46Y-12217-67586

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

Sex: Female
Age at first dose: 61-65
ZIP prefix: 222 / VA
Registered: 2021-03-15

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

2021-03-01
Dose 1 — Pfizer-BioNTech
2021-03-15
Registered in v-safe
2021-03-15
Survey response — day 14, dose 1
MedDRA: Nasal congestion — Feeling: Good

Free text: nasal congestion most likely linked to allergy season

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Dose 2 — Pfizer-BioNTech
2021-03-22
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-29
Health check-in — day 7, dose 2
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-05
Survey response — day 14, dose 2
MedDRA: Sleep disorder — Feeling: Good · Be unable to do your normal daily activities

Free text: Disrupted sleep patterns seem to be getting worse.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-21
Survey response — 3 months, dose 2
MedDRA: Hysteroscopy, Office visit, Polypectomy, Surgery, Uterine dilation and curettage — 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

Free text: Symptoms: hysteroscopy, D&C, polypectomy · Healthcare visit (other): In-person doctors' visits and day surgery; those don't seem to fit your categories

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-21
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-29
Call successful
Not applicable - Accidental Reporting
2021-09-20
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-04
Dose 3 — Moderna
2022-03-22
Survey response — 12 months, dose 2
MedDRA: Chills, Cough, Food aversion, Office visit, Pain — 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 · Telehealth, virtual health, or email health consultation

Free text: Symptoms: persistent cough for two months, chills and body aches, and intense aversions to foods I normally like · Healthcare visit (other): In person appointments as well

MedDRA releases: 2024-11 · check-in free text available
2022-03-22
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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-23
Call successful
Does not wish to fill out VAERS report
2022-04-25
Dose 4 — Moderna
2022-05-15
Survey response — day 14, dose 4
MedDRA: Chills, Feeling abnormal, Food aversion, Headache, Office visit, Pain — 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

Free text: Symptoms: chills, body aches, headaches, brain fuzziness, food aversions · Healthcare visit (other): In person doctors' appointments

MedDRA releases: 2024-11 · check-in free text available
2022-05-15
Report sent to call center — day 14, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-05-16
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-16
Call 1 — Left Voicemail
2022-05-16
Call 1 — Left Voicemail
2022-05-16
Call 1 — Left Voicemail
2022-05-23
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-31
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-06-06
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-25
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-10-24
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2023-04-25
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-01	Pfizer-BioNTech
2	2021-03-22	Pfizer-BioNTech
3	2021-11-04	Moderna	No
4	2022-04-25	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-06-21	Successful 2021-06-29	Not applicable - Accidental Reporting
2022-03-22	Successful 2022-03-23	Does not wish to fill out VAERS report
2022-05-15	Unsuccessful

Free text

Release 5 — day 14, dose 1

2021-03-15

Symptoms: nasal congestion most likely linked to allergy season

Release 6 — day 14, dose 2

2021-04-05

Symptoms: Disrupted sleep patterns seem to be getting worse.

Release 9 — 3 months, dose 2

2021-06-21

Symptoms: hysteroscopy, D&C, polypectomy

Healthcare visit (other): In-person doctors' visits and day surgery; those don't seem to fit your categories

Release 11 — 12 months, dose 2

2022-03-22

Symptoms: persistent cough for two months, chills and body aches, and intense aversions to foods I normally like

Healthcare visit (other): In person appointments as well

Release 11 — day 14, dose 4

2022-05-15

Symptoms: chills, body aches, headaches, brain fuzziness, food aversions

Healthcare visit (other): In person doctors' appointments

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	✓	✓	✓
HCVO	Surgery	✓	✓	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Feeling abnormal	·	·	✓
SD	Food aversion	·	·	✓
SD	Headache	·	·	✓
SD	Hysteroscopy	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Pain	·	·	✓
SD	Polypectomy	✓	✓	✓
SD	Sleep disorder	✓	✓	✓
SD	Uterine dilation and curettage	✓	✓	✓

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