K6N-26201-88752

3 vaccinations 6 coded responses 36 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 948 / CA
Registered: 2020-12-26

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

2020-12-26
Registered in v-safe
2020-12-26
Dose 1 — Pfizer-BioNTech
2020-12-26
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · 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
2021-01-03
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-15
Dose 2 — Pfizer-BioNTech
2021-01-15
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, 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 work · 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: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-01-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Headache, Vomiting · Be unable to work

Adult check-in
2021-01-22
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-18
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-14
Dose 3 — Pfizer-BioNTech
2021-10-16
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain, SARS-CoV-2 test — Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · 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: Systemic reaction (other): Sore throat · Healthcare visit (other): Covid test

MedDRA releases: 2024-11 · check-in free text available
2021-10-16
Report sent to call center — days 1–6 daily, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-17
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Oropharyngeal pain, SARS-CoV-2 test — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): Cough. Sore throat · Healthcare visit (other): Covid test

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
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)
2021-10-19
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Sore throat. Congestion. Cough.

MedDRA releases: 2024-11 · check-in free text available
2021-10-19
Call successful
Does not wish to fill out VAERS report
2021-10-20
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Cough. Congestion

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Survey response — day 7, dose 3
MedDRA: Respiratory tract congestion — Feeling: Fair · Fatigue or tiredness

Free text: Congestion

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-04
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-11
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-27
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-13
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-10-14
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-26	Pfizer-BioNTech
2	2021-01-15	Pfizer-BioNTech
3	2021-10-14	Pfizer-BioNTech	No

Call center

3 call center cases

2 successful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 3

2021-10-16

Systemic reaction (other): Sore throat

Healthcare visit (other): Covid test

2021-10-17

Systemic reaction (other): Sore throat

2021-10-18

Systemic reaction (other): Cough. Sore throat

Healthcare visit (other): Covid test

2021-10-19

Systemic reaction (other): Sore throat. Congestion. Cough.

2021-10-20

Systemic reaction (other): Cough. Congestion

Release 10 — day 7, dose 3

2021-10-22

Systemic reaction (other): Congestion

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	SARS-CoV-2 test	·	·	✓
SRO	Cough	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Respiratory tract congestion	·	·	✓

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