YZS-36132-05875

3 vaccinations 11 coded responses 40 check-ins 10 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 852 / AZ
Registered: 2021-01-13

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

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

2021-01-13
Registered in v-safe
2021-01-13
Dose 1 — Pfizer-BioNTech
2021-01-13
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Mild sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Dose 2 — Pfizer-BioNTech
2021-01-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-27
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Nausea

Adult check-in
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Swelling — Feeling: Poor · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Large swelling below collarbone on same side where Bainbridge was administered.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Swelling, Tenderness — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Continue to have swelling below my collarbone on side where i got the vaccine. It is increasingly tender to the touch.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swelling below collarbone on the same side as injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Headache, Nausea

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-24
Survey response — day 28, dose 2
MedDRA: Respiratory tract congestion, Sneezing — Feeling: Good · Be unable to do your normal daily activities

Free text: 1 full day of sneezing and congestion

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

Adult check-in
2021-03-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-27
Survey response — 12 months, dose 2
MedDRA: COVID-19, Dizziness, Fatigue, Urinary tract infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Contracted 2 UTI's Dizziness last 3 days Extreme fatigue COVID-19

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-31
Call 1 — Left Voicemail
2022-02-01
Call successful
Participant prefers to complete VAERS report online
2022-04-19
Dose 3 — Pfizer-BioNTech
2022-04-20
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, 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
2022-04-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-04-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2022-04-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-04-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-04-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-04-26
Health check-in — day 7, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-05-04
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-05-10
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-05-17
Survey response — day 28, dose 3
MedDRA: Muscle spasms — Feeling: Good · 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: Extreme back spasms

MedDRA releases: 2024-11 · check-in free text available
2022-05-17
Report sent to call center — day 28, 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)
2022-05-18
Call successful
Not applicable - Accidental Reporting
2022-05-24
Survey response — day 35, dose 3
MedDRA: Diarrhoea, Vomiting — Feeling: Good

Free text: Vomiting and diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-05-31
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-07-19
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-10-18
Survey response — 6 months, dose 3
MedDRA: Fatigue — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Extreme exhaustion

MedDRA releases: 2024-11 · check-in free text available
2022-10-18
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-10-19
Call 2 — Left Voicemail
2023-04-19
Survey response — 12 months, dose 3
MedDRA: Asthenia, Depression, Fatigue — 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

MedDRA releases: 2024-11
2023-04-19
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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-04-20
Call 1 — Left Voicemail
2023-04-20
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Pfizer-BioNTech
2	2021-01-27	Pfizer-BioNTech
3	2022-04-19	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-01-27	Successful 2022-02-01	Participant prefers to complete VAERS report online
2022-05-17	Successful 2022-05-18	Not applicable - Accidental Reporting
2022-10-18	Unsuccessful
2023-04-19	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): Mild sore throat

Release 3 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): Large swelling below collarbone on same side where Bainbridge was administered.

2021-01-29

Systemic reaction (other): Continue to have swelling below my collarbone on side where i got the vaccine. It is increasingly tender to the touch.

2021-01-30

Systemic reaction (other): Swelling below collarbone on the same side as injection site

2021-02-02

Systemic reaction (other): Sore throat

Release 4 — day 28, dose 2

2021-02-24

Symptoms: 1 full day of sneezing and congestion

Release 11 — 12 months, dose 2

2022-01-27

Symptoms: Contracted 2 UTI's Dizziness last 3 days Extreme fatigue COVID-19

Release 11 — day 28, dose 3

2022-05-17

Symptoms: Extreme back spasms

Release 11 — day 35, dose 3

2022-05-24

Symptoms: Vomiting and diarrhea

Release 12 — 6 months, dose 3

2022-10-18

Symptoms: Extreme exhaustion

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	Asthenia	·	·	✓
SD	COVID-19	·	·	✓
SD	Depression	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dizziness	·	·	✓
SD	Fatigue	·	·	✓
SD	Muscle spasms	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Sneezing	✓	✓	✓
SD	Urinary tract infection	·	·	✓
SD	Vomiting	·	·	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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