4H3-12803-67962

3 vaccinations 15 coded responses 33 check-ins 15 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 070 / NJ
Registered: 2021-04-04

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

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

2021-04-03
Dose 1 — Pfizer-BioNTech
2021-04-04
Registered in v-safe
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Constipation — Feeling: Good

Free text: constipation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Somnolence — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Feel sleepy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Abdominal pain

Adult check-in
2021-04-10
Health check-in — day 7, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-04-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-24
Dose 2 — Pfizer-BioNTech
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Pharyngitis — Feeling: Good

Free text: Coughing & throat itching maybe because the allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea, Abdominal pain

Adult check-in
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Hypersensitivity — Feeling: Good

Free text: Allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-05-01
Survey response — day 7, dose 2
MedDRA: Hypersensitivity — Feeling: Fair · Headache

Free text: Allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — day 14, dose 2
MedDRA: Balance disorder, Diarrhoea, Ear pain, Hypersensitivity, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Feel unbalanced, sinusitis, earache, diarrhea. Allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-15
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-22
Survey response — day 28, dose 2
MedDRA: Headache, Hypersensitivity, Pre-existing disease, Sinus disorder — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sinuses, light headache, allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-26
Survey response — 3 months, dose 2
MedDRA: Blood pressure increased, Chest pain, Emergency care, Headache, Medical observation, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Light headache every day, allergies, then my blood pressure when up, never had before, chest pain . That the doctor call the ambulance and stay in the hospital for observation . Take the nuclear stress test . Results (negative). Take pills for blood

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-26
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-29
Call 1 — Requested Callback
2021-07-29
Callback requested for
06:00PM ET
2021-07-29
Call successful
Does not wish to fill out VAERS report
2021-10-29
Dose 3 — Pfizer-BioNTech
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-11-02
Survey response — days 1–6 daily, dose 3
MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain · Headache, Joint pains

Free text: Running nose

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches

Free text: Running nose

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Survey response — days 1–6 daily, dose 3
MedDRA: Rhinorrhoea, Sneezing — Feeling: Good · Muscle or body aches

Free text: Sneezing, running nose

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Survey response — day 7, dose 3
MedDRA: Lacrimation increased, Sneezing — Feeling: Fair · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: Sneezing , watery eye

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-26
Survey response — day 28, dose 3
MedDRA: Back pain, Cough, Lacrimation increased, Nasopharyngitis, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: cold, coughing, watery eyes, running nose, my back hurts ,,

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-10
Survey response — day 42, dose 3
MedDRA: Cough, Headache, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Running nose, light headache, coughing

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-10-29
Survey response — 12 months, dose 3
MedDRA: Cough, Headache, Respiratory tract infection — Feeling: Fair · Be unable to work or attend school

Free text: Cough, headache, respiratory infection

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-03	Pfizer-BioNTech
2	2021-04-24	Pfizer-BioNTech
3	2021-10-29	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-05

Systemic reaction (other): constipation

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): Feel sleepy

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): Coughing & throat itching maybe because the allergies

2021-04-29

Systemic reaction (other): Allergies

Release 8 — day 7, dose 2

2021-05-01

Systemic reaction (other): Allergies

Release 8 — day 14, dose 2

2021-05-08

Symptoms: Feel unbalanced, sinusitis, earache, diarrhea. Allergies

Release 8 — day 28, dose 2

2021-05-22

Symptoms: Sinuses, light headache, allergies

Release 9 — 3 months, dose 2

2021-07-26

Symptoms: Light headache every day, allergies, then my blood pressure when up, never had before, chest pain . That the doctor call the ambulance and stay in the hospital for observation . Take the nuclear stress test . Results (negative). Take pills for blood cut off by CDC

Release 10 — days 1–6 daily, dose 3

2021-11-02

Systemic reaction (other): Running nose

2021-11-03

Systemic reaction (other): Running nose

2021-11-04

Systemic reaction (other): Sneezing, running nose

Release 10 — day 7, dose 3

2021-11-05

Systemic reaction (other): Sneezing , watery eye

Release 10 — day 28, dose 3

2021-11-26

Symptoms: cold, coughing, watery eyes, running nose, my back hurts ,,

Release 10 — day 42, dose 3

2021-12-10

Symptoms: Running nose, light headache, coughing

Release 12 — 12 months, dose 3

2022-10-29

Symptoms: Cough, headache, respiratory infection

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	Back pain	·	·	✓
SD	Balance disorder	✓	✓	✓
SD	Blood pressure increased	✓	·	✓
SD	Chest pain	✓	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Emergency care	✓	·	✓
SD	Headache	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Lacrimation increased	·	·	✓
SD	Medical observation	✓	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Respiratory tract infection	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinus disorder	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SRO	Constipation	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Lacrimation increased	·	·	✓
SRO	Pharyngitis	✓	✓	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Sneezing	·	·	✓
SRO	Somnolence	✓	✓	✓

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