3FV-54047-74759

3 vaccinations 5 coded responses 32 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 117 / NY
Registered: 2021-01-05

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

Registered dependents

QQ6-24950-59770 Child or adolescent in my care · Male · 2021-11-14

69E-16976-04260 Child or adolescent in my care · Female · 2021-11-14

Timeline

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

2021-01-04
Dose 1 — Pfizer-BioNTech
2021-01-05
Registered in v-safe
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-05
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Rash, not including the immediate area around the injection site

Adult check-in
2021-01-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-01-25
Dose 2 — Pfizer-BioNTech
2021-01-25
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain · Chills, Fatigue or tiredness

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-01
Survey response — day 35, dose 2
MedDRA: Dizziness, Upper-airway cough syndrome — Feeling: Fair

Free text: Dizziness and post nasal drip. However, I had worked 2 16 hour shifts overnight and it is change of season soon

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-29
Dose 3 — Pfizer-BioNTech
2021-10-29
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness, Nausea

Adult check-in
2021-10-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-05
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-12
Survey response — day 14, dose 3
MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to work or attend school

Free text: I've developed cold symptoms

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-03
Survey response — day 35, dose 3
MedDRA: Nasal congestion — Feeling: Fair

Free text: Mild stuffy nose

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-30
Survey response — 6 months, dose 3
MedDRA: Nasal congestion, Oropharyngeal pain, Upper-airway cough syndrome — Feeling: Poor

Free text: Sore throat, nasal congestion, post nasal drip

MedDRA releases: 2024-11 · check-in free text available
2022-10-29
Survey response — 12 months, dose 3
MedDRA: Office visit, Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Pregnant · Healthcare visit (other): Regular wellness checks

MedDRA releases: 2024-11 · check-in free text available
2022-10-29
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-11-01
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	2021-01-04	Pfizer-BioNTech
2	2021-01-25	Pfizer-BioNTech
3	2021-10-29	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-05	priority 2/3
2022-10-29	Successful 2022-11-01	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 4 — day 35, dose 2

2021-03-01

Symptoms: Dizziness and post nasal drip. However, I had worked 2 16 hour shifts overnight and it is change of season soon

Release 10 — day 14, dose 3

2021-11-12

Symptoms: I've developed cold symptoms

Release 10 — day 35, dose 3

2021-12-03

Symptoms: Mild stuffy nose

Release 11 — 6 months, dose 3

2022-04-30

Symptoms: Sore throat, nasal congestion, post nasal drip

Release 12 — 12 months, dose 3

2022-10-29

Symptoms: Pregnant

Healthcare visit (other): Regular wellness checks

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
HCVO	Office visit	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pregnancy	·	·	✓
SD	Upper-airway cough syndrome	✓	✓	✓

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