QLR-11327-78844

4 vaccinations 11 coded responses 49 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 494 / MI
Registered: 2021-04-15

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

EA5-22088-73647 Adult relative or friend · Male · 2021-11-07

JMN-12196-82318 Child or adolescent in my care · Male · 2022-06-20

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-14
Dose 1 — Pfizer-BioNTech
2021-04-15
Registered in v-safe
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-17
Survey response — days 1–6 daily, dose 1
MedDRA: Nasopharyngitis — Feeling: Good · Headache

Free text: Cold

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · Chills, Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-21
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-05
Survey response — day 21, dose 1
MedDRA: Adverse reaction — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Hay fever symptoms from Im assuming seasonal allergies.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Dose 2 — Pfizer-BioNTech
2021-05-07
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · Headache

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness, Diarrhea

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-13
Survey response — days 1–6 daily, dose 2
MedDRA: Paranasal sinus hypersecretion — Feeling: Good · Headache, Fatigue or tiredness

Free text: Sinus drainage

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-09
Dose 3 — Pfizer-BioNTech
2021-11-09
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Chills, Diarrhea

Adult check-in
2021-11-12
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-11-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-11-18
Health check-in — day 7, dose 3
Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-11-23
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-30
Survey response — day 21, dose 3
MedDRA: Sinusitis — Feeling: Fair

Free text: Sinus infection

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Survey response — day 28, dose 3
MedDRA: Sinusitis — Feeling: Good

Free text: Sinus infection

MedDRA releases: 2024-11 · check-in free text available
2021-12-14
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-21
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-08
Survey response — 3 months, dose 3
MedDRA: Cough, Diarrhoea, Dyspnoea, Headache, Nausea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cough, headache, diarrhea, nausea, shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2022-05-10
Survey response — 6 months, dose 3
MedDRA: Abortion spontaneous, Office visit — 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

Free text: Symptoms: Pregnancy and subsequent miscarriage · Healthcare visit (other): OBGYN

MedDRA releases: 2024-11 · check-in free text available
2022-05-10
Report sent to call center — 6 months, dose 3
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)
2022-05-11
Call 1 — Left Voicemail
2022-10-03
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-10-03
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Diarrhea

Adult check-in
2022-10-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-10
Survey response — day 7, dose 4
MedDRA: Office visit — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Dentist

MedDRA releases: 2024-11 · check-in free text available
2022-10-10
Report sent to call center — day 7, 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

1 call case(s)
2022-10-11
Call 2 — Left Voicemail
2022-10-11
Call 1 — Left Voicemail
2022-10-17
Survey response — day 14, dose 4
MedDRA: Dental caries, Headache — Feeling: Good · Be unable to work or attend school

Free text: Headache; cavities (never had any prior and suddenly had 3 large)

MedDRA releases: 2024-11 · check-in free text available
2022-10-24
Survey response — day 21, dose 4
MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Common cold symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-11-02
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-08
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2023-01-02
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-03
Survey response — 6 months, dose 4
MedDRA: Office visit, Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-04-03
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2023-04-04
Call successful
Participant prefers to complete VAERS report online
2023-04-04
Call successful
Participant prefers to complete VAERS report online
2023-04-04
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-14	Pfizer-BioNTech
2	2021-05-07	Pfizer-BioNTech
3	2021-11-09	Pfizer-BioNTech	No
4	2022-10-03	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2022-05-10	Successful 2023-04-04	Participant prefers to complete VAERS report online
2022-10-10	Successful 2023-04-04	Participant prefers to complete VAERS report online
2023-04-03	Successful 2023-04-04	Participant prefers to complete VAERS report online

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-17

Systemic reaction (other): Cold

Release 8 — day 21, dose 1

2021-05-05

Symptoms: Hay fever symptoms from Im assuming seasonal allergies.

Release 8 — days 1–6 daily, dose 2

2021-05-13

Systemic reaction (other): Sinus drainage

Release 10 — day 21, dose 3

2021-11-30

Symptoms: Sinus infection

Release 10 — day 28, dose 3

2021-12-08

Symptoms: Sinus infection

Release 11 — 3 months, dose 3

2022-02-08

Symptoms: Cough, headache, diarrhea, nausea, shortness of breath

Release 11 — 6 months, dose 3

2022-05-10

Symptoms: Pregnancy and subsequent miscarriage

Healthcare visit (other): OBGYN

Release 12 — day 7, dose 4

2022-10-10

Healthcare visit (other): Dentist

Release 12 — day 14, dose 4

2022-10-17

Symptoms: Headache; cavities (never had any prior and suddenly had 3 large)

Release 12 — day 21, dose 4

2022-10-24

Symptoms: Common cold symptoms

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	Adverse reaction	✓	✓	✓
SD	Cough	·	·	✓
SD	Dental caries	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Headache	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	·	·	✓
SD	Pregnancy	·	·	✓
SD	Sinusitis	·	·	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Paranasal sinus hypersecretion	✓	✓	✓

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