6TH-10202-53666

4 vaccinations 5 coded responses 33 check-ins 4 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 956 / CA
Registered: 2021-01-26

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

2021-01-26
Registered in v-safe
2021-01-26
Dose 1 — Pfizer-BioNTech
2021-01-26
Survey response — day 0, dose 1
MedDRA: Gastrooesophageal reflux disease — Feeling: Good · Site: Pain · Headache

Free text: Acid reflux

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Nausea

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-02
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Survey response — day 14, dose 1
MedDRA: Nausea, Office visit, Pain, SARS-CoV-2 test, SARS-CoV-2 test negative — Feeling: Good · Be unable to work, 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: Felt pretty sick with nausea, headache and body aches on Feb. 4 to Feb. 6th. (Day 9 after vac) Unable to work due to symptoms. I took a Covid test to rule out and tested negative. Nausea resembled nausea felt first 3 days after vaccine, only worse. · Healthcare visit (other): Went urgent care to get Covid test

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-16
Dose 2 — Pfizer-BioNTech
2021-02-23
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-17
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-08-17
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-17
Dose 3 — Pfizer-BioNTech
2022-02-16
Survey response — 12 months, dose 2
MedDRA: Cough, Exposure to SARS-CoV-2, Headache, Malaise, Oropharyngeal pain, Pain, Pyrexia, SARS-CoV-2 test negative — 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: Cough, fever, body aches, sore throat, headache. Sick for about 6 days. Family members in home tested positive for Covid, but I tested negative.

MedDRA releases: 2024-11 · check-in free text available
2022-02-16
Report sent to call center — 12 months, dose 2
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)
2022-02-17
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-20
Dose 4 — Pfizer-BioNTech
2022-04-20
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-04-21
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Redness, Swelling · Muscle or body aches

Adult check-in
2022-04-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2022-04-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2022-04-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness · Headache, Muscle or body aches

Adult check-in
2022-04-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-27
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-04
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-11
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-18
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-25
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-01
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-20
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-19
Survey response — 6 months, dose 4
MedDRA: Brain fog, COVID-19, Malaise — 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: I got Covid and was sick for 20 days. I now suffer from Covid brain fog.

MedDRA releases: 2024-11 · check-in free text available
2022-10-19
Report sent to call center — 6 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-10-20
Call 1 — Left Voicemail
2022-10-21
Call successful
Participant prefers to complete VAERS report online
2023-04-20
Survey response — 12 months, dose 4
MedDRA: Brain fog — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Pfizer-BioNTech
2	2021-02-16	Pfizer-BioNTech
3	2021-10-17	Pfizer-BioNTech	No
4	2022-04-20	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-26

Systemic reaction (other): Acid reflux

Release 3 — day 14, dose 1

2021-02-09

Symptoms: Felt pretty sick with nausea, headache and body aches on Feb. 4 to Feb. 6th. (Day 9 after vac) Unable to work due to symptoms. I took a Covid test to rule out and tested negative. Nausea resembled nausea felt first 3 days after vaccine, only worse. cut off by CDC

Healthcare visit (other): Went urgent care to get Covid test

Release 11 — 12 months, dose 2

2022-02-16

Symptoms: Cough, fever, body aches, sore throat, headache. Sick for about 6 days. Family members in home tested positive for Covid, but I tested negative.

Release 12 — 6 months, dose 4

2022-10-19

Symptoms: I got Covid and was sick for 20 days. I now suffer from Covid brain fog.

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	SARS-CoV-2 test	✓	✓	✓
SD	Brain fog	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Headache	·	·	✓
SD	Malaise	·	·	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SRO	Gastrooesophageal reflux disease	✓	✓	✓

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