5E4-98235-23818

4 vaccinations 12 coded responses 29 check-ins 11 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 346 / FL
Registered: 2021-02-15

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

2021-02-15
Registered in v-safe
2021-02-15
Dose 1 — Pfizer-BioNTech
2021-02-15
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-19
Survey response — days 1–6 daily, dose 1
MedDRA: Poor quality sleep — Feeling: Fair · Fatigue or tiredness

Free text: Didnt sleep well

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Fatigue or tiredness

Free text: May have UTI. I am Type 1 Diabetic and Kidney Transplant.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Survey response — days 1–6 daily, dose 1
MedDRA: Urinary tract infection — Feeling: Fair · Fatigue or tiredness

Free text: Probable UTI

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — day 7, dose 1
MedDRA: Urinary tract infection — Feeling: Fair · Fatigue or tiredness

Free text: Have UTI

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-19
Dose 2 — Pfizer-BioNTech
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Poor quality sleep — Feeling: Fair · Fatigue or tiredness

Free text: Not sleeping well

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Fatigue or tiredness

Free text: Due to other health issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Fatigue or tiredness

Free text: Other health issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — day 7, dose 2
MedDRA: Diarrhoea — Feeling: Fair · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Diarrhea- recently had C-diff

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-23
Survey response — day 35, dose 2
MedDRA: Pyrexia, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fever up to 101.8 starting late Monday. 99s the next day. No other symptoms. Tested negative. for Covid

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-18
Dose 3 — Pfizer-BioNTech
2021-09-17
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-02
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-21
Survey response — 3 months, dose 3
MedDRA: Cough, Fatigue, Hospitalisation, Metapneumovirus infection, Pre-existing disease, Rhinorrhoea — 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 · Emergency room or emergency department visit

Free text: HMPV Cough, runny nose, tired, I'm immunocompromised and ended up in hospital.. Treated symptoms

MedDRA releases: 2024-11 · check-in free text available
2021-11-21
Report sent to call center — 3 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

Emergency room or emergency department visit · 1 call case(s)
2021-11-22
Call successful
Does not wish to fill out VAERS report
2022-01-14
Dose 4 — Moderna
2022-02-16
Survey response — 6 months, dose 3
MedDRA: Adverse reaction, Fatigue, Unevaluable event, Upper-airway cough syndrome — 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 · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Allergy symptoms including some post nasal drip. Fatigue · Healthcare visit (other): Monoclonal antibody infusion

MedDRA releases: 2024-11 · check-in free text available
2022-02-16
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 · 1 call case(s)
2022-02-17
Call successful
Does not wish to fill out VAERS report
2022-04-17
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-07-15
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-01-16
Survey response — 12 months, dose 4
MedDRA: Influenza — 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 · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-01-16
Report sent to call center — 12 months, dose 4
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)
2023-01-17
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	2021-02-15	Pfizer-BioNTech
2	2021-03-19	Pfizer-BioNTech
3	2021-08-18	Pfizer-BioNTech	No
4	2022-01-14	Moderna	No

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-19

Systemic reaction (other): Didnt sleep well

2021-02-20

Systemic reaction (other): May have UTI. I am Type 1 Diabetic and Kidney Transplant.

2021-02-21

Systemic reaction (other): Probable UTI

Release 4 — day 7, dose 1

2021-02-22

Systemic reaction (other): Have UTI

Release 6 — days 1–6 daily, dose 2

2021-03-23

Systemic reaction (other): Not sleeping well

2021-03-24

Systemic reaction (other): Due to other health issues

2021-03-25

Systemic reaction (other): Other health issues

Release 6 — day 7, dose 2

2021-03-26

Systemic reaction (other): Diarrhea- recently had C-diff

Release 7 — day 35, dose 2

2021-04-23

Symptoms: Fever up to 101.8 starting late Monday. 99s the next day. No other symptoms. Tested negative. for Covid

Release 10 — 3 months, dose 3

2021-11-21

Symptoms: HMPV Cough, runny nose, tired, I'm immunocompromised and ended up in hospital.. Treated symptoms

Release 11 — 6 months, dose 3

2022-02-16

Symptoms: Allergy symptoms including some post nasal drip. Fatigue

Healthcare visit (other): Monoclonal antibody infusion

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	Adverse reaction	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Hospitalisation	·	·	✓
SD	Influenza	·	·	✓
SD	Metapneumovirus infection	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Upper-airway cough syndrome	·	·	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Poor quality sleep	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓
SRO	Urinary tract infection	✓	✓	✓

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