5EP-12903-82575

3 vaccinations 7 coded responses 33 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 337 / FL
Registered: 2021-01-06

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

2021-01-06
Registered in v-safe
2021-01-06
Dose 1 — Pfizer-BioNTech
2021-01-06
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-15
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Survey response — day 14, dose 1
MedDRA: Diarrhoea, Nausea — Feeling: Good

Free text: Nausea and slight diarrhea for 2 evenings, not sure if from what I ate.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Dose 2 — Pfizer-BioNTech
2021-01-26
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Nausea

Adult check-in
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease, Unevaluable event — Feeling: Good · Headache, Nausea

Free text: I sometimes have these symptoms occasionally because of migraines.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches, Nausea

Adult check-in
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Headache

Free text: Slight dizziness earlier

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-02
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · Abdominal pain

Adult check-in
2021-02-09
Survey response — day 14, dose 2
MedDRA: Abdominal pain upper — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Stomach pains

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-23
Survey response — day 28, dose 2
MedDRA: Breast pain — Feeling: Good

Free text: A rash on my breast , hasnt spread, size of a half dollar, doesnt bother me. Non fasting blood tests show high calcium and bilirubin and 104 sugar.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — day 35, dose 2
MedDRA: Feeling abnormal — Feeling: Fair

Free text: Just feeling off .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-16
Call successful
Does not wish to fill out VAERS report
2021-07-27
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-01
Dose 3 — Pfizer-BioNTech
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-08
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-15
Survey response — day 14, dose 3
MedDRA: Feeling abnormal, Nausea — Feeling: Fair

Free text: Just feeling off like I'm coming down with something, slightly nauseous yesterday, better today.

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-29
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-05
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-31
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-01
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Pfizer-BioNTech
2	2021-01-26	Pfizer-BioNTech
3	2021-10-01	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-22

Symptoms: Nausea and slight diarrhea for 2 evenings, not sure if from what I ate.

Release 2 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): I sometimes have these symptoms occasionally because of migraines.

Release 3 — days 1–6 daily, dose 2

2021-01-30

Systemic reaction (other): Slight dizziness earlier

Release 3 — day 14, dose 2

2021-02-09

Symptoms: Stomach pains

Release 4 — day 28, dose 2

2021-02-23

Symptoms: A rash on my breast , hasnt spread, size of a half dollar, doesnt bother me. Non fasting blood tests show high calcium and bilirubin and 104 sugar.

Release 4 — day 35, dose 2

2021-03-02

Symptoms: Just feeling off .

Release 10 — day 14, dose 3

2021-10-15

Symptoms: Just feeling off like I'm coming down with something, slightly nauseous yesterday, better today.

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 pain upper	✓	✓	✓
SD	Breast pain	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Nausea	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	○	✓	○

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