3VA-30777-28407

2 vaccinations 6 coded responses 25 check-ins 5 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 952 / CA
Registered: 2022-01-24

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

2022-01-24
Registered in v-safe
2022-01-24
Dose 1 — Pfizer-BioNTech
2022-01-24
Survey response — day 0, dose 1
MedDRA: Dysgeusia, Feeling abnormal, Immediate post-injection reaction — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, Nausea

Free text: I got really Spacey right after the shot and I could actually taste medicine in my mouth.

MedDRA releases: 2024-11 · check-in free text available
2022-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Nasal congestion, Respiratory tract congestion — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Headache, stuffy nose a little congestion

MedDRA releases: 2024-11 · check-in free text available
2022-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Diarrhea

Adult check-in
2022-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Diarrhea

Adult check-in
2022-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2022-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2022-01-31
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2022-02-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2022-02-14
Dose 2 — Pfizer-BioNTech
2022-02-14
Health check-in — day 0, dose 2
Feeling: Good · Headache

Adult check-in
2022-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-02-15
Call successful
Completed over the phone
2022-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-02-19
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Good

Free text: I Feel Sooo Much Better now!!

MedDRA releases: 2024-11 · check-in free text available
2022-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2022-02-21
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2022-02-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2022-03-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2022-03-14
Survey response — day 28, dose 2
MedDRA: Office visit, Respiratory tract congestion, SARS-CoV-2 test negative, Sinusitis, Telemedicine, Upper respiratory tract infection — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I have an upper respiratory infection Sinus infection and major congestion in my chest The Doctor wouldn't let me come into office even though I took home Covid test and it was negative. I had to do a telemedicine appointment today.

MedDRA releases: 2024-11 · check-in free text available
2022-03-14
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-21
Survey response — day 35, dose 2
MedDRA: Body temperature increased, Bronchitis, Sinusitis, Telemedicine, Upper respiratory tract infection — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Fever 99.9 , Acute Bronchitis, upper respiratory infection, sinus infection. Second chest X-ray- negative. On Second round of antibiotics. This is the 3rd telemedicine appointment in over a week. I go into Dr office in 2 days for follow up with my D

MedDRA releases: 2024-11 · check-in free text available
2022-03-21
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-24
Call successful
Completed over the phone
2022-03-24
Call successful
Completed over the phone
2022-03-28
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2022-05-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-08-15
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2023-02-14
Survey response — 12 months, dose 2
MedDRA: Asthenia, Headache, Office visit, Rotator cuff syndrome — Feeling: Fair · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-02-14
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2022-01-24	Pfizer-BioNTech	No
2	2022-02-14	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 11 — day 0, dose 1

2022-01-24

Systemic reaction (other): I got really Spacey right after the shot and I could actually taste medicine in my mouth.

Release 11 — days 1–6 daily, dose 1

2022-01-25

Systemic reaction (other): Headache, stuffy nose a little congestion

Release 11 — days 1–6 daily, dose 2

2022-02-19

Systemic reaction (other): I Feel Sooo Much Better now!!

Release 11 — day 28, dose 2

2022-03-14

Symptoms: I have an upper respiratory infection Sinus infection and major congestion in my chest The Doctor wouldn't let me come into office even though I took home Covid test and it was negative. I had to do a telemedicine appointment today.

Release 11 — day 35, dose 2

2022-03-21

Symptoms: Fever 99.9 , Acute Bronchitis, upper respiratory infection, sinus infection. Second chest X-ray- negative. On Second round of antibiotics. This is the 3rd telemedicine appointment in over a week. I go into Dr office in 2 days for follow up with my D cut off by CDC

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	Asthenia	·	·	✓
SD	Body temperature increased	·	·	✓
SD	Bronchitis	·	·	✓
SD	Headache	·	·	✓
SD	Office visit	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rotator cuff syndrome	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinusitis	·	·	✓
SD	Telemedicine	·	·	✓
SD	Upper respiratory tract infection	·	·	✓
SRO	Adverse reaction	·	·	✓
SRO	Dysgeusia	·	·	✓
SRO	Feeling abnormal	·	·	✓
SRO	Headache	·	·	✓
SRO	Immediate post-injection reaction	·	·	✓
SRO	Nasal congestion	·	·	✓
SRO	Respiratory tract congestion	·	·	✓

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