EEU-17110-49419

4 vaccinations 15 coded responses 48 check-ins 15 free-text entries 7 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 921 / CA
Registered: 2020-12-22

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

Registered dependents

L3N-30037-32054 Child or adolescent in my care · Female · 2021-11-07

Timeline

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

2020-12-22
Registered in v-safe
2020-12-22
Dose 1 — Pfizer-BioNTech
2020-12-22
Survey response — day 0, dose 1
MedDRA: Feeling hot, Hyperhidrosis — Feeling: Fair

Free text: Sweating, hot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2020-12-24
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-27
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising — Feeling: Good

Free text: bruising at site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-28
Survey response — days 1–6 daily, dose 1
MedDRA: Contusion — Feeling: Good

Free text: bruising

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-29
Survey response — day 7, dose 1
MedDRA: Contusion — Feeling: Good

Free text: bruising

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Survey response — day 14, dose 1
MedDRA: Back pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Back ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-12
Dose 2 — Pfizer-BioNTech
2021-01-12
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-01-14
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fever · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-01-16
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-20
Survey response — day 7, dose 2
MedDRA: Rhinorrhoea — Feeling: Good

Free text: runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — day 14, dose 2
MedDRA: Fatigue, Headache, Rhinorrhoea — Feeling: Fair · 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: Headaches, fatigue, runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

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

Adult check-in
2021-02-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-16
Survey response — day 35, dose 2
MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Be unable to work, 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: Covid positive test on February 11

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Report sent to call center — day 35, 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)
2021-02-23
Survey response — day 42, dose 2
MedDRA: Headache, Malaise — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: headache, malaise

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-03
Call successful
Does not wish to fill out VAERS report
2021-06-03
Call successful
Does not wish to fill out VAERS report
2021-07-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-29
Dose 3 — Pfizer-BioNTech
2021-09-29
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

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

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

Adult check-in
2021-10-13
Survey response — day 14, dose 3
MedDRA: Rhinorrhoea, Sneezing — Feeling: Fair

Free text: runny nose, sneezing

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-29
Survey response — 3 months, dose 3
MedDRA: Headache — Feeling: Good

Free text: headache

MedDRA releases: 2024-11 · check-in free text available
2022-03-30
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-11
Dose 4 — Pfizer-BioNTech
2022-05-19
Health check-in — day 7, dose 4
Feeling: Fair · Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-05-25
Survey response — day 14, dose 4
MedDRA: Abdominal discomfort, Diarrhoea — Feeling: Fair · Be unable to work or attend school

Free text: Stomach upset, diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-06-01
Survey response — day 21, dose 4
MedDRA: Abdominal pain upper, Diarrhoea, Rash — 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, Outpatient clinic or urgent care clinic visit

Free text: Stomach pain, diarrhea and body rash

MedDRA releases: 2024-11 · check-in free text available
2022-06-01
Report sent to call center — day 21, 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)
2022-06-02
Call 1 — Left Voicemail
2022-06-08
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-15
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-22
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-10
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-09
Survey response — 6 months, dose 4
MedDRA: COVID-19 — 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: Covid

MedDRA releases: 2024-11 · check-in free text available
2022-11-09
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)
2022-11-10
Call successful
Not applicable - Accidental Reporting
2022-11-10
Call successful
Not applicable - Accidental Reporting
2023-05-13
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-22	Pfizer-BioNTech
2	2021-01-12	Pfizer-BioNTech
3	2021-09-29	Pfizer-BioNTech	No
4	2022-05-11	Pfizer-BioNTech	No

Call center

7 call center cases

4 successful · 3 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — day 0, dose 1

2020-12-22

Systemic reaction (other): Sweating, hot

Release 1 — days 1–6 daily, dose 1

2020-12-24

Systemic reaction (other): runny nose

2020-12-27

Systemic reaction (other): bruising at site

2020-12-28

Systemic reaction (other): bruising

Release 1 — day 7, dose 1

2020-12-29

Systemic reaction (other): bruising

Release 1 — day 14, dose 1

2021-01-05

Symptoms: Back ache

Release 2 — day 7, dose 2

2021-01-20

Systemic reaction (other): runny nose

Release 2 — day 14, dose 2

2021-01-26

Symptoms: Headaches, fatigue, runny nose

Release 4 — day 35, dose 2

2021-02-16

Symptoms: Covid positive test on February 11

Release 4 — day 42, dose 2

2021-02-23

Symptoms: headache, malaise

Release 10 — day 14, dose 3

2021-10-13

Symptoms: runny nose, sneezing

Release 10 — 3 months, dose 3

2021-12-29

Symptoms: headache

Release 11 — day 14, dose 4

2022-05-25

Symptoms: Stomach upset, diarrhea

Release 11 — day 21, dose 4

2022-06-01

Symptoms: Stomach pain, diarrhea and body rash

Release 12 — 6 months, dose 4

2022-11-09

Symptoms: 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	Abdominal discomfort	·	·	✓
SD	Abdominal pain upper	·	·	✓
SD	Back pain	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Rash	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test positive	✓	✓	✓
SD	Sneezing	·	·	✓
SRO	Contusion	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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