VWJ-15921-12637

2 vaccinations 6 coded responses 17 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 05-11
ZIP prefix: 530 / WI
Registered: 2021-11-14

Relationship: Child or adolescent in my care
Guardian: 2AS-22687-57223
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-11-12
Dose 1 — Pfizer-BioNTech
2021-11-14
Registered in v-safe
2021-11-14
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2021-11-15
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · None

Adult check-in
2021-11-19
Health check-in — day 7, dose 1, dependent
Feeling: Good · None

Adult check-in
2021-11-26
Survey response — day 14, dose 1, dependent
MedDRA: Rhinorrhoea — Feeling: Good

Free text: Runny nose for <48 hours

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Dose 2 — Pfizer-BioNTech
2021-12-04
Survey response — days 1–6 daily, dose 2, dependent
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities

Free text: Dizzy

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-12-06
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-12-08
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-12-10
Health check-in — day 7, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-12-18
Survey response — day 14, dose 2, dependent
MedDRA: Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Runny nose · Healthcare visit (other): Covid tested and was negative

MedDRA releases: 2024-11 · check-in free text available
2021-12-18
Report sent to call center — day 14, dose 2, dependent
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-21
Call successful
Participant prefers to complete VAERS report online
2021-12-24
Survey response — day 21, dose 2, dependent
MedDRA: Fatigue, Headache, Malaise, Office visit, Oropharyngeal pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do their normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Fever, headache, runny nose, fatigue for less than 24 hours, had a sore throat next day which was mild and lasted less than 24 hrs.Following day felt well. Had a neg rapid covid test day of fever. · Healthcare visit (other): Eval by parent/physician

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Report sent to call center — day 21, dose 2, dependent
Be unable to do their normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-27
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-02
Health check-in — day 28, dose 2, dependent
Feeling: Good

Adult check-in
2022-01-07
Health check-in — day 35, dose 2, dependent
Feeling: Good

Adult check-in
2022-01-15
Health check-in — day 42, dose 2, dependent
Feeling: Good

Adult check-in
2022-03-04
Survey response — 3 months, dose 2, dependent
MedDRA: Cough, Fatigue, Headache, Nasal congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cough, nasal congestion, fatigue, headache

MedDRA releases: 2024-11 · check-in free text available
2022-06-05
Health check-in — 6 months, dose 2, dependent
Feeling: Good

Adult check-in
2022-12-06
Survey response — 12 months, dose 2, dependent
MedDRA: Cough, Influenza virus test negative, Nasopharyngitis, SARS-CoV-2 test negative — 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: Mild cold like symptoms with cough but no fever, tested negative for influenza, RSV, and covid. Home care only.

MedDRA releases: 2024-11 · check-in free text available
2022-12-06
Report sent to call center — 12 months, dose 2, dependent
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)
2022-12-07
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-11-12	Pfizer-BioNTech	No
2	2021-12-03	Pfizer-BioNTech	No

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 10 — day 14, dose 1, dependent

2021-11-26

Symptoms: Runny nose for <48 hours

Release 10 — days 1–6 daily, dose 2, dependent

2021-12-04

Systemic reaction (other): Dizzy

Release 10 — day 14, dose 2, dependent

2021-12-18

Symptoms: Runny nose

Healthcare visit (other): Covid tested and was negative

Release 10 — day 21, dose 2, dependent

2021-12-24

Symptoms: Fever, headache, runny nose, fatigue for less than 24 hours, had a sore throat next day which was mild and lasted less than 24 hrs.Following day felt well. Had a neg rapid covid test day of fever.

Healthcare visit (other): Eval by parent/physician

Release 11 — 3 months, dose 2, dependent

2022-03-04

Symptoms: Cough, nasal congestion, fatigue, headache

Release 12 — 12 months, dose 2, dependent

2022-12-06

Symptoms: Mild cold like symptoms with cough but no fever, tested negative for influenza, RSV, and covid. Home care only.

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	·	·	✓
HCVO	SARS-CoV-2 test negative	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Influenza virus test negative	·	·	✓
SD	Malaise	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Dizziness	·	·	✓

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