4Q6-23297-15653

3 vaccinations 12 coded responses 30 check-ins 12 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 235 / VA
Registered: 2021-03-03

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

2021-03-03
Registered in v-safe
2021-03-04
Dose 1 — Pfizer-BioNTech
2021-03-04
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Immunisation reaction — Feeling: Good · Site: Pain · Headache

Free text: Covid mouth like I had when I had COVID

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: COVID-19, Taste disorder — Feeling: Good

Free text: My mouth taste terrible like it did with COVID

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

Free text: Mouth issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Immunisation reaction — Feeling: Good · Headache, Fatigue or tiredness

Free text: Covid mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-25
Dose 2 — Pfizer-BioNTech
2021-03-25
Health check-in — day 0, dose 2
Feeling: Good · None

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

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Hordeolum — Feeling: Good · Site: Pain

Free text: Have stye in my eye

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Hordeolum — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Stye in my eye

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Discharge, Ocular hyperaemia — Feeling: Good · Site: Pain

Free text: Eye redness , discharge

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-01
Survey response — day 7, dose 2
MedDRA: Eye pruritus, Ocular hyperaemia — Feeling: Good · Site: Pain

Free text: Eye redness , itchy ,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-22
Survey response — day 28, dose 2
MedDRA: Office visit, Pulmonary oedema — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Fluid in my lungs around my lungs . · Healthcare visit (other): X-ray doctor office

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

1 call case(s)
2021-04-29
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-08
Survey response — day 42, dose 2
MedDRA: Pneumonia, Viral infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Viral infection infection kin lungs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-16
Dose 3 — Pfizer-BioNTech
2021-09-23
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-08
Survey response — day 21, dose 3
MedDRA: Decreased appetite, Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches, tired , no appetite

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-28
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-12-16
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-01
Call successful
Does not wish to fill out VAERS report
2022-03-17
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-09-16
Survey response — 12 months, dose 3
MedDRA: Neuropathy peripheral, Pre-existing disease, Surgery — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Neuropathy in elbow had surgery to fill in. And heal skin I am disabled and am high risk . So I check the box that I don't work .

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Pfizer-BioNTech
2	2021-03-25	Pfizer-BioNTech
3	2021-09-16	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): Covid mouth like I had when I had COVID

2021-03-08

Systemic reaction (other): My mouth taste terrible like it did with COVID

2021-03-09

Systemic reaction (other): Mouth issues

2021-03-10

Systemic reaction (other): Covid mouth

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): Have stye in my eye

2021-03-28

Systemic reaction (other): Stye in my eye

2021-03-29

Systemic reaction (other): Eye redness , discharge

Release 6 — day 7, dose 2

2021-04-01

Systemic reaction (other): Eye redness , itchy ,

Release 7 — day 28, dose 2

2021-04-22

Symptoms: Fluid in my lungs around my lungs .

Healthcare visit (other): X-ray doctor office

Release 8 — day 42, dose 2

2021-05-08

Symptoms: Viral infection infection kin lungs

Release 10 — day 21, dose 3

2021-10-08

Symptoms: Headaches, tired , no appetite

Release 12 — 12 months, dose 3

2022-09-16

Symptoms: Neuropathy in elbow had surgery to fill in. And heal skin I am disabled and am high risk . So I check the box that I don't work .

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	✓	✓	✓
SD	Decreased appetite	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Neuropathy peripheral	·	·	✓
SD	Pneumonia	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Pulmonary oedema	✓	✓	✓
SD	Surgery	·	·	✓
SD	Viral infection	✓	✓	✓
SRO	COVID-19	·	·	✓
SRO	Discharge	✓	✓	✓
SRO	Eye pruritus	✓	✓	✓
SRO	Hordeolum	✓	✓	✓
SRO	Immunisation reaction	✓	✓	✓
SRO	Ocular hyperaemia	✓	✓	✓
SRO	Stomatitis	✓	✓	✓
SRO	Taste disorder	✓	✓	✓

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