9V3-11434-85685

4 vaccinations 6 coded responses 33 check-ins 6 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 941 / CA
Registered: 2021-04-21

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

Timeline

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

2021-04-09
Dose 2 — Pfizer-BioNTech
2021-04-21
Registered in v-safe
2021-04-21
Health check-in — day 7, dose 1
Feeling: Fair · None

Adult check-in
2021-04-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-03
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-08
Survey response — day 28, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: My autoimmune meds arent working well since i had my second shot and im symptomatic again.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-14
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-21
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-09
Survey response — 3 months, dose 2
MedDRA: Balance disorder, Nervous system disorder, Physiotherapy, Vision blurred — Feeling: Good · 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: Symptoms: Nerve problems in my hips and unsteadiness and periods of vision blur · Healthcare visit (other): Physical therapy and MRI's

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-09
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-19
Call 1 — Left Voicemail
2021-07-20
Call successful
Participant prefers to complete VAERS report online
2021-10-09
Survey response — 6 months, dose 2
MedDRA: Pregnancy, Unevaluable event — Feeling: Fair · 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: Symptoms: Pregnancy · Healthcare visit (other): Ultrasounds and bloodwork

MedDRA releases: 2024-11 · check-in free text available
2021-10-09
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-12
Dose 3 — Pfizer-BioNTech
2021-10-13
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-14
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-15
Call successful
Completed over the phone
2021-10-16
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-19
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-26
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-04
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-09
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-18
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-25
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-11
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-12
Survey response — 6 months, dose 3
MedDRA: COVID-19, Unevaluable event — 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

Free text: Symptoms: I had COVID-19 and had to get an antibody infusion at the beginning of February 2022. · Healthcare visit (other): Covid-19 antibody infusion

MedDRA releases: 2024-11 · check-in free text available
2022-04-12
Report sent to call center — 6 months, dose 3
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)
2022-04-13
Call 1 — Left Voicemail
2022-04-14
Call successful
Participant prefers to complete VAERS report online
2022-05-12
Dose 4 — Pfizer-BioNTech
2022-09-13
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-09-14
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-09-16
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-09-18
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-09-19
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-09-20
Survey response — day 7, dose 5
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-09-27
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-10-06
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-10-19
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-27
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-19
Survey response — 3 months, dose 5
MedDRA: Nasopharyngitis, SARS-CoV-2 test negative, Viral infection — Feeling: Fair

Free text: Ive got a cold or virus but am covid negative after 3 tests

MedDRA releases: 2024-11 · check-in free text available
2023-03-14
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
2	2021-04-09	Pfizer-BioNTech
3	2021-10-12	Pfizer-BioNTech	No
4	2022-05-12	Pfizer-BioNTech	No
5	2022-09-13	Pfizer-BioNTech	Flu

Call center

4 call center cases

4 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 8 — day 28, dose 2

2021-05-08

Symptoms: My autoimmune meds arent working well since i had my second shot and im symptomatic again.

Release 9 — 3 months, dose 2

2021-07-09

Symptoms: Nerve problems in my hips and unsteadiness and periods of vision blur

Healthcare visit (other): Physical therapy and MRI's

Release 10 — 6 months, dose 2

2021-10-09

Symptoms: Pregnancy

Healthcare visit (other): Ultrasounds and bloodwork

Release 11 — 6 months, dose 3

2022-04-12

Symptoms: I had COVID-19 and had to get an antibody infusion at the beginning of February 2022.

Healthcare visit (other): Covid-19 antibody infusion

Release 12 — day 7, dose 5

2022-09-20

Systemic reaction (other): Sore throat

Release 12 — 3 months, dose 5

2022-12-19

Symptoms: Ive got a cold or virus but am covid negative after 3 tests

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	Physiotherapy	✓	✓	✓
HCVO	Unevaluable event	·	·	✓
SD	Balance disorder	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Nervous system disorder	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pregnancy	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Viral infection	·	·	✓
SD	Vision blurred	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓

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