3TC-16459-95441

3 vaccinations 3 coded responses 33 check-ins 3 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 945 / CA
Registered: 2021-01-14

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

2021-01-14
Registered in v-safe
2021-01-14
Dose 1 — Pfizer-BioNTech
2021-01-14
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-04
Dose 2 — Pfizer-BioNTech
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Muscle or body aches

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-27
Survey response — day 21, dose 2
MedDRA: Arthralgia, Headache, Nausea — Feeling: Fair

Free text: Headache, nausea, joint pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-10
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-10-14
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-15
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-10-16
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-10-17
Health check-in — day 7, dose 3
Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-10-24
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-31
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-07
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-14
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-21
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-09
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-10
Survey response — 6 months, dose 3
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Covid pos Jan 2022

MedDRA releases: 2024-11 · check-in free text available
2022-04-10
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-15
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-10
Survey response — 12 months, dose 3
MedDRA: COVID-19, Office visit — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Covid · Healthcare visit (other): Primary care

MedDRA releases: 2024-11 · check-in free text available
2022-10-10
Report sent to call center — 12 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

1 call case(s)
2022-10-11
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	2021-01-14	Pfizer-BioNTech
2	2021-02-04	Pfizer-BioNTech
3	2021-10-10	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2022-04-10	Successful 2022-04-15	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-10	Successful 2022-10-11	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 4 — day 21, dose 2

2021-02-27

Symptoms: Headache, nausea, joint pain

Release 11 — 6 months, dose 3

2022-04-10

Symptoms: Covid pos Jan 2022

Release 12 — 12 months, dose 3

2022-10-10

Symptoms: Covid

Healthcare visit (other): Primary care

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	Arthralgia	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Headache	✓	✓	✓
SD	Nausea	✓	✓	✓

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