3R9-10387-67534

4 vaccinations 25 coded responses 36 check-ins 25 free-text entries 6 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 950 / CA
Registered: 2021-03-15

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-03-13
Dose 1 — Pfizer-BioNTech
2021-03-15
Registered in v-safe
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Loss of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Fair · Site: Pain · Chills, Nausea · Be unable to do your normal daily activities

Free text: Bad coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Good · Joint pains, Nausea · Be unable to do your normal daily activities

Free text: Bad coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-20
Survey response — day 7, dose 1
MedDRA: Anxiety — Feeling: Fair · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Anxiety

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — day 14, dose 1
MedDRA: Cough, Parosmia, Taste disorder — Feeling: Good · Be unable to do your normal daily activities

Free text: Just the coughing that just won't go away ,also my taste an smell comes an goes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — day 21, dose 1
MedDRA: Ageusia, Anosmia, Cough — Feeling: Fair · Be unable to do your normal daily activities

Free text: A really bad cough that comes an goes but when it comes it reapeatly. Still have loss of smell am taste

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Dose 2 — Pfizer-BioNTech
2021-04-06
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, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-12
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-19
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-26
Survey response — day 21, dose 2
MedDRA: Abdominal pain, Cough — Feeling: Fair · Be unable to do your normal daily activities

Free text: Abdomenal cramping started this morning an this lingering cough that won't go away

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — day 28, dose 2
MedDRA: Cough, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: The coughing an the fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — day 35, dose 2
MedDRA: Cough, Fatigue, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: The cough that seems to get worst an fatigue and aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Survey response — day 42, dose 2
MedDRA: Cough, Emotional disorder, Fatigue — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Severe coughing ,fatigue emotional

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-05
Survey response — 3 months, dose 2
MedDRA: Ageusia, Cough — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Consistent coughing still loss of taste

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-14
Dose 3 — Pfizer-BioNTech
2021-10-04
Survey response — 6 months, dose 2
MedDRA: Cough, Fatigue, Headache, Pain — 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

Free text: After the booster had severe fatigue, headaches, cough body aches

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-06
Survey response — day 21, dose 3
MedDRA: Cough, Fatigue, Office visit — 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

Free text: Symptoms: Constant coughing that won't go away · Healthcare visit (other): In office appts. The fatigue is really bad

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Report sent to call center — day 21, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-08
Call 1 — Could Not Reach Participant
2021-10-13
Survey response — day 28, dose 3
MedDRA: Cough, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: This constant coughing an running nose

MedDRA releases: 2024-11 · check-in free text available
2021-10-13
Call 2 — Could Not Reach Participant
2021-10-19
Survey response — day 35, dose 3
MedDRA: Cough, Fatigue — Feeling: Good · 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: Just the bad coughing, occasinal fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-10-19
Report sent to call center — day 35, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-22
Call 1 — Could Not Reach Participant
2021-10-26
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-10-27
Call 2 — Could Not Reach Participant
2021-12-15
Survey response — 3 months, dose 3
MedDRA: Anosmia, Cough — 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

Free text: This lingering cough just wont go away,an my sense of smell isnt back.

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-16
Call 1 — Could Not Reach Participant
2021-12-21
Call 2 — Could Not Reach Participant
2022-03-16
Survey response — 6 months, dose 3
MedDRA: Condition aggravated, Cough, Pre-existing disease — Feeling: Poor · 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: A return flesh eating bacteria on lower leg. Cough is still going on

MedDRA releases: 2024-11 · check-in free text available
2022-03-16
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-18
Call successful
Participant prefers to complete VAERS report online
2022-05-03
Dose 4 — Pfizer-BioNTech
2022-05-08
Survey response — days 1–6 daily, dose 4
MedDRA: Cough — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Consistant coughing

MedDRA releases: 2024-11 · check-in free text available
2022-05-09
Survey response — days 1–6 daily, dose 4
MedDRA: Cough — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Really bad cough

MedDRA releases: 2024-11 · check-in free text available
2022-05-10
Survey response — day 7, dose 4
MedDRA: Cough — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Really bad cough

MedDRA releases: 2024-11 · check-in free text available
2022-05-18
Survey response — day 14, dose 4
MedDRA: Cough, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Aching body an the coughing

MedDRA releases: 2024-11 · check-in free text available
2022-05-24
Health check-in — day 21, dose 4
Feeling: Poor

Adult check-in
2022-05-31
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-06-07
Survey response — day 35, dose 4
MedDRA: Fatigue, Feeling hot, Headache, Hyperhidrosis, Pain, Pruritus — Feeling: Poor · Be unable to do your normal daily activities

Free text: Last wednesday evening i started to feel a hotness come over me my for&ead especially an sweaty the i had this bad itching from head to toe,the night day i had headaches very fatiuged an the hot sweaty forhead ,body achy all over

