6VQ-11059-34641

4 vaccinations 4 coded responses 32 check-ins 4 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 221 / VA
Registered: 2021-04-20

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

2021-03-31
Dose 1 — Pfizer-BioNTech
2021-04-20
Registered in v-safe
2021-04-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-21
Dose 2 — Pfizer-BioNTech
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Nasal congestion — Feeling: Good · Headache

Free text: Stuffy nose, allergies??

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-28
Survey response — day 35, dose 2
MedDRA: Bowel movement irregularity, Emergency care, Faeces soft, Gastroenteritis viral, Gastrointestinal viral infection, Pyrexia, SARS-CoV-2 test negative, Vomiting — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Repeated vomiting and urgent soft stool, followed by 102.1 fever. Stomach-intestinal virus confirmed by Emergency room support care, negative Rapid Covid-19 test and bloodwork

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-21
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-10-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-10-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-10-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-10-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-10-27
Survey response — days 1–6 daily, dose 3
MedDRA: Paranasal sinus hypersecretion, Pre-existing disease, Self-medication — Feeling: Good

Free text: Some increase sinus drainage past 3 days ( have year round allergies- take Allegra and use Nasonex spray

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-04
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-11
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-18
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-25
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-02
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-20
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-02-16
Call 1 — Left Voicemail
2022-02-16
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-21
Survey response — 6 months, dose 3
MedDRA: Influenza like illness, Pyrexia, SARS-CoV-2 test positive, Wheezing — Feeling: Poor · Be unable to do your normal daily activities

Free text: Definite Positive Covid-19 home test. Flu like symptoms with 101-103 fever Tuesday and Wednesday. Now wheezy chest

MedDRA releases: 2024-11 · check-in free text available
2022-09-08
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-09-24
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-09-29
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-06
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-13
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-22
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-08
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Pfizer-BioNTech
2	2021-04-21	Pfizer-BioNTech
3	2021-10-21	Pfizer-BioNTech	Flu
4	2022-09-08	Pfizer-BioNTech	Flu

Call center

1 call center case

1 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): Stuffy nose, allergies??

Release 8 — day 35, dose 2

2021-05-28

Symptoms: Repeated vomiting and urgent soft stool, followed by 102.1 fever. Stomach-intestinal virus confirmed by Emergency room support care, negative Rapid Covid-19 test and bloodwork

Release 10 — days 1–6 daily, dose 3

2021-10-27

Systemic reaction (other): Some increase sinus drainage past 3 days ( have year round allergies- take Allegra and use Nasonex spray

Release 11 — 6 months, dose 3

2022-04-21

Symptoms: Definite Positive Covid-19 home test. Flu like symptoms with 101-103 fever Tuesday and Wednesday. Now wheezy chest

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	Bowel movement irregularity	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Faeces soft	✓	✓	✓
SD	Gastroenteritis viral	✓	✓	✓
SD	Gastrointestinal viral infection	✓	✓	✓
SD	Influenza like illness	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Vomiting	✓	✓	✓
SD	Wheezing	·	·	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Paranasal sinus hypersecretion	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Self-medication	·	·	✓

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