QWD-86017-42872

3 vaccinations 12 coded responses 33 check-ins 12 free-text entries 3 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 394 / MS
Registered: 2020-12-22

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

2020-12-21
Dose 1 — Pfizer-BioNTech
2020-12-22
Registered in v-safe
2020-12-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2020-12-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2020-12-28
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-11
Dose 2 — Pfizer-BioNTech
2021-01-11
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-08
Survey response — day 28, dose 2
MedDRA: Cough, Paranasal sinus hypersecretion — Feeling: Fair

Free text: Cough and sinus drainage

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — day 35, dose 2
MedDRA: Cough, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair

Free text: Runny nose; had a sore throat for a couple of days; mild cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-12
Survey response — 3 months, dose 2
MedDRA: Nasopharyngitis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Cold symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-12
Survey response — 6 months, dose 2
MedDRA: Nasopharyngitis — 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 · Outpatient clinic or urgent care clinic visit

Free text: Cold symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-12
Report sent to call center — 6 months, 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

1 call case(s)
2021-07-15
Call 1 — Left Voicemail
2021-09-30
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-09-30
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain

Free text: Pain and swelling in axillary lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Tenderness — Feeling: Good

Free text: Tenderness in axilla

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Tenderness — Feeling: Good

Free text: Mild tenderness in axilla

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-09
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-14
Survey response — day 14, dose 3
MedDRA: Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea — Feeling: Good

Free text: Cold-like symptoms; runny nose and mildly sore throat.

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-28
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-04
Survey response — day 35, dose 3
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Poor

Free text: Runny nose, sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Survey response — day 42, dose 3
MedDRA: Illness — Feeling: Good · Be unable to work or attend school

Free text: 24 hour illness

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Survey response — 3 months, dose 3
MedDRA: COVID-19, Cough, Oropharyngeal pain, Pain, Paranasal sinus hypersecretion, Sinus congestion — Feeling: Fair · 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: Runny/congested sinuses, body aches, sore throat, cough; diagnosed with covid

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Report sent to call center — 3 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-04
Call 1 — Left Voicemail
2022-01-04
Call successful
Participant prefers to complete VAERS report online
2022-03-31
Survey response — 6 months, dose 3
MedDRA: Pregnancy — Feeling: Good

Free text: Pregnancy

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-21	Pfizer-BioNTech
2	2021-01-11	Pfizer-BioNTech
3	2021-09-30	Pfizer-BioNTech	Flu

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 3 — day 28, dose 2

2021-02-08

Symptoms: Cough and sinus drainage

Release 4 — day 35, dose 2

2021-02-15

Symptoms: Runny nose; had a sore throat for a couple of days; mild cough

Release 7 — 3 months, dose 2

2021-04-12

Symptoms: Cold symptoms

Release 9 — 6 months, dose 2

2021-07-12

Symptoms: Cold symptoms

Release 9 — days 1–6 daily, dose 3

2021-10-02

Systemic reaction (other): Pain and swelling in axillary lymph nodes

2021-10-03

Systemic reaction (other): Tenderness in axilla

Release 10 — days 1–6 daily, dose 3

2021-10-04

Systemic reaction (other): Mild tenderness in axilla

Release 10 — day 14, dose 3

2021-10-14

Symptoms: Cold-like symptoms; runny nose and mildly sore throat.

Release 10 — day 35, dose 3

2021-11-04

Symptoms: Runny nose, sore throat

Release 10 — day 42, dose 3

2021-11-11

Symptoms: 24 hour illness

Release 10 — 3 months, dose 3

2021-12-30

Symptoms: Runny/congested sinuses, body aches, sore throat, cough; diagnosed with covid

Release 11 — 6 months, dose 3

2022-03-31

Symptoms: Pregnancy

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	Illness	·	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	·	·	✓
SD	Paranasal sinus hypersecretion	✓	✓	✓
SD	Pregnancy	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sinus congestion	·	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Tenderness	·	·	✓

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