3L6-20897-55980

2 vaccinations 4 coded responses 18 check-ins 4 free-text entries 4 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 120 / NY
Registered: 2021-01-20

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
2021-01-20
Registered in v-safe
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-01-22
Report sent to call center — days 1–6 daily, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Nausea

Adult check-in
2021-01-26
Survey response — day 7, dose 1
MedDRA: Oropharyngeal pain — Feeling: Good · Headache

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-09
Dose 2 — Pfizer-BioNTech
2021-02-09
Health check-in — day 0, dose 2
Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache · Be unable to work

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Headache

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

Adult check-in
2021-02-16
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-04
Survey response — day 21, dose 2
MedDRA: Herpes zoster, Lymphadenopathy, Pharyngitis, Pyrexia — Feeling: Poor · Be unable to work, 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: Shingles and acute pharyngitis diagnosed by urgent care provider, swollen lymph node and multiple fevers with highest noted at 102.7

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-11
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-18
Survey response — day 35, dose 2
MedDRA: Seizure — Feeling: Fair · Be unable to work, 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: Seizure activity

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Report sent to call center — day 35, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-06
Call 1 — Left Voicemail
2021-05-11
Survey response — 3 months, dose 2
MedDRA: Office visit, Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Anemia requiring iron infusions, focal seizures · Healthcare visit (other): Infusion center

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Report sent to call center — 3 months, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-08
Call 1 — Left Voicemail
2022-11-30
Call 1 — Could Not Reach Participant
2022-11-30
Call 1 — Could Not Reach Participant
2022-11-30
Call 2 — Could Not Reach Participant
2022-11-30
Call 2 — Could Not Reach Participant
2022-12-05
Call 2 — Requested Callback
2022-12-05
Callback requested for
08:28AM ET
2022-12-05
Call 2 — Could Not Reach Participant
2022-12-05
Call 3 — Requested Callback
2022-12-05
Call 3 — Requested Callback

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-19	Pfizer-BioNTech
2	2021-02-09	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-01-22	Unsuccessful
2021-03-04	Unsuccessful
2021-03-18	Unsuccessful
2021-05-11	Unsuccessful

Free text

Release 2 — day 7, dose 1

2021-01-26

Systemic reaction (other): Sore throat

Release 5 — day 21, dose 2

2021-03-04

Symptoms: Shingles and acute pharyngitis diagnosed by urgent care provider, swollen lymph node and multiple fevers with highest noted at 102.7

Release 5 — day 35, dose 2

2021-03-18

Symptoms: Seizure activity

Release 8 — 3 months, dose 2

2021-05-11

Symptoms: Anemia requiring iron infusions, focal seizures

Healthcare visit (other): Infusion center

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	Herpes zoster	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Pharyngitis	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Seizure	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓

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