3Y9-15695-74509

5 vaccinations 5 coded responses 35 check-ins 5 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 208 / MD
Registered: 2021-04-13

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-04-13
Registered in v-safe
2021-04-13
Dose 1 — Pfizer-BioNTech
2021-04-13
Survey response — day 0, dose 1
MedDRA: Oropharyngeal pain, Palpitations — Feeling: Fair

Free text: Racing heart rate, sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-27
Survey response — day 14, dose 1
MedDRA: Headache, Nasal congestion, Nasopharyngitis, Pain, Rhinorrhoea, Unevaluable event — Feeling: Poor · 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: Cold symptoms. Aches, runny nose, stuffiness, headache. · Healthcare visit (other): Telehealth visit scheduled today at 4:30

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-04
Survey response — day 21, dose 1
MedDRA: SARS-CoV-2 test positive — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I tested positive for COVID-19 using the rapid test.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-11
Survey response — day 28, dose 1
MedDRA: SARS-CoV-2 test, SARS-CoV-2 test positive — 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, Outpatient clinic or urgent care clinic visit

Free text: Tested positive for COVID, but doing much better this week. Just recently took the PCR test and expect to get 2nd vaccine this week if results are negative.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Report sent to call center — day 28, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-14
Dose 2 — Pfizer-BioNTech
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills

Adult check-in
2021-05-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-21
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-14
Survey response — 6 months, dose 2
MedDRA: Bronchial disorder, Cough, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Bronchial symptoms with excessive cough, and persistent runny nose. Had to take antibiotics. Took rapid Covid test which was negative result.

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-15
Call 1 — Left Voicemail
2021-11-16
Call successful
Participant prefers to complete VAERS report online
2021-12-14
Dose 3 — Pfizer-BioNTech
2022-05-11
Dose 4 — Pfizer-BioNTech
2022-05-14
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-10-03
Dose 5 — Moderna
Co-administered: Flu
2022-10-03
Health check-in — day 0, dose 5
Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches

Adult check-in
2022-10-04
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Chills

Adult check-in
2022-10-05
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-06
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-08
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-10
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-17
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-24
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-31
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-07
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-15
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-02
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-03
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-13	Pfizer-BioNTech
2	2021-05-14	Pfizer-BioNTech
3	2021-12-14	Pfizer-BioNTech	No
4	2022-05-11	Pfizer-BioNTech	No
5	2022-10-03	Moderna	Flu

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 7 — day 0, dose 1

2021-04-13

Systemic reaction (other): Racing heart rate, sore throat

Release 8 — day 14, dose 1

2021-04-27

Symptoms: Cold symptoms. Aches, runny nose, stuffiness, headache.

Healthcare visit (other): Telehealth visit scheduled today at 4:30

Release 8 — day 21, dose 1

2021-05-04

Symptoms: I tested positive for COVID-19 using the rapid test.

Release 8 — day 28, dose 1

2021-05-11

Symptoms: Tested positive for COVID, but doing much better this week. Just recently took the PCR test and expect to get 2nd vaccine this week if results are negative.

Release 10 — 6 months, dose 2

2021-11-14

Symptoms: Bronchial symptoms with excessive cough, and persistent runny nose. Had to take antibiotics. Took rapid Covid test which was negative result.

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	Unevaluable event	✓	✓	✓
SD	Bronchial disorder	·	·	✓
SD	Cough	·	·	✓
SD	Headache	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	SARS-CoV-2 test positive	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Palpitations	✓	✓	✓

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