7WA-80182-40528

4 vaccinations 3 coded responses 46 check-ins 3 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 223 / VA
Registered: 2021-04-17

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

Registered dependents

RNC-21497-80004 Child or adolescent in my care · Male · 2022-07-06

W49-30792-60649 Child or adolescent in my care · Male · 2022-07-06

7KR-23107-43881 Child or adolescent in my care · Female · 2022-11-16

Timeline

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

2021-04-17
Registered in v-safe
2021-04-17
Dose 1 — Pfizer-BioNTech
2021-04-17
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

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

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Nausea

Adult check-in
2021-04-24
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-05-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-08
Dose 2 — Pfizer-BioNTech
2021-05-08
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-05-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-05-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Nausea

Adult check-in
2021-05-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-29
Survey response — day 21, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Feeling run down and exhausted

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-12
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-20
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-11-06
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-12
Dose 3 — Pfizer-BioNTech
2021-11-12
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-11-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-19
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-26
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-03
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-17
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-24
Survey response — day 42, dose 3
MedDRA: Nasopharyngitis — Feeling: Fair

Free text: Seems to be a bad cold

MedDRA releases: 2024-11 · check-in free text available
2022-05-13
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-19
Dose 4 — Pfizer-BioNTech
2022-09-22
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2022-09-23
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Itching · Fatigue or tiredness, Nausea

Adult check-in
2022-09-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2022-09-28
Health check-in — day 7, dose 4
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-03
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-10-10
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-10-17
Survey response — day 28, dose 4
MedDRA: Cough, Pain, Pyrexia — Feeling: Poor · 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: Aches, fever, cough

MedDRA releases: 2024-11 · check-in free text available
2022-10-17
Report sent to call center — day 28, 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)
2022-10-18
Call 1 — Left Voicemail
2022-10-18
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-24
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-10-31
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-17	Pfizer-BioNTech
2	2021-05-08	Pfizer-BioNTech
3	2021-11-12	Pfizer-BioNTech	No
4	2022-09-19	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-10-17	Successful 2022-10-18	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 8 — day 21, dose 2

2021-05-29

Symptoms: Feeling run down and exhausted

Release 10 — day 42, dose 3

2021-12-24

Symptoms: Seems to be a bad cold

Release 12 — day 28, dose 4

2022-10-17

Symptoms: Aches, fever, cough

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	Fatigue	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓

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