9R4-21192-10690

3 vaccinations 9 coded responses 36 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 882 / NM
Registered: 2021-01-16

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

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

2021-01-16
Registered in v-safe
2021-01-16
Dose 1 — Pfizer-BioNTech
2021-01-16
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Diarrhea

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-06
Survey response — day 21, dose 1
MedDRA: Cough, Rhinorrhoea — Feeling: Good

Free text: Runny nose, cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Dose 2 — Pfizer-BioNTech
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-02-16
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Survey response — day 14, dose 2
MedDRA: Abortion spontaneous, Emergency care — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: Miscarriage and all associated with it. · Healthcare visit (other): 4 different ER visits

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Report sent to call center — day 14, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-16
Survey response — day 35, dose 2
MedDRA: Hypersensitivity, Pre-existing disease — Feeling: Fair

Free text: Allergies in high gear!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-05-12
Call successful
Participant prefers to complete VAERS report online
2021-08-12
Survey response — 6 months, dose 2
MedDRA: Cough, Productive cough, Respiratory tract congestion — Feeling: Fair

Free text: Cough, phlehmy, congestion

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-29
Dose 3 — Pfizer-BioNTech
2021-09-29
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-06
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-13
Survey response — day 14, dose 3
MedDRA: Asthma, Cough, Pre-existing disease, Wheezing — Feeling: Fair

Free text: Wheezing, uncontrolled cough, uncontrolled asthma

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Survey response — day 21, dose 3
MedDRA: Asthma, Ear infection, Pre-existing disease, Sinusitis, Urinary tract infection — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Ear infection, sinus infection, UTI, aggravated asthma

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Report sent to call center — day 21, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-27
Survey response — day 28, dose 3
MedDRA: Cough, Productive cough — Feeling: Fair

Free text: Chronic and productive cough

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-29
Survey response — 3 months, dose 3
MedDRA: Asthma, Cough, Pre-existing disease, Respiratory tract congestion, Wheezing — Feeling: Poor · Be unable to do your normal daily activities

Free text: Severely aggravated asthma, severe wheezing & congestion, cough.

MedDRA releases: 2024-11 · check-in free text available
2022-03-30
Survey response — 6 months, dose 3
MedDRA: Asthma, Pre-existing disease — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Severe allergies/ asthma

MedDRA releases: 2024-11 · check-in free text available
2022-03-30
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)
2022-03-31
Call successful
Participant prefers to complete VAERS report online
2022-10-01
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-16	Pfizer-BioNTech
2	2021-02-09	Pfizer-BioNTech
3	2021-09-29	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-02-23	Successful 2021-05-12	Participant prefers to complete VAERS report online
2021-10-20	Successful	Participant prefers to complete VAERS report online
2022-03-30	Successful 2022-03-31	Participant prefers to complete VAERS report online

Free text

Release 3 — day 21, dose 1

2021-02-06

Symptoms: Runny nose, cough

Release 4 — day 14, dose 2

2021-02-23

Symptoms: Miscarriage and all associated with it.

Healthcare visit (other): 4 different ER visits

Release 5 — day 35, dose 2

2021-03-16

Symptoms: Allergies in high gear!

Release 9 — 6 months, dose 2

2021-08-12

Symptoms: Cough, phlehmy, congestion

Release 10 — day 14, dose 3

2021-10-13

Symptoms: Wheezing, uncontrolled cough, uncontrolled asthma

Release 10 — day 21, dose 3

2021-10-20

Symptoms: Ear infection, sinus infection, UTI, aggravated asthma

Release 10 — day 28, dose 3

2021-10-27

Symptoms: Chronic and productive cough

Release 10 — 3 months, dose 3

2021-12-29

Symptoms: Severely aggravated asthma, severe wheezing & congestion, cough.

Release 11 — 6 months, dose 3

2022-03-30

Symptoms: Severe allergies/ asthma

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	Emergency care	✓	✓	✓
SD	Abortion spontaneous	✓	✓	✓
SD	Asthma	·	·	✓
SD	Cough	✓	✓	✓
SD	Ear infection	·	·	✓
SD	Hypersensitivity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Productive cough	✓	·	✓
SD	Respiratory tract congestion	✓	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sinusitis	·	·	✓
SD	Urinary tract infection	·	·	✓
SD	Wheezing	·	·	✓

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