3RV-16141-80894

4 vaccinations 7 coded responses 34 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 554 / MN
Registered: 2021-03-18

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

2021-03-17
Dose 1 — Pfizer-BioNTech
2021-03-18
Registered in v-safe
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Rash macular — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Small red dots on left foot only

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Pain, Pre-existing disease — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: I cant recall if I mentioned the pain the prior day went through joints in my body that were previously injured. Id like to know what that was.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-03-24
Survey response — day 7, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Joint pains

Free text: Only in a previously hurt yet fully healed finger and left knee

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-07
Dose 2 — Pfizer-BioNTech
2021-04-07
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling cold — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: A strange cold feeling ran through me at one point- not the chills though

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · 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 — days 1–6 daily, dose 2
Feeling: Fair · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-14
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-05
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-07
Survey response — 3 months, dose 2
MedDRA: Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Sinus infection not from vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-07
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-12
Call successful
Does not wish to fill out VAERS report
2021-10-06
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-10
Dose 3 — Pfizer-BioNTech
2022-04-09
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-05-05
Dose 4 — Pfizer-BioNTech
2022-05-07
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2022-05-09
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2022-05-12
Health check-in — day 7, dose 4
Feeling: Good · Site: Redness · None

Adult check-in
2022-05-19
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-26
Survey response — day 21, dose 4
MedDRA: SARS-CoV-2 test positive — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Tested positive for COVID

MedDRA releases: 2024-11 · check-in free text available
2022-06-02
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-06-09
Survey response — day 35, dose 4
MedDRA: Chest pain, Cough — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I had a terrible cough for 4 nights in a row with chest pain? nonstop coughing- sometimes occurring during the day. I had taken Paxlovid and wonder about if what they say is true. 5 days after done with the med this awful coughing came on.

MedDRA releases: 2024-11 · check-in free text available
2022-06-16
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-04
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-03
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-05-05
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Pfizer-BioNTech
2	2021-04-07	Pfizer-BioNTech
3	2021-10-10	Pfizer-BioNTech	No
4	2022-05-05	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): Small red dots on left foot only

2021-03-21

Systemic reaction (other): I cant recall if I mentioned the pain the prior day went through joints in my body that were previously injured. Id like to know what that was.

Release 6 — day 7, dose 1

2021-03-24

Systemic reaction (other): Only in a previously hurt yet fully healed finger and left knee

Release 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): A strange cold feeling ran through me at one point- not the chills though

Release 9 — 3 months, dose 2

2021-07-07

Symptoms: Sinus infection not from vaccine.

Release 11 — day 21, dose 4

2022-05-26

Symptoms: Tested positive for COVID

Release 12 — day 35, dose 4

2022-06-09

Symptoms: I had a terrible cough for 4 nights in a row with chest pain? nonstop coughing- sometimes occurring during the day. I had taken Paxlovid and wonder about if what they say is true. 5 days after done with the med this awful coughing came on.

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	Chest pain	·	·	✓
SD	Cough	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sinusitis	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rash macular	✓	✓	✓

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