3NA-23836-06868

2 vaccinations 5 coded responses 20 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 983 / WA
Registered: 2021-03-27

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

2021-03-27
Registered in v-safe
2021-03-27
Dose 1 — Pfizer-BioNTech
2021-03-27
Health check-in — day 0, dose 1
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia — Feeling: Good

Free text: I'm having trouble sleeping, but it's a little bit worse than my normal not sleeping. Other than that doing great.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-05
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-17
Dose 2 — Pfizer-BioNTech
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-24
Health check-in — day 7, dose 2
Feeling: Good · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-01
Survey response — day 14, dose 2
MedDRA: Erythema — Feeling: Good

Free text: Some kind of rash I think underneath the back part of my arms and armpit. Very kind of a bright red

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-15
Survey response — day 28, dose 2
MedDRA: Gingival swelling, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: Swollen gums near the left side of my nose on the cheekbone I think it's my sinuses. · Healthcare visit (other): Had my dentist call in an antibiotic in case it's not symptom from the covid shop.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-24
Survey response — day 35, dose 2
MedDRA: Office visit, Rash, Therapeutic product ineffective — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Rash on one ankle rash behind both knees rash on my left hand and the rash of my face is worse and won't go away. What do I do? What kind of treatment can you give me for that? · Healthcare visit (other): Went to my doctor to try to get some help, also I got was a cream to help with rosacea. That doesn't seem to be helping, in fact, I think my rash is getting worse and it's spreading over my body I need help.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-30
Survey response — day 42, dose 2
MedDRA: Rash — Feeling: Good

Free text: Rash on face, back of knees, and ankles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-17
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-08
Call successful
Does not wish to fill out VAERS report
2022-03-08
Call successful
Does not wish to fill out VAERS report
2022-04-19
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-27	Pfizer-BioNTech
2	2021-04-17	Pfizer-BioNTech

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-29

Systemic reaction (other): I'm having trouble sleeping, but it's a little bit worse than my normal not sleeping. Other than that doing great.

Release 8 — day 14, dose 2

2021-05-01

Symptoms: Some kind of rash I think underneath the back part of my arms and armpit. Very kind of a bright red

Release 8 — day 28, dose 2

2021-05-15

Symptoms: Swollen gums near the left side of my nose on the cheekbone I think it's my sinuses.

Healthcare visit (other): Had my dentist call in an antibiotic in case it's not symptom from the covid shop.

Release 8 — day 35, dose 2

2021-05-24

Symptoms: Rash on one ankle rash behind both knees rash on my left hand and the rash of my face is worse and won't go away. What do I do? What kind of treatment can you give me for that?

Healthcare visit (other): Went to my doctor to try to get some help, also I got was a cream to help with rosacea. That doesn't seem to be helping, in fact, I think my rash is getting worse and it's spreading over my body I need help.

Release 8 — day 42, dose 2

2021-05-30

Symptoms: Rash on face, back of knees, and ankles

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	✓	✓	✓
HCVO	Rash	✓	✓	✓
HCVO	Therapeutic product ineffective	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Erythema	✓	✓	✓
SD	Gingival swelling	✓	✓	✓
SD	Rash	✓	✓	✓
SRO	Insomnia	✓	✓	✓

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