VKU-78021-99564

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

Sex: Female
Age at first dose: 46-50
ZIP prefix: 201 / VA
Registered: 2021-01-10

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

2021-01-10
Registered in v-safe
2021-01-10
Dose 1 — Pfizer-BioNTech
2021-01-10
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

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

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-17
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-31
Dose 2 — Pfizer-BioNTech
2021-01-31
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-02-07
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — day 14, dose 2
Feeling: Good

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

Adult check-in
2021-03-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-01
Survey response — 6 months, dose 2
MedDRA: Nasopharyngitis, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Cold symptoms · Healthcare visit (other): Dr visit in person

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-01
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-13
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-08-24
Dose 3 — Pfizer-BioNTech
2021-09-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-09-14
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-09-21
Survey response — day 28, dose 3
MedDRA: Nasopharyngitis — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cold symptoms

MedDRA releases: 2024-11 · check-in free text available
2021-09-28
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-05
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-23
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-02-24
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-03-25
Dose 4 — Moderna
2022-03-26
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2022-03-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness

Adult check-in
2022-03-28
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2022-03-30
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness, Diarrhea

Adult check-in
2022-04-01
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-17
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-04-22
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-01
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-06
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-06-24
Survey response — 3 months, dose 4
MedDRA: COVID-19 — 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 · Telehealth, virtual health, or email health consultation

Free text: COVID

MedDRA releases: 2024-11 · check-in free text available
2022-06-24
Report sent to call center — 3 months, 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-06-27
Call 1 — Left Voicemail
2022-06-27
Call 2 — Left Voicemail
2022-09-23
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-09-26
Dose 5 — Moderna
Co-administered: Flu
2022-10-04
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-10
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-17
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-10-24
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-10-31
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-28
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-29
Survey response — 6 months, dose 5
MedDRA: Nasopharyngitis, Nephrolithiasis — 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, Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-03-29
Report sent to call center — 6 months, dose 5
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 · Emergency room or emergency department visit · 1 call case(s)
2023-03-30
Call 1 — Could Not Reach Participant
2023-03-30
Call 1 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-10	Pfizer-BioNTech
2	2021-01-31	Pfizer-BioNTech
3	2021-08-24	Pfizer-BioNTech	No
4	2022-03-25	Moderna	No
5	2022-09-26	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-08-01	Successful 2021-08-13	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-24	Unsuccessful
2023-03-29	Unsuccessful

Free text

Release 9 — 6 months, dose 2

2021-08-01

Symptoms: Cold symptoms

Healthcare visit (other): Dr visit in person

Release 9 — day 28, dose 3

2021-09-21

Symptoms: Cold symptoms

Release 12 — 3 months, dose 4

2022-06-24

Symptoms: COVID

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	COVID-19	·	·	✓
SD	Nasopharyngitis	✓	·	✓
SD	Nephrolithiasis	·	·	✓

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