FXA-27287-84335

3 vaccinations 11 coded responses 35 check-ins 11 free-text entries 7 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 201 / VA
Registered: 2021-01-12

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

2021-01-12
Registered in v-safe
2021-01-12
Dose 1 — Pfizer-BioNTech
2021-01-12
Survey response — day 0, dose 1
MedDRA: Anaphylactic reaction — Feeling: Poor · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Anaphylaxis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Report sent to call center — day 0, dose 1
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)
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Anaphylactic reaction — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · 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: I had anaphylaxis to the vaccine on Tuesday and still suffering from that

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Anaphylactic reaction — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Extended feelings due to the anaphylaxis. Still taking benadryl, Famotidine, and Albuterol

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Almost had anaphylaxis sequela

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-19
Health check-in — day 7, dose 1
Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-01-19
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-26
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-04
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-09
Survey response — day 28, dose 1
MedDRA: Nasal congestion — Feeling: Good

Free text: Nasal congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — day 35, dose 1
MedDRA: Diarrhoea — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — day 42, dose 1
Feeling: Good

Adult check-in
2021-02-24
Call 1 — Left Voicemail
2021-02-24
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-04-13
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2021-07-13
Survey response — 6 months, dose 1
MedDRA: Sinusitis — Feeling: Good · Be unable to work or attend school

Free text: A sinus infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2022-01-13
Survey response — 12 months, dose 1
MedDRA: Eczema, Gastrointestinal viral infection, Pre-existing disease — Feeling: Fair · Be unable to work or attend school

Free text: I have had several episodes of gi viruses and flare ups of eczema. I also miscarried a pregnancy.

MedDRA releases: 2024-11 · check-in free text available
2022-09-16
Dose 2 — Novavax
2022-09-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2022-09-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2022-09-23
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2022-09-30
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2022-10-07
Survey response — day 21, dose 2
MedDRA: COVID-19 — Feeling: Poor · 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: I got covid

MedDRA releases: 2024-11 · check-in free text available
2022-10-07
Report sent to call center — day 21, 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-10-10
Call 1 — Left Voicemail
2022-10-14
Health check-in — day 28, dose 2
Feeling: Poor

Adult check-in
2022-10-21
Dose 3 — Novavax
2022-10-21
Health check-in — day 35, dose 2
Feeling: Poor

Adult check-in
2022-10-21
Health check-in — day 0, dose 3
Feeling: Poor · Site: Pain · None

Adult check-in
2022-10-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · None

Adult check-in
2022-10-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2022-10-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · None

Adult check-in
2022-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2022-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains

Adult check-in
2022-10-28
Survey response — day 7, dose 3
MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Free text: Runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-11-04
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-11-11
Survey response — day 21, dose 3
MedDRA: Bronchospasm, Chest pain, Cough, Fatigue, Laryngitis, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Chest pain, continued fatigue, continued cough and laryngitis, bronchospasms · Healthcare visit (other): In person visit with PCP

MedDRA releases: 2024-11 · check-in free text available
2022-11-11
Report sent to call center — day 21, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-11-14
Call 2 — Left Voicemail
2022-11-14
Call 1 — Left Voicemail
2022-11-18
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-11-25
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-12-02
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2023-01-20
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2023-04-23
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-12	Pfizer-BioNTech
2	2022-09-16	Novavax	No
3	2022-10-21	Novavax	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-12	Successful 2021-02-24	Reported to VAERS voluntarily prior to GDIT contact
2021-01-15	Successful	Reported to VAERS voluntarily prior to GDIT contact
2021-01-16	Successful	Reported to VAERS voluntarily prior to GDIT contact
2021-01-17	Successful	Reported to VAERS voluntarily prior to GDIT contact
2021-01-19	Successful	Reported to VAERS voluntarily prior to GDIT contact
2022-10-07	Unsuccessful
2022-11-11	Unsuccessful

Free text

Release 1 — day 0, dose 1

2021-01-12

Systemic reaction (other): Anaphylaxis

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): I had anaphylaxis to the vaccine on Tuesday and still suffering from that

2021-01-16

Systemic reaction (other): Extended feelings due to the anaphylaxis. Still taking benadryl, Famotidine, and Albuterol

2021-01-17

Systemic reaction (other): Almost had anaphylaxis sequela

Release 3 — day 28, dose 1

2021-02-09

Symptoms: Nasal congestion

Release 4 — day 35, dose 1

2021-02-16

Symptoms: Diarrhea

Release 9 — 6 months, dose 1

2021-07-13

Symptoms: A sinus infection

Release 10 — 12 months, dose 1

2022-01-13

Symptoms: I have had several episodes of gi viruses and flare ups of eczema. I also miscarried a pregnancy.

Release 12 — day 21, dose 2

2022-10-07

Symptoms: I got covid

Release 12 — day 7, dose 3

2022-10-28

Systemic reaction (other): Runny nose

Release 12 — day 21, dose 3

2022-11-11

Symptoms: Chest pain, continued fatigue, continued cough and laryngitis, bronchospasms

Healthcare visit (other): In person visit with PCP

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	Bronchospasm	·	·	✓
SD	Chest pain	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Eczema	·	·	✓
SD	Fatigue	·	·	✓
SD	Gastrointestinal viral infection	·	·	✓
SD	Laryngitis	·	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Sinusitis	✓	✓	✓
SRO	Anaphylactic reaction	✓	✓	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Unevaluable event	✓	✓	✓

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