MedDRA releases: 2024-11 · check-in free text available
2022-06-15
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-08-02
Survey response — 3 months, dose 4
MedDRA: Office visit, Skin necrosis, Skin ulcer, Wound — Feeling: Poor · 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: Symptoms: Have a skin ulcer open wound of something thats eating away the skin, · Healthcare visit (other): Clinic visits an tests,contiplateing surgery 8-11-22

MedDRA releases: 2024-11 · check-in free text available
2022-08-02
Report sent to call center — 3 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-08-03
Call successful
Participant prefers to complete VAERS report online
2022-11-01
Survey response — 6 months, dose 4
MedDRA: Cough, Retching — Feeling: Fair · Be unable to do your normal daily activities

Free text: Continouse coughing, dry heaving

MedDRA releases: 2024-11 · check-in free text available
2023-05-04
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-13	Pfizer-BioNTech
2	2021-04-05	Pfizer-BioNTech
3	2021-09-14	Pfizer-BioNTech	No
4	2022-05-03	Pfizer-BioNTech	No

Call center

6 call center cases

6 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-15

Systemic reaction (other): Loss of appetite

2021-03-16

Systemic reaction (other): Bad coughing

2021-03-17

Systemic reaction (other): Bad coughing

2021-03-18

Systemic reaction (other): Coughing

Release 6 — day 7, dose 1

2021-03-20

Systemic reaction (other): Anxiety

Release 6 — day 14, dose 1

2021-03-27

Symptoms: Just the coughing that just won't go away ,also my taste an smell comes an goes.

Release 6 — day 21, dose 1

2021-04-03

Symptoms: A really bad cough that comes an goes but when it comes it reapeatly. Still have loss of smell am taste

Release 8 — day 21, dose 2

2021-04-26

Symptoms: Abdomenal cramping started this morning an this lingering cough that won't go away

Release 8 — day 28, dose 2

2021-05-03

Symptoms: The coughing an the fatigue

Release 8 — day 35, dose 2

2021-05-10

Symptoms: The cough that seems to get worst an fatigue and aches

Release 8 — day 42, dose 2

2021-05-17

Symptoms: Severe coughing ,fatigue emotional

Release 9 — 3 months, dose 2

2021-07-05

Symptoms: Consistent coughing still loss of taste

Release 10 — 6 months, dose 2

2021-10-04

Symptoms: After the booster had severe fatigue, headaches, cough body aches

Release 10 — day 21, dose 3

2021-10-06

Symptoms: Constant coughing that won't go away

Healthcare visit (other): In office appts. The fatigue is really bad

Release 10 — day 28, dose 3

2021-10-13

Symptoms: This constant coughing an running nose

Release 10 — day 35, dose 3

2021-10-19

Symptoms: Just the bad coughing, occasinal fatigue

Release 10 — 3 months, dose 3

2021-12-15

Symptoms: This lingering cough just wont go away,an my sense of smell isnt back.

Release 11 — 6 months, dose 3

2022-03-16

Symptoms: A return flesh eating bacteria on lower leg. Cough is still going on

Release 11 — days 1–6 daily, dose 4

2022-05-08

Systemic reaction (other): Consistant coughing

2022-05-09

Systemic reaction (other): Really bad cough

Release 11 — day 7, dose 4

2022-05-10

Systemic reaction (other): Really bad cough

Release 11 — day 14, dose 4

2022-05-18

Symptoms: Aching body an the coughing

Release 11 — day 35, dose 4

2022-06-07

Symptoms: Last wednesday evening i started to feel a hotness come over me my for&ead especially an sweaty the i had this bad itching from head to toe,the night day i had headaches very fatiuged an the hot sweaty forhead ,body achy all over

Release 12 — 3 months, dose 4

2022-08-02

Symptoms: Have a skin ulcer open wound of something thats eating away the skin,

Healthcare visit (other): Clinic visits an tests,contiplateing surgery 8-11-22

Release 12 — 6 months, dose 4

2022-11-01

Symptoms: Continouse coughing, dry heaving

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	Fatigue	·	·	✓
HCVO	Office visit	·	·	✓
SD	Abdominal pain	✓	✓	✓
SD	Ageusia	✓	✓	✓
SD	Anosmia	✓	✓	✓
SD	Condition aggravated	·	·	✓
SD	Cough	✓	✓	✓
SD	Emotional disorder	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling hot	·	·	✓
SD	Headache	·	·	✓
SD	Hyperhidrosis	·	·	✓
SD	Pain	✓	✓	✓
SD	Parosmia	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Pruritus	·	·	✓
SD	Retching	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Skin necrosis	·	·	✓
SD	Skin ulcer	·	·	✓
SD	Taste disorder	✓	✓	✓
SD	Wound	·	·	✓
SRO	Anxiety	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓

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