2ZX-15454-53729

5 vaccinations 8 coded responses 29 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 530 / WI
Registered: 2021-01-30

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

2021-01-19
Dose 1 — Pfizer-BioNTech
2021-01-30
Registered in v-safe
2021-01-30
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

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

Adult check-in
2021-02-09
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-10
Dose 2 — Pfizer-BioNTech
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-15
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Good · Headache

Free text: I think the headache is related to dry air/weather/diet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-17
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-24
Health check-in — day 14, dose 2
Feeling: Good

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

Adult check-in
2021-03-10
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-03
Dose 3 — Pfizer-BioNTech
2021-09-30
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-01
Survey response — day 28, dose 3
MedDRA: Mouth ulceration, Oral herpes, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sinus infection, cold sore/ulcer food of mouth

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-05
Call 1 — Left Voicemail
2021-10-08
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-15
Survey response — day 42, dose 3
MedDRA: Body temperature increased, Chills, Headache, Influenza virus test negative, Oropharyngeal pain, SARS-CoV-2 test negative, Sinus headache, Sinusitis — Feeling: Good · 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: Return of sinus infection. Headache/chills/low grade temp, sore throat last weekend. Covid PCR, strep, flu, RSV all negative. Felt better after 2 days cefdinir. Feel good today. Still waking up with slight sinus H/A which goes away once up.

MedDRA releases: 2024-11 · check-in free text available
2021-10-15
Report sent to call center — day 42, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-19
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-12-03
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-04
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-20
Dose 4 — Pfizer-BioNTech
2022-09-03
Survey response — 12 months, dose 3
MedDRA: Adverse drug reaction, Conjunctivitis, Exposure to communicable disease, Osteoporosis, Sinusitis — Feeling: Good · 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: Pink Eye, sinus infection, scleritis. Pink eye and sinus infection most likely originated in grandchild's preschool. Scleritis most likely from beginning treatment for osteoporosis with fosamax

MedDRA releases: 2024-11 · check-in free text available
2022-09-03
Report sent to call center — 12 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-07
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-16
Dose 5 — Pfizer-BioNTech
2022-10-11
Survey response — day 21, dose 5
MedDRA: COVID-19, Cough, Faeces soft, Headache, Oropharyngeal pain, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Currently Covid positive since 10/8/22. Started paxlovid same evening. Today's symptoms: headache, cough, runny nose, mild sore throat, soft stool. All symptoms greatly improved since beginning Paxlovid

MedDRA releases: 2024-11 · check-in free text available
2022-10-14
Survey response — day 28, dose 5
MedDRA: Cough, Headache, Rhinorrhoea, SARS-CoV-2 test negative, SARS-CoV-2 test positive — Feeling: Fair · Be unable to do your normal daily activities

Free text: Tested positive for Covid 10/8. Started Paxlovid same day. Tested negative today. Symptoms much improved. Left with a runny nose, mild headache, and occasional cough.

MedDRA releases: 2024-11 · check-in free text available
2022-10-21
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-10-28
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-16
Survey response — 3 months, dose 5
MedDRA: Fatigue, Nasal congestion, Pain, Sinus headache — Feeling: Poor · Be unable to do your normal daily activities

Free text: Stuffy nose, body aches, sinus headache, fatigue

MedDRA releases: 2024-11 · check-in free text available
2023-03-17
Survey response — 6 months, dose 5
MedDRA: COVID-19, Cough, Eye inflammation, Sinusitis, Vestibular migraine — 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, Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-03-17
Report sent to call center — 6 months, dose 5
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 · Emergency room or emergency department visit · 1 call case(s)
2023-03-21
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-19	Pfizer-BioNTech
2	2021-02-10	Pfizer-BioNTech
3	2021-09-03	Pfizer-BioNTech	No
4	2022-05-20	Pfizer-BioNTech	No
5	2022-09-16	Pfizer-BioNTech	No

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-15

Systemic reaction (other): I think the headache is related to dry air/weather/diet

Release 9 — day 28, dose 3

2021-10-01

Symptoms: Sinus infection, cold sore/ulcer food of mouth

Release 10 — day 42, dose 3

2021-10-15

Symptoms: Return of sinus infection. Headache/chills/low grade temp, sore throat last weekend. Covid PCR, strep, flu, RSV all negative. Felt better after 2 days cefdinir. Feel good today. Still waking up with slight sinus H/A which goes away once up.

Release 12 — 12 months, dose 3

2022-09-03

Symptoms: Pink Eye, sinus infection, scleritis. Pink eye and sinus infection most likely originated in grandchild's preschool. Scleritis most likely from beginning treatment for osteoporosis with fosamax

Release 12 — day 21, dose 5

2022-10-11

Symptoms: Currently Covid positive since 10/8/22. Started paxlovid same evening. Today's symptoms: headache, cough, runny nose, mild sore throat, soft stool. All symptoms greatly improved since beginning Paxlovid

Release 12 — day 28, dose 5

2022-10-14

Symptoms: Tested positive for Covid 10/8. Started Paxlovid same day. Tested negative today. Symptoms much improved. Left with a runny nose, mild headache, and occasional cough.

Release 12 — 3 months, dose 5

2022-12-16

Symptoms: Stuffy nose, body aches, sinus headache, fatigue

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	Adverse drug reaction	·	·	✓
SD	Body temperature increased	·	·	✓
SD	Chills	·	·	✓
SD	Conjunctivitis	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Exposure to communicable disease	·	·	✓
SD	Eye inflammation	·	·	✓
SD	Faeces soft	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Influenza virus test negative	·	·	✓
SD	Mouth ulceration	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Oral herpes	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Osteoporosis	·	·	✓
SD	Pain	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sinus headache	·	·	✓
SD	Sinusitis	·	·	✓
SD	Vestibular migraine	·	·	✓
SRO	Headache	✓	✓	✓

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