9ZG-20286-23072

4 vaccinations 6 coded responses 37 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 800 / CO
Registered: 2021-01-06

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

2021-01-06
Registered in v-safe
2021-01-06
Dose 1 — Pfizer-BioNTech
2021-01-06
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache

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

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-15
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-21
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-27
Dose 2 — Pfizer-BioNTech
2021-01-27
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

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

Adult check-in
2021-02-03
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-28
Survey response — 3 months, dose 2
MedDRA: Kidney infection — 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: Kidney infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
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)
2021-07-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-05
Dose 3 — Pfizer-BioNTech
2021-09-29
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-03
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-10
Survey response — day 35, dose 3
MedDRA: Fatigue, Rhinorrhoea, Sneezing — Feeling: Poor · Be unable to do your normal daily activities

Free text: Sneezing, fatigue, runny nose

MedDRA releases: 2024-11 · check-in free text available
2021-10-17
Survey response — day 42, dose 3
MedDRA: Fatigue, Pyrexia, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue, runny nose low grade fever

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Survey response — 3 months, dose 3
MedDRA: Nasopharyngitis — Feeling: Good · Be unable to work or attend school

Free text: Cold like symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-03-06
Survey response — 6 months, dose 3
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Has COVID

MedDRA releases: 2024-11 · check-in free text available
2022-04-08
Call 1 — Left Voicemail
2022-09-05
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2022-10-08
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-10-13
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-15
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-23
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-31
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-06
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-12
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-21
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-07
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-08
Survey response — 6 months, dose 4
MedDRA: COVID-19 — Feeling: Fair · 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

MedDRA releases: 2024-11
2023-04-08
Report sent to call center — 6 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 · 1 call case(s)
2023-04-10
Call successful
Does not wish to fill out VAERS report
2023-04-10
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Pfizer-BioNTech
2	2021-01-27	Pfizer-BioNTech
3	2021-09-05	Pfizer-BioNTech	No
4	2022-10-08	Pfizer-BioNTech	Flu

Call center

2 call center cases

2 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 8 — 3 months, dose 2

2021-04-28

Symptoms: Kidney infection

Release 10 — day 35, dose 3

2021-10-10

Symptoms: Sneezing, fatigue, runny nose

Release 10 — day 42, dose 3

2021-10-17

Symptoms: Fatigue, runny nose low grade fever

Release 10 — 3 months, dose 3

2021-12-05

Symptoms: Cold like symptoms

Release 11 — 6 months, dose 3

2022-03-06

Symptoms: Has COVID

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	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Kidney infection	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sneezing	·	·	✓

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