47P-63512-41562

3 vaccinations 11 coded responses 39 check-ins 11 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 945 / CA
Registered: 2021-01-22

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

2021-01-21
Dose 1 — Pfizer-BioNTech
2021-01-22
Registered in v-safe
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy, Oropharyngeal pain — Feeling: Fair · Site: Pain · Be unable to work

Free text: Painful sore throat and neck lymph node swelling. Worse over might

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Fatigue or tiredness

Free text: Sore throat.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Good · Fatigue or tiredness

Free text: Sore throat improving.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Throat irritation — Feeling: Good

Free text: Residual scratchy throat.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-28
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-11
Dose 2 — Pfizer-BioNTech
2021-02-11
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Survey response — day 14, dose 2
MedDRA: Abdominal discomfort, Headache — Feeling: Fair

Free text: Headache, stomach upset

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

Adult check-in
2021-03-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-29
Survey response — day 42, dose 2
MedDRA: Fatigue, Oropharyngeal pain — Feeling: Fair

Free text: Sore throat, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-04
Dose 3 — Pfizer-BioNTech
2021-10-04
Health check-in — day 0, dose 3
Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2021-10-05
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal pain, Diverticulitis — Feeling: Fair · Site: Pain, Redness · Abdominal pain · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Currently having a bout of diverticulitis, likely the cause of abdominal pain.

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-06
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal pain, Diverticulitis, Telemedicine — Feeling: Fair · Abdominal pain · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Abdominal cramping likely diverticulitis, per tele-health consultation

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-07
Survey response — days 1–6 daily, dose 3
MedDRA: Diverticulitis — Feeling: Fair · Abdominal pain · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Diverticulitis

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-08
Survey response — days 1–6 daily, dose 3
MedDRA: Diverticulitis — Feeling: Good · Muscle or body aches

Free text: On antibiotics for diverticulitis

MedDRA releases: 2024-11 · check-in free text available
2021-10-09
Survey response — days 1–6 daily, dose 3
MedDRA: Adverse drug reaction, Diverticulitis — Feeling: Fair · Headache, Nausea

Free text: I believe this is a reaction to diverticulitis antibiotics.

MedDRA releases: 2024-11 · check-in free text available
2021-10-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-11
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-12
Call successful
Does not wish to fill out VAERS report
2021-10-18
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-25
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-01
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-09
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-15
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-04
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-04
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-05
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Pfizer-BioNTech
2	2021-02-11	Pfizer-BioNTech
3	2021-10-04	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): Painful sore throat and neck lymph node swelling. Worse over might

2021-01-23

Systemic reaction (other): Sore throat.

2021-01-24

Systemic reaction (other): Sore throat improving.

2021-01-25

Systemic reaction (other): Residual scratchy throat.

Release 4 — day 14, dose 2

2021-02-25

Symptoms: Headache, stomach upset

Release 6 — day 42, dose 2

2021-03-29

Symptoms: Sore throat, fatigue

Release 10 — days 1–6 daily, dose 3

2021-10-05

Systemic reaction (other): Currently having a bout of diverticulitis, likely the cause of abdominal pain.

2021-10-06

Systemic reaction (other): Abdominal cramping likely diverticulitis, per tele-health consultation

2021-10-07

Systemic reaction (other): Diverticulitis

2021-10-08

Systemic reaction (other): On antibiotics for diverticulitis

2021-10-09

Systemic reaction (other): I believe this is a reaction to diverticulitis antibiotics.

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	Abdominal discomfort	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SRO	Abdominal pain	·	·	✓
SRO	Adverse drug reaction	·	·	✓
SRO	Diverticulitis	·	·	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Telemedicine	·	·	✓
SRO	Throat irritation	✓	✓	✓

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