-07-06
Survey response — day 28, dose 4
MedDRA: Rash, Rash vesicular — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Had a rash ankle. Trying to have check out to see if a drug interactions . Started out small bumps mot even big as dime. Given steroid cream . It's a blisters. Been treats as burn . Bigger than 1/2 dollars .

MedDRA releases: 2024-11 · check-in free text available
2022-07-06
Report sent to call center — day 28, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-07-07
Call 1 — Left Voicemail
2022-07-15
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-07-20
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-09-07
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-12-07
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2023-06-08
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Pfizer-BioNTech
2	2021-04-21	Pfizer-BioNTech
3	2021-10-27	Pfizer-BioNTech	No
4	2022-06-08	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-07-21	Unsuccessful
2022-04-29	Unsuccessful
2022-07-06	Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-01

Systemic reaction (other): Puffiness in nose area, mouth tingling and pressure around theese area

2021-04-03

Systemic reaction (other): Still haave the funny sensation around my nose and mouth

2021-04-04

Systemic reaction (other): Head pain. Went to my chest area but didn't last also notice shoulder tip pain :I on pain management ( medications)

2021-04-05

Systemic reaction (other): Don't have a appetite sometimes: headache on right side that goes in neck .still having some pressure around my and nose area

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): Sore throat: headache center of my head

Release 8 — day 14, dose 2

2021-05-05

Symptoms: Numbines in area around my mouth at night

Release 8 — day 21, dose 2

2021-05-12

Symptoms: Right arm was weak: low energy

Release 8 — day 28, dose 2

2021-05-19

Symptoms: Pain in top of stomach: shoulder tip pain: lousy feel ing

Release 8 — day 42, dose 2

2021-06-02

Symptoms: Yes bad shoulder tip on left side

Release 9 — 3 months, dose 2

2021-07-21

Symptoms: Upper respiratory infection. Sore throat headaches, headaches

Release 10 — day 35, dose 3

2021-12-01

Symptoms: Hives. I have appointment to see Dr later this week.

Release 11 — 6 months, dose 3

2022-04-29

Symptoms: Had ear infection was put on arathmycin did not clear up. Had to go to Er was place on a 10 day amoxicill 875Ã—2 a day because both of ears was infected . I have never had a ear infection before

Release 12 — day 28, dose 4

2022-07-06

Symptoms: Had a rash ankle. Trying to have check out to see if a drug interactions . Started out small bumps mot even big as dime. Given steroid cream . It's a blisters. Been treats as burn . Bigger than 1/2 dollars .

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	Abdominal pain upper	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Ear infection	·	·	✓
SD	Emergency care	·	·	✓
SD	Headache	·	·	✓
SD	Hypoaesthesia oral	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Rash	·	·	✓
SD	Rash vesicular	·	·	✓
SD	Unevaluable event	✓	✓	✓
SD	Upper respiratory tract infection	·	·	✓
SD	Urticaria	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Facial discomfort	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Paranasal sinus discomfort	✓	✓	✓
SRO	Sensory disturbance	✓	✓	✓
SRO	Swelling face	✓	✓	✓

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