YWZ-97799-39213

2 vaccinations 5 coded responses 24 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 780 / TX
Registered: 2021-02-06

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-06
Registered in v-safe
2021-02-06
Dose 1 — Pfizer-BioNTech
2021-02-07
Survey response — days 1–6 daily, dose 1
MedDRA: Rash — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Free text: Small rash ar base od my neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-27
Dose 2 — Pfizer-BioNTech
2021-02-27
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-21
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-28
Survey response — day 28, dose 2
MedDRA: Chest pain, Immediate post-injection reaction — Feeling: Good

Free text: Severe chest pain but only lasted a minute or so. Unknown cause.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-29
Survey response — 3 months, dose 2
MedDRA: Cyst rupture, Deep vein thrombosis, Emergency care, Joint swelling, Pain, Synovial cyst — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Sudden pain in right popliteal with minor swelling and swelling in right ankle. ER ruled out DVT and thinks it may be a Baker's cyst that ruptured but not sure.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-30
Survey response — 6 months, dose 2
MedDRA: Fatigue, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Mainly fatigue and body aches

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-17
Call 1 — Could Not Reach Participant
2022-02-27
Survey response — 12 months, dose 2
MedDRA: COVID-19 — 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 · Telehealth, virtual health, or email health consultation

Free text: I had COVID-19 infection in January. I was treated with Ivermectin and certain vitamins and did well. I was more sick than my husband who wasn't vaccinated at all. I'd rather take my chances with future infections than trust any more vaccines for thi

MedDRA releases: 2024-11 · check-in free text available
2022-02-27
Report sent to call center — 12 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-05-04
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-06	Pfizer-BioNTech
2	2021-02-27	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-05-29	Unsuccessful
2022-02-27	Unsuccessful

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-07

Systemic reaction (other): Small rash ar base od my neck

Release 6 — day 28, dose 2

2021-03-28

Symptoms: Severe chest pain but only lasted a minute or so. Unknown cause.

Release 8 — 3 months, dose 2

2021-05-29

Symptoms: Sudden pain in right popliteal with minor swelling and swelling in right ankle. ER ruled out DVT and thinks it may be a Baker's cyst that ruptured but not sure.

Release 9 — 6 months, dose 2

2021-08-30

Symptoms: Mainly fatigue and body aches

Release 11 — 12 months, dose 2

2022-02-27

Symptoms: I had COVID-19 infection in January. I was treated with Ivermectin and certain vitamins and did well. I was more sick than my husband who wasn't vaccinated at all. I'd rather take my chances with future infections than trust any more vaccines for thi cut off by CDC

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	Chest pain	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Cyst rupture	✓	✓	✓
SD	Deep vein thrombosis	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Fatigue	✓	·	✓
SD	Immediate post-injection reaction	✓	✓	✓
SD	Joint swelling	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Synovial cyst	✓	✓	✓
SRO	Rash	✓	✓	✓

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