6W3-31301-26321

2 vaccinations 9 coded responses 23 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 606 / IL
Registered: 2021-08-26

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-08-26
Registered in v-safe
2021-08-26
Dose 1 — Pfizer-BioNTech
2021-08-26
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Nausea

Adult check-in
2021-08-27
Survey response — days 1–6 daily, dose 1
MedDRA: Head discomfort — Feeling: Fair · Site: Pain · Fever

Free text: Head heavy

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-08-29
Survey response — days 1–6 daily, dose 1
MedDRA: Hunger — Feeling: Fair · Fatigue or tiredness, Nausea

Free text: Hungry all the time

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-08-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Nausea

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

Adult check-in
2021-09-02
Health check-in — day 7, dose 1
Feeling: Fair · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-09-09
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-09-16
Dose 2 — Pfizer-BioNTech
2021-09-16
Survey response — day 0, dose 2
MedDRA: Heart rate increased, Nasopharyngitis, Tremor — Feeling: Poor · Fatigue or tiredness · Be unable to work or attend school

Free text: Rapid heart rate 175, cold, shaking

MedDRA releases: 2024-11 · check-in free text available
2021-09-17
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased, Unevaluable event — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · 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, Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): Heart rate 130 · Healthcare visit (other): EKG

MedDRA releases: 2024-11 · check-in free text available
2021-09-17
Report sent to call center — days 1–6 daily, 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

1 call case(s)
2021-09-18
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend school

Free text: Heart rate 130

MedDRA releases: 2024-11 · check-in free text available
2021-09-19
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased — Feeling: Fair · Fatigue or tiredness, Vomiting

Free text: Higher heart rate

MedDRA releases: 2024-11 · check-in free text available
2021-09-20
Call successful
Participant prefers to complete VAERS report online
2021-09-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2021-09-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-09-23
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2021-10-01
Survey response — day 14, dose 2
MedDRA: Insomnia — Feeling: Fair

Free text: Insomnia

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-10-14
Survey response — day 28, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-10-30
Survey response — day 42, dose 2
MedDRA: Asthenia, Headache, Heart rate increased, Nasal congestion, Oropharyngeal pain, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Running, stuffy nose, Sore throat, headache, weak and high heart rate(130 while standing)

MedDRA releases: 2024-11 · check-in free text available
2021-12-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-03-17
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-26	Pfizer-BioNTech	No
2	2021-09-16	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-09-17	Successful 2021-09-20	Participant prefers to complete VAERS report online

Free text

Release 9 — days 1–6 daily, dose 1

2021-08-27

Systemic reaction (other): Head heavy

2021-08-29

Systemic reaction (other): Hungry all the time

Release 9 — day 0, dose 2

2021-09-16

Systemic reaction (other): Rapid heart rate 175, cold, shaking

Release 9 — days 1–6 daily, dose 2

2021-09-17

Systemic reaction (other): Heart rate 130

Healthcare visit (other): EKG

2021-09-18

Systemic reaction (other): Heart rate 130

2021-09-19

Systemic reaction (other): Higher heart rate

Release 9 — day 14, dose 2

2021-10-01

Symptoms: Insomnia

Release 10 — day 28, dose 2

2021-10-14

Symptoms: Fatigue

Release 10 — day 42, dose 2

2021-10-30

Symptoms: Running, stuffy nose, Sore throat, headache, weak and high heart rate(130 while standing)

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	Unevaluable event	·	·	✓
SD	Asthenia	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Insomnia	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Head discomfort	✓	·	✓
SRO	Heart rate increased	·	·	✓
SRO	Hunger	✓	·	✓
SRO	Nasopharyngitis	·	·	✓
SRO	Tremor	·	·	✓

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