YWV-20687-86873

3 vaccinations 9 coded responses 26 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 606 / IL
Registered: 2021-08-13

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Registered dependents

64S-28366-11872 Child or adolescent in my care · Female · 2021-08-13

Timeline

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

2021-08-13
Registered in v-safe
2021-08-14
Dose 1 — Pfizer-BioNTech
2021-08-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-08-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-08-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Diarrhea, Abdominal pain · Be unable to work or attend school

Adult check-in
2021-08-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-08-28
Survey response — day 14, dose 1
MedDRA: Diarrhoea — Feeling: Good

Free text: Diarrhea

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-04
Dose 2 — Pfizer-BioNTech
2021-09-04
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-09-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-09-07
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-09-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-09-10
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Lymph nodes swollen

MedDRA releases: 2024-11 · check-in free text available
2021-09-11
Health check-in — day 7, dose 2
Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-09-18
Survey response — day 14, dose 2
MedDRA: Back pain, Injection site pruritus, Muscle spasms, Pain in extremity, Pruritus — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Itching all over and injection site along with cramps and right leg and back pain.

MedDRA releases: 2024-11 · check-in free text available
2021-09-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-10-02
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-10-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-10-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-12-04
Survey response — 3 months, dose 2
MedDRA: Cough, Fatigue, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fatigue, sore throat, cough and congestion.

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
Dose 3 — Pfizer-BioNTech
2022-02-04
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, 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
2022-02-11
Survey response — day 14, dose 3
MedDRA: Back pain, Fatigue, Peripheral swelling, Swelling — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Swelling on my left arm and upper back. Back pain and fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-02-18
Survey response — day 21, dose 3
MedDRA: Back pain, Fatigue, Injection site pain, Muscle spasms — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Soreness at injection site, fatigue, back pains and cramps.

MedDRA releases: 2024-11 · check-in free text available
2022-02-26
Survey response — day 28, dose 3
MedDRA: Back pain, Fatigue, Pruritus, Tinnitus — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Itching face, ear ringing, fatigue and soreness in my upper back.

MedDRA releases: 2024-11 · check-in free text available
2022-03-06
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-03-11
Survey response — day 42, dose 3
MedDRA: Back pain, Pain in extremity, Pruritus, Rash, Self-medication — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Rash on face, itching all over and allergy meds nor benadryl help. Sore back and soreness near injection site.

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Survey response — 3 months, dose 3
MedDRA: Chills, Cough, Fatigue, Headache, Hot flush, Oropharyngeal pain, Pyrexia, Sneezing — 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

Free text: Hot flashes, chills, fever, headache, cough, sneezing, sore throat and fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Report sent to call center — 3 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 · 1 call case(s)
2022-05-02
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-29
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-01-30
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-14	Pfizer-BioNTech	No
2	2021-09-04	Pfizer-BioNTech	No
3	2022-01-28	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-04-29	Successful 2022-05-02	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 9 — day 14, dose 1

2021-08-28

Symptoms: Diarrhea

Release 9 — days 1–6 daily, dose 2

2021-09-10

Systemic reaction (other): Lymph nodes swollen

Release 9 — day 14, dose 2

2021-09-18

Symptoms: Itching all over and injection site along with cramps and right leg and back pain.

Release 10 — 3 months, dose 2

2021-12-04

Symptoms: Fatigue, sore throat, cough and congestion.

Release 11 — day 14, dose 3

2022-02-11

Symptoms: Swelling on my left arm and upper back. Back pain and fatigue.

Release 11 — day 21, dose 3

2022-02-18

Symptoms: Soreness at injection site, fatigue, back pains and cramps.

Release 11 — day 28, dose 3

2022-02-26

Symptoms: Itching face, ear ringing, fatigue and soreness in my upper back.

Release 11 — day 42, dose 3

2022-03-11

Symptoms: Rash on face, itching all over and allergy meds nor benadryl help. Sore back and soreness near injection site.

Release 11 — 3 months, dose 3

2022-04-29

Symptoms: Hot flashes, chills, fever, headache, cough, sneezing, sore throat and fatigue

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	Back pain	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	✓	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Hot flush	·	·	✓
SD	Injection site pain	·	·	✓
SD	Injection site pruritus	·	·	✓
SD	Muscle spasms	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Peripheral swelling	·	·	✓
SD	Pruritus	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rash	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Self-medication	·	·	✓
SD	Sneezing	·	·	✓
SD	Swelling	·	·	✓
SD	Tinnitus	·	·	✓
SRO	Lymphadenopathy	·	·	✓

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