3W6-25589-82469

2 vaccinations 11 coded responses 20 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 796 / TX
Registered: 2021-02-04

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

2021-02-04
Registered in v-safe
2021-02-04
Dose 1 — Pfizer-BioNTech
2021-02-04
Survey response — day 0, dose 1
MedDRA: Nausea — Feeling: Good · Nausea

Free text: Nausea after ate lunch

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · None

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Diarrhea

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fever · Chills, Headache, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-09
Survey response — days 1–6 daily, dose 1
MedDRA: Epistaxis — Feeling: Fair · Fever · Chills, Nausea

Free text: Bloody nose when blow my nose now for 3 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — days 1–6 daily, dose 1
MedDRA: Epistaxis — Feeling: Fair · Fever · Headache

Free text: My nose still slightly having some trace blood. I am on (b)(6) so I know that bleeding can occur but just surprised that it has been more of an issue now

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — day 7, dose 1
MedDRA: Rhinorrhoea — Feeling: Fair · Headache

Free text: Nose draining still but no longer bleeding

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — day 14, dose 1
MedDRA: Headache, Sinus headache — Feeling: Fair

Free text: Sinus headache with headaches still.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Dose 2 — Pfizer-BioNTech
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Nausea

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-03-06
Health check-in — day 7, dose 2
Feeling: Fair · Fever · Headache, Nausea, Diarrhea · Be unable to work

Adult check-in
2021-03-13
Survey response — day 14, dose 2
MedDRA: Asthma, Migraine, Pre-existing disease — Feeling: Fair

Free text: Asthma flare up and migraine headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-25
Survey response — day 28, dose 2
MedDRA: Diarrhoea, Headache — Feeling: Fair

Free text: Headache and diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — day 35, dose 2
MedDRA: Headache — Feeling: Fair

Free text: Headaches back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — day 42, dose 2
MedDRA: Asthma, Upper respiratory tract infection — Feeling: Poor · Be unable to work

Free text: Bad uri with asthma flair

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-26
Survey response — 6 months, dose 2
MedDRA: COVID-19, Influenza — 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 · Emergency room or emergency department visit

Free text: Ill x 2 weeks flu and covid - with horrible

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Report sent to call center — 6 months, dose 2
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)
2021-09-01
Call successful
Participant prefers to complete VAERS report online
2022-02-25
Survey response — 12 months, dose 2
MedDRA: Cough, Hiatus hernia — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: And pain and hiatal hernia from coughing

MedDRA releases: 2024-11 · check-in free text available
2022-02-25
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-02-28
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Pfizer-BioNTech
2	2021-02-25	Pfizer-BioNTech

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 3 — day 0, dose 1

2021-02-04

Systemic reaction (other): Nausea after ate lunch

Release 3 — days 1–6 daily, dose 1

2021-02-09

Systemic reaction (other): Bloody nose when blow my nose now for 3 days

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): My nose still slightly having some trace blood. I am on (b)(6) so I know that bleeding can occur but just surprised that it has been more of an issue now

redacted (b)(6)

Release 4 — day 7, dose 1

2021-02-11

Systemic reaction (other): Nose draining still but no longer bleeding

Release 4 — day 14, dose 1

2021-02-18

Symptoms: Sinus headache with headaches still.

Release 5 — day 14, dose 2

2021-03-13

Symptoms: Asthma flare up and migraine headache

Release 6 — day 28, dose 2

2021-03-25

Symptoms: Headache and diarrhea

Release 6 — day 35, dose 2

2021-04-01

Symptoms: Headaches back

Release 7 — day 42, dose 2

2021-04-10

Symptoms: Bad uri with asthma flair

Release 9 — 6 months, dose 2

2021-08-26

Symptoms: Ill x 2 weeks flu and covid - with horrible

Release 11 — 12 months, dose 2

2022-02-25

Symptoms: And pain and hiatal hernia from coughing

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	Asthma	✓	✓	✓
SD	Cough	·	·	✓
SD	COVID-19	✓	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hiatus hernia	·	·	✓
SD	Influenza	✓	·	✓
SD	Migraine	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Sinus headache	✓	✓	✓
SD	Upper respiratory tract infection	✓	✓	✓
SRO	Epistaxis	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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