QRH-19176-24789

4 vaccinations 8 coded responses 32 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 972 / OR
Registered: 2021-04-18

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

2021-04-18
Registered in v-safe
2021-04-18
Dose 1 — Pfizer-BioNTech
2021-04-18
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-20
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-10
Dose 2 — Pfizer-BioNTech
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-05-12
Survey response — days 1–6 daily, dose 2
MedDRA: Sneezing — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Sneezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-05-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-05-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-09
Survey response — day 28, dose 2
MedDRA: Fatigue, Oropharyngeal pain, Sinus congestion — Feeling: Fair

Free text: Sore throat, sinus congestion, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-14
Survey response — day 35, dose 2
MedDRA: Fatigue, Headache, Sneezing, Throat irritation — Feeling: Good

Free text: Fatigue, sneezing, headache, scratchy throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-10
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-10
Dose 3 — Moderna
2022-06-10
Survey response — 6 months, dose 3
MedDRA: Blepharospasm, Headache — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Increase in frequency of headaches, new eye twitching in both eyes

MedDRA releases: 2024-11 · check-in free text available
2022-06-10
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-06-13
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-24
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-09-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2022-09-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2022-09-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-01
Health check-in — day 7, dose 4
Feeling: Good · Abdominal pain

Adult check-in
2022-10-08
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-17
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-10-22
Survey response — day 28, dose 4
MedDRA: Constipation, Dyspepsia, Nausea — Feeling: Fair

Free text: Indigestion, nausea, constipation

MedDRA releases: 2024-11 · check-in free text available
2022-10-31
Survey response — day 35, dose 4
MedDRA: Dyspepsia, Flatulence — Feeling: Fair

Free text: Indigestion, severe gas pain

MedDRA releases: 2024-11 · check-in free text available
2022-11-05
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-24
Health check-in — 3 months, dose 4
Feeling: Poor · Be unable to do your normal daily activities

Free text: Muscle pain, sore throat, fatigue, nausea

Adult check-in · check-in free text available
2023-03-27
Survey response — 6 months, dose 4
MedDRA: Muscular weakness, Pain in extremity — 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, Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-03-27
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-03-28
Call 1 — Requested Callback
2023-03-30
Callback requested for
02:00PM ET
2023-03-30
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-18	Pfizer-BioNTech
2	2021-05-10	Pfizer-BioNTech
3	2021-12-10	Moderna	No
4	2022-09-24	Pfizer-BioNTech	Flu

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-20

Systemic reaction (other): Dizziness

Release 8 — days 1–6 daily, dose 2

2021-05-12

Systemic reaction (other): Sneezing

Release 9 — day 28, dose 2

2021-06-09

Symptoms: Sore throat, sinus congestion, fatigue

Release 9 — day 35, dose 2

2021-06-14

Symptoms: Fatigue, sneezing, headache, scratchy throat

Release 12 — 6 months, dose 3

2022-06-10

Symptoms: Increase in frequency of headaches, new eye twitching in both eyes

Release 12 — day 28, dose 4

2022-10-22

Symptoms: Indigestion, nausea, constipation

Release 12 — day 35, dose 4

2022-10-31

Symptoms: Indigestion, severe gas pain

Release 12 — 3 months, dose 4

2022-12-24

Symptoms: Muscle pain, sore throat, fatigue, nausea

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	Blepharospasm	·	·	✓
SD	Constipation	·	·	✓
SD	Dyspepsia	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Flatulence	·	·	✓
SD	Headache	✓	✓	✓
SD	Muscular weakness	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Sinus congestion	✓	✓	✓
SD	Sneezing	✓	✓	✓
SD	Throat irritation	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Sneezing	✓	✓	✓

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