925-22400-80353

4 vaccinations 9 coded responses 31 check-ins 8 free-text entries 6 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 029 / RI
Registered: 2020-12-15

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

2020-12-15
Registered in v-safe
2020-12-15
Dose 1 — Pfizer-BioNTech
2020-12-15
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2020-12-29
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-05
Dose 2 — Pfizer-BioNTech
2021-01-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-01-08
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Hyperaesthesia teeth — Feeling: Good · Site: Pain, Redness

Free text: Cough, sensitive teeth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperaesthesia teeth — Feeling: Good · Site: Pain

Free text: Sensitive teeth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-01-26
Survey response — day 21, dose 2
MedDRA: Back pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Chronic back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-06
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-08
Dose 3 — Pfizer-BioNTech
2022-01-05
Survey response — 12 months, dose 2
MedDRA: Headache — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Headache on left side of head following booster shot that same week.

MedDRA releases: 2024-11 · check-in free text available
2022-01-05
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-06
Call successful
Participant prefers to complete VAERS report online
2022-01-07
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-10
Survey response — 6 months, dose 3
MedDRA: Tinnitus, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Pulsative tinnitus · Healthcare visit (other): MRA of vasculature

MedDRA releases: 2024-11 · check-in free text available
2022-04-10
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-13
Call 1 — Left Voicemail
2022-10-21
Dose 4 — Pfizer-BioNTech
2022-11-23
Survey response — day 28, dose 4
MedDRA: Chills — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sporadic chills

MedDRA releases: 2024-11 · check-in free text available
2022-11-23
Report sent to call center — day 28, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-25
Survey response — day 35, dose 4
MedDRA: Chills — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Body chills

MedDRA releases: 2024-11 · check-in free text available
2022-11-25
Report sent to call center — day 35, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-25
Call 2 — Left Voicemail
2022-11-25
Call 1 — Left Voicemail
2022-11-28
Call successful
Not applicable - Accidental Reporting
2022-11-28
Call successful
Participant prefers to complete VAERS report online
2022-11-28
Call successful
Participant prefers to complete VAERS report online
2022-12-02
Survey response — day 42, dose 4
MedDRA: Chills — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Chills

MedDRA releases: 2024-11 · check-in free text available
2022-12-02
Report sent to call center — day 42, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-05
Call 1 — Requested Callback
2022-12-05
Callback requested for
01:30PM ET
2022-12-05
Call successful
Participant prefers to complete VAERS report online
2023-01-22
Survey response — 3 months, dose 4
MedDRA: Influenza — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-01-22
Report sent to call center — 3 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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-23
Call 1 — Left Voicemail
2023-04-23
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-15	Pfizer-BioNTech
2	2021-01-05	Pfizer-BioNTech
3	2021-10-08	Pfizer-BioNTech	No
4	2022-10-21	Pfizer-BioNTech	No

Call center

6 call center cases

5 successful · 1 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 2

2021-01-08

Systemic reaction (other): Cough, sensitive teeth

2021-01-09

Systemic reaction (other): Sensitive teeth

Release 2 — day 21, dose 2

2021-01-26

Symptoms: Chronic back pain

Release 10 — 12 months, dose 2

2022-01-05

Symptoms: Headache on left side of head following booster shot that same week.

Release 11 — 6 months, dose 3

2022-04-10

Symptoms: Pulsative tinnitus

Healthcare visit (other): MRA of vasculature

Release 12 — day 28, dose 4

2022-11-23

Symptoms: Sporadic chills

Release 12 — day 35, dose 4

2022-11-25

Symptoms: Body chills

Release 12 — day 42, dose 4

2022-12-02

Symptoms: Chills

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	Back pain	✓	✓	✓
SD	Chills	·	·	✓
SD	Headache	·	·	✓
SD	Influenza	·	·	✓
SD	Tinnitus	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Hyperaesthesia teeth	✓	✓	✓

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