F94-59836-91135

4 vaccinations 5 coded responses 51 check-ins 4 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 797 / TX
Registered: 2021-03-08

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

2021-03-08
Registered in v-safe
2021-03-08
Dose 1 — Pfizer-BioNTech
2021-03-08
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-29
Dose 2 — Pfizer-BioNTech
2021-03-29
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Diarrhea, Abdominal pain

Adult check-in
2021-04-05
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-04-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-10
Survey response — day 42, dose 2
MedDRA: Furuncle, Infection, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Boil infection · Healthcare visit (other): Dermatologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-28
Survey response — 3 months, dose 2
MedDRA: Abortion spontaneous — 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: Miscarriage

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-28
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)
2021-07-07
Call 1 — Could Not Reach Participant
2021-07-13
Call 2 — Could Not Reach Participant
2021-09-27
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-30
Dose 3 — Pfizer-BioNTech
2021-12-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-09
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-14
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-21
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-28
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-01-06
Survey response — day 35, dose 3
MedDRA: Ear discomfort, Fatigue, Paranasal sinus discomfort, Respiratory tract congestion — Feeling: Fair

Free text: Sinus pressure, ear pressure, congestion, mild fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-01-11
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-03-01
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-02
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-11
Dose 4 — Moderna
2022-11-11
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-11-12
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-11-13
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2022-11-14
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-15
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2022-11-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-18
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-11-25
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-12-02
Survey response — day 21, dose 4
MedDRA: Nasopharyngitis — Feeling: Good

Free text: Caught a cold

MedDRA releases: 2024-11 · check-in free text available
2022-12-09
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-12-16
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-23
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-02-10
Survey response — 3 months, dose 4
MedDRA: Caesarean section — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-05-12
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-08	Pfizer-BioNTech
2	2021-03-29	Pfizer-BioNTech
3	2021-11-30	Pfizer-BioNTech	No
4	2022-11-11	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-10	Unsuccessful
2021-06-28	Unsuccessful

Free text

Release 8 — day 42, dose 2

2021-05-10

Symptoms: Boil infection

Healthcare visit (other): Dermatologist

Release 9 — 3 months, dose 2

2021-06-28

Symptoms: Miscarriage

Release 10 — day 35, dose 3

2022-01-06

Symptoms: Sinus pressure, ear pressure, congestion, mild fatigue

Release 12 — day 21, dose 4

2022-12-02

Symptoms: Caught a cold

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	Office visit	✓	✓	✓
SD	Abortion spontaneous	✓	✓	✓
SD	Caesarean section	·	·	✓
SD	Ear discomfort	·	·	✓
SD	Fatigue	·	·	✓
SD	Furuncle	✓	✓	✓
SD	Infection	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Respiratory tract congestion	·	·	✓

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