5FZ-26568-48945

5 vaccinations 4 coded responses 45 check-ins 4 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 895 / NV
Registered: 2021-01-19

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Registered dependents

Q7L-17539-06057 Child or adolescent in my care · Female · 2021-08-12

Timeline

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

2021-01-19
Registered in v-safe
2021-01-19
Dose 1 — Pfizer-BioNTech
2021-01-19
Health check-in — day 0, dose 1
Feeling: Good · Site: Itching · Fatigue or tiredness, Nausea

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-01-28
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-09
Dose 2 — Pfizer-BioNTech
2021-02-09
Health check-in — day 0, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Nausea, Abdominal pain

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-12
Survey response — 6 months, dose 2
MedDRA: Fibrocystic breast disease, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Fibrocystic breast · Healthcare visit (other): breast health center

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-12
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-17
Call 1 — Left Voicemail
2021-09-27
Dose 3 — Pfizer-BioNTech
2021-09-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-04
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-11
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-27
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-28
Survey response — 6 months, dose 3
MedDRA: Malaise — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Our whole household had COVID symptoms in January and all of us are vaccinated. Only one, the youngest tested positive.

MedDRA releases: 2024-11 · check-in free text available
2022-06-03
Dose 4 — Pfizer-BioNTech
2022-09-27
Survey response — 12 months, dose 3
MedDRA: Abdominal mass, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Lump in abdomen. · Healthcare visit (other): Upcoming appointment

MedDRA releases: 2024-11 · check-in free text available
2022-09-27
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-09-28
Call successful
Not applicable - Accidental Reporting
2022-09-28
Call successful
Not applicable - Accidental Reporting
2022-12-27
Dose 5 — Pfizer-BioNTech
Co-administered: Other
2022-12-27
Survey response — day 0, dose 5
MedDRA: Dizziness — Feeling: Fair · Site: Itching · Fatigue or tiredness, Nausea

Free text: Dizziness

MedDRA releases: 2024-11 · check-in free text available
2022-12-28
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Itching · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-12-29
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Itching · None

Adult check-in
2022-12-30
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2023-01-02
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2023-01-03
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2023-01-11
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2023-01-17
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2023-01-24
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2023-01-31
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2023-02-07
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-19	Pfizer-BioNTech
2	2021-02-09	Pfizer-BioNTech
3	2021-09-27	Pfizer-BioNTech	No
4	2022-06-03	Pfizer-BioNTech	No
5	2022-12-27	Pfizer-BioNTech	Other

Call center

Reported	Outcome	VAERS-related outcome
2021-08-12	Successful 2022-09-28	Not applicable - Accidental Reporting
2022-09-27	Successful 2022-09-28	Not applicable - Accidental Reporting

Free text

Release 9 — 6 months, dose 2

2021-08-12

Symptoms: Fibrocystic breast

Healthcare visit (other): breast health center

Release 11 — 6 months, dose 3

2022-03-28

Symptoms: Our whole household had COVID symptoms in January and all of us are vaccinated. Only one, the youngest tested positive.

Release 12 — 12 months, dose 3

2022-09-27

Symptoms: Lump in abdomen.

Healthcare visit (other): Upcoming appointment

Release 12 — day 0, dose 5

2022-12-27

Systemic reaction (other): Dizziness

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	Office visit	✓	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Abdominal mass	·	·	✓
SD	Fibrocystic breast disease	✓	·	✓
SD	Malaise	·	·	✓
SRO	Dizziness	·	·	✓

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