4RZ-25210-71231

3 vaccinations 10 coded responses 28 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 743 / OK
Registered: 2020-12-29

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

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

2020-12-29
Registered in v-safe
2020-12-29
Dose 1 — Pfizer-BioNTech
2020-12-29
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

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

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-06
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-12
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-01-19
Dose 2 — Pfizer-BioNTech
2021-01-19
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-20
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-23
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Rhinorrhoea — Feeling: Good

Free text: Cough, runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-02
Survey response — day 14, dose 2
MedDRA: Oropharyngeal pain, Paranasal sinus discomfort — Feeling: Fair

Free text: Sore throat, sinus pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-18
Survey response — day 28, dose 2
MedDRA: Cough, Headache, Nasal congestion, Respiratory tract congestion — Feeling: Fair

Free text: Headache, stuffy nose, congested cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — day 42, dose 2
MedDRA: Abdominal discomfort — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: I got a stomach bug.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — 3 months, dose 2
MedDRA: Chest discomfort, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair

Free text: Sore throatChest heaviness/congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-03
Dose 3 — Pfizer-BioNTech
2021-09-29
Survey response — day 21, dose 3
MedDRA: Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Leg pain behind knee

MedDRA releases: 2024-11 · check-in free text available
2021-09-29
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-01
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-01
Call 1 — Left Voicemail
2021-10-08
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-15
Survey response — day 42, dose 3
MedDRA: Dyspnoea, Panic attack — Feeling: Good

Free text: Shortness of breath, panic attack feeling

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Survey response — 3 months, dose 3
MedDRA: Bronchitis, Chest pain, Dyspnoea, Respiratory tract congestion — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Chest pain, SOB, congested Been treated for bronchitis

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-06
Call 1 — Left Voicemail
2022-03-04
Survey response — 6 months, dose 3
MedDRA: Chest pain — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Severe chest pain

MedDRA releases: 2024-11 · check-in free text available
2022-09-03
Survey response — 12 months, dose 3
MedDRA: COVID-19, Dyspnoea, Muscle spasms — 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 · Outpatient clinic or urgent care clinic visit

Free text: Got COVID, now have chronic SOB and leg cramps

MedDRA releases: 2024-11 · check-in free text available
2022-09-03
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-06
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-06
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-06
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Pfizer-BioNTech
2	2021-01-19	Pfizer-BioNTech
3	2021-09-03	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-09-29	Successful 2022-09-06	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-12-03	Successful 2022-09-06	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-03	Successful 2022-09-06	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 2 — days 1–6 daily, dose 2

2021-01-23

Systemic reaction (other): Cough, runny nose

Release 3 — day 14, dose 2

2021-02-02

Symptoms: Sore throat, sinus pressure

Release 4 — day 28, dose 2

2021-02-18

Symptoms: Headache, stuffy nose, congested cough

Release 4 — day 42, dose 2

2021-03-02

Symptoms: I got a stomach bug.

Release 7 — 3 months, dose 2

2021-04-20

Symptoms: Sore throatChest heaviness/congestion

Release 9 — day 21, dose 3

2021-09-29

Symptoms: Leg pain behind knee

Release 10 — day 42, dose 3

2021-10-15

Symptoms: Shortness of breath, panic attack feeling

Release 10 — 3 months, dose 3

2021-12-03

Symptoms: Chest pain, SOB, congested Been treated for bronchitis

Release 11 — 6 months, dose 3

2022-03-04

Symptoms: Severe chest pain

Release 12 — 12 months, dose 3

2022-09-03

Symptoms: Got COVID, now have chronic SOB and leg cramps

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	Bronchitis	·	·	✓
SD	Chest discomfort	✓	✓	✓
SD	Chest pain	·	·	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Headache	✓	✓	✓
SD	Muscle spasms	·	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Panic attack	·	·	✓
SD	Paranasal sinus discomfort	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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