6WH-63332-69893

4 vaccinations 6 coded responses 31 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 040 / ME
Registered: 2021-03-07

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

2021-03-05
Dose 1 — Pfizer-BioNTech
2021-03-07
Registered in v-safe
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-26
Dose 2 — Pfizer-BioNTech
2021-03-26
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal distension, Flatulence — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Gassy & Bloated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Inhalation therapy — Feeling: Good

Free text: Since 3/28 I have had to use my inhalers. I use them only 1-2x/year. I didnt mention it b/c I thought it may be allergies . But just in case it is a side effect, I figured I would report it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — day 7, dose 2
MedDRA: Cough, Pre-existing disease — Feeling: Good

Free text: Still have asthmatic cough - but its better today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-07
Survey response — day 42, dose 2
MedDRA: Cough, Pre-existing disease, Pyrexia, Rhinorrhoea, SARS-CoV-2 test negative, Throat irritation, Upper respiratory tract infection — Feeling: Poor · 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: I caught a URI from my grandson this past Sunday. Covid 19 negative. Started with scratchy throat Sunday, then runny nose Mon-Wed. Cough started on Wed and worsened. Fever Thur 101.9. Went to Drs today - Zpak & prednisone w/my inhalers. Asthma

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-25
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-15
Dose 3 — Pfizer-BioNTech
2022-03-28
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-18
Call successful
Participant prefers to complete VAERS report online
2022-11-10
Dose 4 — Pfizer-BioNTech
2022-11-15
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in
2022-11-15
Survey response — days 1–6 daily, dose 4
MedDRA: Asthma, Pre-existing disease — Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Escalated Asthma response

MedDRA releases: 2024-11 · check-in free text available
2022-11-17
Survey response — day 7, dose 4
MedDRA: Asthma, Cough, Pre-existing disease — Feeling: Good

Free text: Asthma flare up from my Booster is a lot better. Minimal coughing

MedDRA releases: 2024-11 · check-in free text available
2022-11-24
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-12-03
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-12-08
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-12-15
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-24
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-02-09
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Pfizer-BioNTech
2	2021-03-26	Pfizer-BioNTech
3	2021-11-15	Pfizer-BioNTech	No
4	2022-11-10	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): Gassy & Bloated

2021-04-01

Systemic reaction (other): Since 3/28 I have had to use my inhalers. I use them only 1-2x/year. I didnt mention it b/c I thought it may be allergies . But just in case it is a side effect, I figured I would report it.

Release 6 — day 7, dose 2

2021-04-02

Systemic reaction (other): Still have asthmatic cough - but its better today

Release 8 — day 42, dose 2

2021-05-07

Symptoms: I caught a URI from my grandson this past Sunday. Covid 19 negative. Started with scratchy throat Sunday, then runny nose Mon-Wed. Cough started on Wed and worsened. Fever Thur 101.9. Went to Drs today - Zpak & prednisone w/my inhalers. Asthma cut off by CDC

Release 12 — days 1–6 daily, dose 4

2022-11-15

Systemic reaction (other): Escalated Asthma response

Release 12 — day 7, dose 4

2022-11-17

Systemic reaction (other): Asthma flare up from my Booster is a lot better. Minimal coughing

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	Cough	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Throat irritation	✓	✓	✓
SD	Upper respiratory tract infection	✓	✓	✓
SRO	Abdominal distension	✓	✓	✓
SRO	Asthma	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Flatulence	✓	✓	✓
SRO	Inhalation therapy	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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