5FA-27798-13776

4 vaccinations 9 coded responses 43 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 057 / VT
Registered: 2021-05-04

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

2021-05-03
Dose 1 — Pfizer-BioNTech
2021-05-04
Registered in v-safe
2021-05-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-05
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-10
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-05-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-24
Dose 2 — Pfizer-BioNTech
2021-05-24
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-05-25
Survey response — days 1–6 daily, dose 2
MedDRA: Limb discomfort, Pain in extremity — Feeling: Fair · Site: Pain · Joint pains

Free text: entire arm felt heavy and sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-28
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-05-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-05-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-05-31
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-28
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-25
Survey response — 3 months, dose 2
MedDRA: Vaccination site pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: My arm has been very sore at the vaccine sight for the past week or more. Moving it or touching it has been bothersome

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-22
Survey response — 6 months, dose 2
MedDRA: Headache, Nasal congestion — Feeling: Good · Be unable to work or attend school

Free text: nasal congestion that never goes away along with frequent headaches

MedDRA releases: 2024-11 · check-in free text available
2022-05-24
Survey response — 12 months, dose 2
MedDRA: COVID-19, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: perpetual sinus infection in left side only since being diagnosed with Covid in January 2022. My symptoms during covid were mild but I developed a sinus infection that I just recently got rid of. This was after 2 rounds of antibiotics and a Medrol p

MedDRA releases: 2024-11 · check-in free text available
2022-05-24
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-25
Call 1 — Requested Callback
2022-06-01
Callback requested for
11:30AM ET
2022-06-01
Call successful
Completed over the phone
2022-07-08
Dose 3 — Moderna
2022-07-08
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2022-07-09
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-07-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-07-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache · Be unable to do your normal daily activities

Adult check-in
2022-07-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-07-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-07-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-07-15
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-07-22
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-07-29
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-08-06
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-08-12
Survey response — day 35, dose 3
MedDRA: Abscess drainage, Paranasal sinus abscess, Sinonasal obstruction, Sinus operation, Surgery — 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

Free text: Symptoms: I recently had sinus surgery to relieve an absess of puss that had sealed my left maxilary sinus from draining . · Healthcare visit (other): surgical

MedDRA releases: 2024-11 · check-in free text available
2022-08-12
Report sent to call center — day 35, 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)
2022-08-15
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-08-19
Survey response — day 42, dose 3
MedDRA: Nausea, Retching — Feeling: Fair

Free text: nausea dry heaving

MedDRA releases: 2024-11 · check-in free text available
2022-10-07
Survey response — 3 months, dose 3
MedDRA: Fatigue, Impaired work ability, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school

Free text: I tested positive for Covid again on 9/22/22 and was out of work for a week. I still tire easily but am feeling better

MedDRA releases: 2024-11 · check-in free text available
2022-11-17
Dose 4 — Moderna
2022-12-08
Survey response — day 21, dose 4
MedDRA: Spondylitis — Feeling: Good

Free text: arthritis in my back but nothing else

MedDRA releases: 2024-11 · check-in free text available
2022-12-15
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-12-22
Survey response — day 35, dose 4
MedDRA: Headache, Throat irritation — Feeling: Fair

Free text: headache and scratchy throat that started today. Was exposed to several people in office who have tested positive in the past 2 days

MedDRA releases: 2024-11 · check-in free text available
2022-12-29
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-02-16
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-05-18
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-03	Pfizer-BioNTech
2	2021-05-24	Pfizer-BioNTech
3	2022-07-08	Moderna	No
4	2022-11-17	Moderna	No

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-25

Systemic reaction (other): entire arm felt heavy and sore

Release 9 — 3 months, dose 2

2021-08-25

Symptoms: My arm has been very sore at the vaccine sight for the past week or more. Moving it or touching it has been bothersome

Release 10 — 6 months, dose 2

2021-11-22

Symptoms: nasal congestion that never goes away along with frequent headaches

Release 11 — 12 months, dose 2

2022-05-24

Symptoms: perpetual sinus infection in left side only since being diagnosed with Covid in January 2022. My symptoms during covid were mild but I developed a sinus infection that I just recently got rid of. This was after 2 rounds of antibiotics and a Medrol p cut off by CDC

Release 12 — day 35, dose 3

2022-08-12

Symptoms: I recently had sinus surgery to relieve an absess of puss that had sealed my left maxilary sinus from draining .

Healthcare visit (other): surgical

Release 12 — day 42, dose 3

2022-08-19

Symptoms: nausea dry heaving

Release 12 — 3 months, dose 3

2022-10-07

Symptoms: I tested positive for Covid again on 9/22/22 and was out of work for a week. I still tire easily but am feeling better

Release 12 — day 21, dose 4

2022-12-08

Symptoms: arthritis in my back but nothing else

Release 12 — day 35, dose 4

2022-12-22

Symptoms: headache and scratchy throat that started today. Was exposed to several people in office who have tested positive in the past 2 days

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	Surgery	·	·	✓
SD	Abscess drainage	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Impaired work ability	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nausea	·	·	✓
SD	Paranasal sinus abscess	·	·	✓
SD	Retching	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sinonasal obstruction	·	·	✓
SD	Sinus operation	·	·	✓
SD	Sinusitis	·	·	✓
SD	Spondylitis	·	·	✓
SD	Throat irritation	·	·	✓
SD	Vaccination site pain	✓	·	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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