2ZE-85437-91533

4 vaccinations 3 coded responses 47 check-ins 3 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 209 / MD
Registered: 2021-01-15

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

Registered dependents

QL2-74148-64616 Child or adolescent in my care · Female · 2023-04-01

Timeline

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

2021-01-14
Dose 1 — Pfizer-BioNTech
2021-01-15
Registered in v-safe
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

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 · Site: Pain · Rash, not including the immediate area around the injection site

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Survey response — day 14, dose 1
MedDRA: Lymphadenopathy, Oropharyngeal pain, Renal pain — Feeling: Good

Free text: Mild sore throat, mild kidney pain, and mild adenopathy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Dose 2 — Pfizer-BioNTech
2021-02-02
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

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

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-03
Survey response — 6 months, dose 2
MedDRA: Upper respiratory tract infection — 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 · Telehealth, virtual health, or email health consultation

Free text: Upper respiratory infection

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-03
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

1 call case(s)
2021-11-20
Call 1 — Left Voicemail
2022-02-02
Survey response — 12 months, dose 2
MedDRA: COVID-19, Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I had COVID in August 2021. Also, I am currently 16 weeks pregnant.

MedDRA releases: 2024-11 · check-in free text available
2022-02-02
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-02
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-04
Call 1 — Left Voicemail
2022-02-05
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2022-02-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2022-02-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-02-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-02-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-02-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Diarrhea

Adult check-in
2022-02-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fever · Headache

Adult check-in
2022-02-14
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-02-19
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-03-05
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-03-12
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-03-19
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-05-07
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-08-06
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-02-05
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2023-03-31
Dose 4 — Pfizer-BioNTech
2023-04-01
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache

Adult check-in
2023-04-03
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2023-04-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache

Adult check-in
2023-04-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2023-04-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2023-04-07
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2023-04-23
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2023-04-28
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2023-05-05
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2023-05-12
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Pfizer-BioNTech
2	2021-02-02	Pfizer-BioNTech
3	2022-02-05	Pfizer-BioNTech	Flu
4	2023-03-31	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-08-03	Successful 2022-02-02	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-02	Unsuccessful

Free text

Release 3 — day 14, dose 1

2021-01-28

Symptoms: Mild sore throat, mild kidney pain, and mild adenopathy.

Release 9 — 6 months, dose 2

2021-08-03

Symptoms: Upper respiratory infection

Release 11 — 12 months, dose 2

2022-02-02

Symptoms: I had COVID in August 2021. Also, I am currently 16 weeks pregnant.

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	COVID-19	·	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pregnancy	·	·	✓
SD	Renal pain	✓	✓	✓
SD	Upper respiratory tract infection	✓	·	✓

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