4DY-18278-06083

4 vaccinations 8 coded responses 40 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 220 / VA
Registered: 2021-01-31

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

2021-01-30
Dose 1 — Pfizer-BioNTech
2021-01-31
Registered in v-safe
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache · Be unable to do your normal daily activities

Adult check-in
2021-02-02
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain — Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Chest not feeling great

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-06
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-21
Dose 2 — Pfizer-BioNTech
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Joint pains, Fatigue or tiredness

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-02-28
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-28
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-23
Survey response — 6 months, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Added 1 meds for ny heart, Ranexa and increased the lipitor. Also heart catheization. No problem.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-23
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-31
Call 1 — Left Voicemail
2021-09-29
Dose 3 — Pfizer-BioNTech
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Fever · Chills, Fatigue or tiredness

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-10-11
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-20
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-10-27
Survey response — day 28, dose 3
MedDRA: Headache — Feeling: Fair

Free text: Headache for 2 days.

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Survey response — day 35, dose 3
MedDRA: Abdominal discomfort — Feeling: Good

Free text: Upset stomach for about 3 days. Not sure if it was something I ate or ? Feeling better today.

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-29
Survey response — 3 months, dose 3
MedDRA: Tinnitus — Feeling: Good

Free text: My ears are ringing. Have not noticed before.

MedDRA releases: 2024-11 · check-in free text available
2022-03-30
Survey response — 6 months, dose 3
MedDRA: Lymphoma — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Lymphoma in my neck Will do radiation soon.

MedDRA releases: 2024-11 · check-in free text available
2022-03-30
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-31
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-04-02
Dose 4 — Pfizer-BioNTech
2022-04-15
Health check-in — day 7, dose 4
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2022-04-21
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-04-24
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-09
Survey response — day 35, dose 4
MedDRA: Pain in extremity — Feeling: Fair

Free text: My left arm aches

MedDRA releases: 2024-11 · check-in free text available
2022-05-17
Survey response — day 42, dose 4
MedDRA: Lymphoma, Radiotherapy, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Radiation for lymphomia in my throat for 12 sessions · Healthcare visit (other): Will check in with the radiologist today

MedDRA releases: 2024-11 · check-in free text available
2022-05-17
Report sent to call center — day 42, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-18
Call successful
Participant prefers to complete VAERS report online
2022-07-03
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-30	Pfizer-BioNTech
2	2021-02-21	Pfizer-BioNTech
3	2021-09-29	Pfizer-BioNTech	No
4	2022-04-02	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-02

Systemic reaction (other): Chest not feeling great

Release 9 — 6 months, dose 2

2021-08-23

Symptoms: Added 1 meds for ny heart, Ranexa and increased the lipitor. Also heart catheization. No problem.

Release 10 — day 28, dose 3

2021-10-27

Symptoms: Headache for 2 days.

Release 10 — day 35, dose 3

2021-11-03

Symptoms: Upset stomach for about 3 days. Not sure if it was something I ate or ? Feeling better today.

Release 10 — 3 months, dose 3

2021-12-29

Symptoms: My ears are ringing. Have not noticed before.

Release 11 — 6 months, dose 3

2022-03-30

Symptoms: Lymphoma in my neck Will do radiation soon.

Release 11 — day 35, dose 4

2022-05-09

Symptoms: My left arm aches

Release 11 — day 42, dose 4

2022-05-17

Symptoms: Radiation for lymphomia in my throat for 12 sessions

Healthcare visit (other): Will check in with the radiologist today

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	Abdominal discomfort	·	·	✓
SD	Headache	·	·	✓
SD	Lymphoma	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Radiotherapy	·	·	✓
SD	Tinnitus	·	·	✓
SD	Unevaluable event	✓	·	✓
SRO	Chest pain	✓	✓	✓

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