4VK-30417-16569

3 vaccinations 13 coded responses 34 check-ins 13 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 731 / OK
Registered: 2021-03-16

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

2021-03-16
Registered in v-safe
2021-03-16
Dose 1 — Pfizer-BioNTech
2021-03-16
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Redness · Headache

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia — Feeling: Good · Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Insomnia two days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-03-23
Survey response — day 7, dose 1
MedDRA: Cough — Feeling: Good

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-06
Dose 2 — Pfizer-BioNTech
2021-04-06
Survey response — day 0, dose 2
MedDRA: Injection site hypoaesthesia — Feeling: Good · Site: Pain

Free text: Numbness in upper arm area near vaccine site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Diarrhea

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fever · Headache, Diarrhea, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Nausea

Adult check-in
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Nausea

Free text: Reflux, indigestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — day 7, dose 2
MedDRA: Gastrooesophageal reflux disease — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Reflux

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Pregnancy registry survey
Pregnant at time of vaccination · Yes, I would like someone to contact me
2021-04-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-12
Survey response — day 35, dose 2
MedDRA: Insomnia, Oxygen saturation decreased, Respiratory tract congestion, Wheezing — Feeling: Good

Free text: I had several days of congestion and wheezing with lower oxygen levels according to my Fitbit. Occasional sleep problems.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Survey response — day 42, dose 2
MedDRA: Diarrhoea, Fatigue, Insomnia, Nausea — Feeling: Good · Be unable to do your normal daily activities

Free text: Diarrhea, nausea, fatigue, insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-06
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Hypersensitivity, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Sensitivity to allergens to the point of needing a rescue inhaler,but not daily. Joint pain that is out of the ordinary.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-06
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-09
Call successful
Participant prefers to complete VAERS report online
2021-10-05
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-01-12
Dose 3 — Pfizer-BioNTech
2022-01-12
Survey response — day 0, dose 3
MedDRA: Feeling hot — Feeling: Good · Site: Pain, Itching · Fever · Muscle or body aches, Fatigue or tiredness

Free text: Feverish,no fever

MedDRA releases: 2024-11 · check-in free text available
2022-01-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2022-01-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-15
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2022-01-18
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site pain — Feeling: Good

Free text: Pain at different non Covid injection site,r arm

MedDRA releases: 2024-11 · check-in free text available
2022-01-26
Survey response — day 14, dose 3
MedDRA: Asthma, Cough, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Daily asthma attacks for a little less than a week. Went to Dr for 4 hour cough episode. Received steroid and cough capsules.

MedDRA releases: 2024-11 · check-in free text available
2022-01-26
Report sent to call center — day 14, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-27
Call 1 — Could Not Reach Participant
2022-02-01
Call 2 — Could Not Reach Participant
2022-02-01
Callback requested for
2022-02-02
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-09
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-16
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-23
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-13
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-15
Survey response — 6 months, dose 3
MedDRA: Unevaluable event — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Possible small lung infection

MedDRA releases: 2024-11 · check-in free text available
2022-07-15
Report sent to call center — 6 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

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
2022-07-18
Call successful
Does not wish to fill out VAERS report
2022-07-18
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Pfizer-BioNTech
2	2021-04-06	Pfizer-BioNTech
3	2022-01-12	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): Insomnia two days

Release 6 — day 7, dose 1

2021-03-23

Systemic reaction (other): Cough

Release 7 — day 0, dose 2

2021-04-06

Systemic reaction (other): Numbness in upper arm area near vaccine site

Release 7 — days 1–6 daily, dose 2

2021-04-12

Systemic reaction (other): Reflux, indigestion

Release 7 — day 7, dose 2

2021-04-13

Systemic reaction (other): Reflux

Release 8 — day 35, dose 2

2021-05-12

Symptoms: I had several days of congestion and wheezing with lower oxygen levels according to my Fitbit. Occasional sleep problems.

Release 8 — day 42, dose 2

2021-05-18

Symptoms: Diarrhea, nausea, fatigue, insomnia

Release 9 — 3 months, dose 2

2021-07-06

Symptoms: Sensitivity to allergens to the point of needing a rescue inhaler,but not daily. Joint pain that is out of the ordinary.

Release 10 — day 0, dose 3

2022-01-12

Systemic reaction (other): Feverish,no fever

Release 10 — days 1–6 daily, dose 3

2022-01-15

Systemic reaction (other): Swollen lymph nodes

2022-01-18

Systemic reaction (other): Pain at different non Covid injection site,r arm

Release 11 — day 14, dose 3

2022-01-26

Symptoms: Daily asthma attacks for a little less than a week. Went to Dr for 4 hour cough episode. Received steroid and cough capsules.

Release 12 — 6 months, dose 3

2022-07-15

Symptoms: Possible small lung 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	Arthralgia	✓	✓	✓
SD	Asthma	·	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Office visit	·	·	✓
SD	Oxygen saturation decreased	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Unevaluable event	·	·	✓
SD	Wheezing	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Feeling hot	·	·	✓
SRO	Gastrooesophageal reflux disease	✓	✓	✓
SRO	Injection site hypoaesthesia	✓	✓	✓
SRO	Injection site pain	·	·	✓
SRO	Insomnia	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Unevaluable event	✓	✓	✓

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