EUF-12689-58428

4 vaccinations 11 coded responses 49 check-ins 10 free-text entries 7 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 852 / AZ
Registered: 2020-12-28

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

2020-12-28
Registered in v-safe
2020-12-28
Dose 1 — Pfizer-BioNTech
2020-12-28
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-29
Survey response — days 1–6 daily, dose 1
MedDRA: Urinary tract infection — Feeling: Fair · Site: Pain · Muscle or body aches · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Urinary tract infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-29
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-04
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-16
Call successful
Participant prefers to complete VAERS report online
2021-01-16
Call successful
Participant prefers to complete VAERS report online
2021-01-16
Call successful
Participant prefers to complete VAERS report online
2021-01-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-20
Dose 2 — Pfizer-BioNTech
2021-01-20
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-21
Survey response — days 1–6 daily, dose 2
MedDRA: Urinary tract infection — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Urinary tract infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 35, dose 2
Feeling: Good

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

Adult check-in
2021-04-21
Survey response — 3 months, dose 2
MedDRA: Pharyngitis, Tonsillar hypertrophy, Tonsillar ulcer — Feeling: Good · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Pharyngitis- swollen tonsils with white patches on tonsils

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Report sent to call center — 3 months, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-24
Survey response — 6 months, dose 2
MedDRA: Tonsillitis — 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 · Outpatient clinic or urgent care clinic visit

Free text: Tonsilitis

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-24
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-05
Call 2 — Left Voicemail
2021-12-21
Dose 3 — Pfizer-BioNTech
2021-12-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-23
Survey response — days 1–6 daily, dose 3
MedDRA: Urinary tract infection — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Urinary tract infection

MedDRA releases: 2024-11 · check-in free text available
2021-12-23
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-12-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-27
Call 2 — Left Voicemail
2021-12-28
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-04
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-12
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-20
Survey response — day 28, dose 3
MedDRA: Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Urinary tract infection

MedDRA releases: 2024-11 · check-in free text available
2022-01-20
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-22
Call 1 — Left Voicemail
2022-01-28
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-01
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-24
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-21
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-17
Dose 4 — Moderna
Co-administered: Flu
2022-10-19
Survey response — days 1–6 daily, dose 4
MedDRA: Back pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Backache

MedDRA releases: 2024-11 · check-in free text available
2022-10-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2022-10-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2022-10-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache

Adult check-in
2022-10-24
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-31
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-07
Survey response — day 21, dose 4
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-11-14
Survey response — day 28, dose 4
MedDRA: Fatigue, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sore throat, Congestion, and fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-11-21
Survey response — day 35, dose 4
MedDRA: Fatigue, Oropharyngeal pain — Feeling: Fair

Free text: Sore throat and fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-11-30
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-16
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-17
Survey response — 6 months, dose 4
MedDRA: Kidney infection, Nasopharyngitis — 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 · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-17
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-04-18
Call 1 — Left Voicemail
2023-04-18
Call 1 — Left Voicemail
2023-04-18
Call 2 — Left Voicemail
2023-04-18
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Pfizer-BioNTech
2	2021-01-20	Pfizer-BioNTech
3	2021-12-21	Pfizer-BioNTech	No
4	2022-10-17	Moderna	Flu

Call center

7 call center cases

3 successful · 4 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-29

Systemic reaction (other): Urinary tract infection

Release 2 — days 1–6 daily, dose 2

2021-01-21

Systemic reaction (other): Urinary tract infection

Release 7 — 3 months, dose 2

2021-04-21

Symptoms: Pharyngitis- swollen tonsils with white patches on tonsils

Release 9 — 6 months, dose 2

2021-07-24

Symptoms: Tonsilitis

Release 10 — days 1–6 daily, dose 3

2021-12-23

Systemic reaction (other): Urinary tract infection

Release 10 — day 28, dose 3

2022-01-20

Symptoms: Urinary tract infection

Release 12 — days 1–6 daily, dose 4

2022-10-19

Systemic reaction (other): Backache

Release 12 — day 21, dose 4

2022-11-07

Symptoms: Sore throat

Release 12 — day 28, dose 4

2022-11-14

Symptoms: Sore throat, Congestion, and fatigue

Release 12 — day 35, dose 4

2022-11-21

Symptoms: Sore throat and fatigue

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	Fatigue	·	·	✓
SD	Kidney infection	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pharyngitis	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Tonsillar hypertrophy	✓	✓	✓
SD	Tonsillar ulcer	✓	✓	✓
SD	Tonsillitis	✓	·	✓
SD	Urinary tract infection	·	·	✓
SRO	Back pain	·	·	✓
SRO	Urinary tract infection	✓	✓	✓

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