UWC-56433-32854

4 vaccinations 5 coded responses 43 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 200 / DC
Registered: 2021-05-06

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

Registered dependents

F7Y-49759-88671 Child or adolescent in my care · Female · 2022-10-06

Timeline

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

2021-04-13
Dose 1 — Pfizer-BioNTech
2021-05-04
Dose 2 — Pfizer-BioNTech
2021-05-06
Registered in v-safe
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

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 · None

Adult check-in
2021-05-11
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-09
Dose 3 — Pfizer-BioNTech
Co-administered: Tetanus
2021-12-09
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · None

Adult check-in
2021-12-12
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · None

Adult check-in
2021-12-13
Survey response — days 1–6 daily, dose 3
MedDRA: Nasopharyngitis, Respiratory tract congestion, Sinusitis — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Congestion, like I'm coming down with a cold or sinus infectikn

MedDRA releases: 2024-11 · check-in free text available
2021-12-14
Survey response — days 1–6 daily, dose 3
MedDRA: Nasal congestion, SARS-CoV-2 test positive — Feeling: Fair · Fever · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Stuffy nose; tested positive for COVID-19 with an at-home antigen test

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Survey response — days 1–6 daily, dose 3
MedDRA: Nasal congestion, Respiratory tract congestion — Feeling: Fair

Free text: Congestion/stuffy nose

MedDRA releases: 2024-11 · check-in free text available
2021-12-16
Survey response — day 7, dose 3
MedDRA: Nasal congestion, Respiratory tract congestion — Feeling: Fair

Free text: Congestion (stuffy nose), but improving

MedDRA releases: 2024-11 · check-in free text available
2021-12-23
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-30
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-06
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-13
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-20
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-10
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-09
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-06
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-10-06
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2022-10-07
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

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

Adult check-in
2022-10-09
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · None

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

Adult check-in
2022-10-11
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-12
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-13
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-20
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-27
Survey response — day 21, dose 4
MedDRA: Blepharitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Blepharitis

MedDRA releases: 2024-11 · check-in free text available
2022-10-27
Report sent to call center — day 21, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-28
Call 1 — Left Voicemail
2022-11-03
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-10
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-17
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-06
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-06
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-13	Pfizer-BioNTech
2	2021-05-04	Pfizer-BioNTech
3	2021-12-09	Pfizer-BioNTech	Tetanus
4	2022-10-06	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2022-10-27	Unsuccessful

Free text

Release 10 — days 1–6 daily, dose 3

2021-12-13

Systemic reaction (other): Congestion, like I'm coming down with a cold or sinus infectikn

2021-12-14

Systemic reaction (other): Stuffy nose; tested positive for COVID-19 with an at-home antigen test

2021-12-15

Systemic reaction (other): Congestion/stuffy nose

Release 10 — day 7, dose 3

2021-12-16

Systemic reaction (other): Congestion (stuffy nose), but improving

Release 12 — day 21, dose 4

2022-10-27

Symptoms: Blepharitis

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	Blepharitis	·	·	✓
SRO	Nasal congestion	·	·	✓
SRO	Nasopharyngitis	·	·	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	SARS-CoV-2 test positive	·	·	✓
SRO	Sinusitis	·	·	✓

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