ZA9-17530-26695

3 vaccinations 10 coded responses 15 check-ins 10 free-text entries 1 call case

Sex: —
Age at first dose: 21-25
ZIP prefix: 941 / CA
Registered: 2021-09-14

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

2021-09-14
Registered in v-safe
2021-09-14
Dose 1 — Pfizer-BioNTech
2021-09-14
Health check-in — day 0, dose 1
Feeling: Fair · None

Adult check-in
2021-09-15
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Pain — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Free text: At the back off my left shoulder its throbbing and hurting

MedDRA releases: 2024-11 · check-in free text available
2021-09-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-09-28
Survey response — day 14, dose 1
MedDRA: Vomiting — Feeling: Poor · Be unable to do your normal daily activities

Free text: Throwing up in the morning for no reason

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Survey response — day 21, dose 1
MedDRA: Impaired work ability, Migraine, Mobility decreased, Self-medication, Vomiting — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Vomiting for 3 days straight had to leave work. Terrible migraine that I couldn't even move, no amount of painkillers or hydration for rid of it.

MedDRA releases: 2024-11 · check-in free text available
2021-10-15
Dose 2 — Pfizer-BioNTech
2021-10-23
Survey response — day 7, dose 2
MedDRA: Headache, Occipital neuralgia — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Terrible occipital neuralgia headaches on both sides of my eyes

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Survey response — day 14, dose 2
MedDRA: Migraine, Pain, Pain in extremity, Toothache — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: More migraines my teeth are also hurting more and my whole body especially feet hurting

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Survey response — day 21, dose 2
MedDRA: Chest pain — Feeling: Fair

Free text: Chest pains on my left side

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Survey response — day 28, dose 2
MedDRA: Dysmenorrhoea, Headache — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Headaches, more cramping after period is done.

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Survey response — day 35, dose 2
MedDRA: Migraine — Feeling: Fair · Be unable to do your normal daily activities

Free text: Terrible migraines

MedDRA releases: 2024-11 · check-in free text available
2021-11-30
Survey response — day 42, dose 2
MedDRA: Fatigue, Headache — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: More headaches, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-01-16
Health check-in — 3 months, dose 2
Feeling: Poor

Adult check-in
2022-04-18
Dose 3 — Pfizer-BioNTech
2022-04-19
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Brain fog, Fatigue, Gastrointestinal disorder — 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 · Telehealth, virtual health, or email health consultation

Free text: Joint pain, stomach issues. Tired and foggy brain

MedDRA releases: 2024-11 · check-in free text available
2022-04-19
Report sent to call center — 6 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)
2022-04-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-04-22
Call 1 — Left Voicemail
2022-04-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-09-14	Pfizer-BioNTech	No
2	2021-10-15	Pfizer-BioNTech	No
3	2022-04-18	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-04-19	Unsuccessful

Free text

Release 9 — days 1–6 daily, dose 1

2021-09-15

Systemic reaction (other): At the back off my left shoulder its throbbing and hurting

Release 9 — day 14, dose 1

2021-09-28

Symptoms: Throwing up in the morning for no reason

Release 10 — day 21, dose 1

2021-10-05

Symptoms: Vomiting for 3 days straight had to leave work. Terrible migraine that I couldn't even move, no amount of painkillers or hydration for rid of it.

Release 10 — day 7, dose 2

2021-10-23

Systemic reaction (other): Terrible occipital neuralgia headaches on both sides of my eyes

Release 10 — day 14, dose 2

2021-10-31

Symptoms: More migraines my teeth are also hurting more and my whole body especially feet hurting

Release 10 — day 21, dose 2

2021-11-07

Symptoms: Chest pains on my left side

Release 10 — day 28, dose 2

2021-11-12

Symptoms: Headaches, more cramping after period is done.

Release 10 — day 35, dose 2

2021-11-19

Symptoms: Terrible migraines

Release 10 — day 42, dose 2

2021-11-30

Symptoms: More headaches, fatigue

Release 11 — 6 months, dose 2

2022-04-19

Symptoms: Joint pain, stomach issues. Tired and foggy brain

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	Arthralgia	·	·	✓
SD	Brain fog	·	·	✓
SD	Chest pain	·	·	✓
SD	Dysmenorrhoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	·	·	✓
SD	Impaired work ability	·	·	✓
SD	Migraine	·	·	✓
SD	Mobility decreased	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Self-medication	·	·	✓
SD	Toothache	·	·	✓
SD	Vomiting	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Headache	·	·	✓
SRO	Occipital neuralgia	·	·	✓
SRO	Pain	·	·	✓

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