2T3-26633-63055

4 vaccinations 7 coded responses 44 check-ins 7 free-text entries 5 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 750 / TX
Registered: 2020-12-19

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

Timeline

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

2020-12-19
Registered in v-safe
2020-12-19
Dose 1 — Pfizer-BioNTech
2020-12-19
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2020-12-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2020-12-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2020-12-28
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-02
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-01-09
Survey response — day 21, dose 1
MedDRA: Cough, Fatigue, Myalgia, Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Cough congestion runny nose fatigue muscle aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Report sent to call center — day 21, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-18
Dose 2 — Pfizer-BioNTech
2021-01-18
Health check-in — day 0, dose 2
Feeling: Good · Fever · Headache

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2021-01-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Fatigue or tiredness

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-17
Call 1 — Left Voicemail
2021-02-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-19
Survey response — 3 months, dose 2
MedDRA: Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Sinus infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-17
Call 1 — Left Voicemail
2021-07-19
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-01
Dose 3 — Pfizer-BioNTech
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · 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

Adult check-in
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Swollen lymphnodes in the underarm

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Oedema peripheral — Feeling: Fair

Free text: Swelling in the under arm

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Survey response — days 1–6 daily, dose 3
MedDRA: Oedema peripheral — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Swelling under the arm- same side as injection site

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-08
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-10-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-22
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-29
Survey response — day 28, dose 3
MedDRA: Depression — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Major depression

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Report sent to call center — day 28, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-01
Call 1 — Left Voicemail
2021-11-07
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-31
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-18
Dose 4 — Pfizer-BioNTech
2022-07-19
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2022-07-20
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-07-21
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2022-07-21
Report sent to call center — days 1–6 daily, dose 4
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-22
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school

Adult check-in
2022-07-22
Call successful
Does not wish to fill out VAERS report
2022-07-22
Call successful
Does not wish to fill out VAERS report
2022-07-22
Call successful
Does not wish to fill out VAERS report
2022-07-22
Call successful
Does not wish to fill out VAERS report
2022-07-23
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache

Adult check-in
2022-07-25
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-08-01
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-08-10
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-08-15
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-08-29
Health check-in — day 42, dose 4
Feeling: Poor

Adult check-in
2022-10-17
Survey response — 3 months, dose 4
MedDRA: COVID-19 — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: COVID 19

MedDRA releases: 2024-11 · check-in free text available
2022-10-17
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
2022-10-18
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-19	Pfizer-BioNTech
2	2021-01-18	Pfizer-BioNTech
3	2021-10-01	Pfizer-BioNTech	No
4	2022-07-18	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-09	Successful 2022-07-22	Does not wish to fill out VAERS report
2021-04-19	Successful 2022-07-22	Does not wish to fill out VAERS report
2021-10-29	Successful 2022-07-22	Does not wish to fill out VAERS report
2022-07-21	Successful 2022-07-22	Does not wish to fill out VAERS report
2022-10-17	Successful 2022-10-18	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 1 — day 21, dose 1

2021-01-09

Symptoms: Cough congestion runny nose fatigue muscle aches

Release 7 — 3 months, dose 2

2021-04-19

Symptoms: Sinus infection

Release 9 — days 1–6 daily, dose 3

2021-10-03

Systemic reaction (other): Swollen lymphnodes in the underarm

2021-10-04

Systemic reaction (other): Swelling in the under arm

Release 10 — days 1–6 daily, dose 3

2021-10-05

Systemic reaction (other): Swelling under the arm- same side as injection site

Release 10 — day 28, dose 3

2021-10-29

Symptoms: Major depression

Release 12 — 3 months, dose 4

2022-10-17

Symptoms: COVID 19

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	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Depression	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Oedema peripheral	·	·	✓

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