KP4-19787-80869

3 vaccinations 5 coded responses 36 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 815 / CO
Registered: 2021-11-30

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

2021-11-30
Registered in v-safe
2021-11-30
Dose 1 — Pfizer-BioNTech
2021-11-30
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · Fatigue or tiredness

Adult check-in
2021-12-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

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

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

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

Adult check-in
2021-12-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills, Headache

Adult check-in
2021-12-07
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-12-14
Survey response — day 14, dose 1
MedDRA: Cough, Oropharyngeal pain, Sinus congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cough, sinus congestion, sore throat.

MedDRA releases: 2024-11 · check-in free text available
2021-12-21
Dose 2 — Pfizer-BioNTech
2021-12-21
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-22
Survey response — days 1–6 daily, dose 2
MedDRA: Paranasal sinus hypersecretion, Sinus congestion — Feeling: Good · Site: Pain

Free text: Sinus congestion and drainage.

MedDRA releases: 2024-11 · check-in free text available
2021-12-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-12-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-12-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-12-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-12-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-12-30
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2022-01-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2022-01-11
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 · Outpatient clinic or urgent care clinic visit

Free text: I have COVID19

MedDRA releases: 2024-11 · check-in free text available
2022-01-11
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-12
Call 1 — Left Voicemail
2022-01-12
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-18
Survey response — day 28, dose 2
MedDRA: Malaise — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Persistent COVID-19 symptoms.

MedDRA releases: 2024-11 · check-in free text available
2022-01-25
Survey response — day 35, dose 2
MedDRA: Cough — Feeling: Fair · Be unable to do your normal daily activities

Free text: Persistent Covid symptoms with worsening cough.

MedDRA releases: 2024-11 · check-in free text available
2022-02-01
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2022-03-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-07-08
Dose 3 — Pfizer-BioNTech
2022-07-09
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-07-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-07-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-07-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-07-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-07-15
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-07-22
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-07-29
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-08-06
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-08-12
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-08-19
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-10-07
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2023-01-06
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-11-30	Pfizer-BioNTech	No
2	2021-12-21	Pfizer-BioNTech	No
3	2022-07-08	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 10 — day 14, dose 1

2021-12-14

Symptoms: Cough, sinus congestion, sore throat.

Release 10 — days 1–6 daily, dose 2

2021-12-22

Systemic reaction (other): Sinus congestion and drainage.

Release 10 — day 21, dose 2

2022-01-11

Symptoms: I have COVID19

Release 10 — day 28, dose 2

2022-01-18

Symptoms: Persistent COVID-19 symptoms.

Release 11 — day 35, dose 2

2022-01-25

Symptoms: Persistent Covid symptoms with worsening cough.

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	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Malaise	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Sinus congestion	·	·	✓
SRO	Paranasal sinus hypersecretion	·	·	✓
SRO	Sinus congestion	·	·	✓

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