W2A-10092-25043

2 vaccinations 5 coded responses 25 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 457 / OH
Registered: 2021-09-17

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

2021-09-17
Registered in v-safe
2021-09-17
Dose 1 — Pfizer-BioNTech
2021-09-17
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-09-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-09-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-09-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-09-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-09-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-09-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-09-24
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-10-01
Survey response — day 14, dose 1
MedDRA: Asthenia, Diarrhoea, Fatigue, Headache, Pain — Feeling: Fair · Be unable to work or attend school

Free text: Fatigue, weakness, headache, body aches, and diarrhea.

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Dose 2 — Pfizer-BioNTech
2021-10-08
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-10-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-10-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-10-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Nausea

Adult check-in
2021-10-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-10-13
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
2021-10-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-10-15
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-10-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-10-31
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-11-05
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-11-14
Survey response — day 35, dose 2
MedDRA: Ear pain, Fatigue, Headache, Oropharyngeal pain, Pain, Rhinorrhoea, Sputum discoloured — Feeling: Poor

Free text: Runny nose, yellow mucus, sore throat, headache, body aches, fatigue, ear ache.

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Survey response — day 42, dose 2
MedDRA: Ear pain, Fatigue, Headache, Lymphadenopathy, Pain, Paranasal sinus hypersecretion, Sputum discoloured — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Headache, earache, swollen glands, yellow mucus, sinus drainage, fatigue, and body aches.

MedDRA releases: 2024-11 · check-in free text available
2022-01-07
Survey response — 3 months, dose 2
MedDRA: Bronchitis, Ear infection, SARS-CoV-2 test negative, Sinusitis — 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: Sinus infection, double ear infection, and bronchitis. Treated with antibiotic, tested for COVID-19 and was negative.

MedDRA releases: 2024-11 · check-in free text available
2022-01-07
Report sent to call center — 3 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-10
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-14
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-10-08
Survey response — 12 months, dose 2
MedDRA: Asthma, COVID-19, Pneumonia — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: COVID positive 7/10/22 followed by pneumonia Rebound of COVID 9/7/22 Diagnosed with COVID induced Asthma

MedDRA releases: 2024-11 · check-in free text available
2022-10-08
Report sent to call center — 12 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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-10
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-09-17	Pfizer-BioNTech	No
2	2021-10-08	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-01-07	Successful 2022-01-10	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-10-08	Unsuccessful

Free text

Release 9 — day 14, dose 1

2021-10-01

Symptoms: Fatigue, weakness, headache, body aches, and diarrhea.

Release 10 — day 35, dose 2

2021-11-14

Symptoms: Runny nose, yellow mucus, sore throat, headache, body aches, fatigue, ear ache.

Release 10 — day 42, dose 2

2021-11-19

Symptoms: Headache, earache, swollen glands, yellow mucus, sinus drainage, fatigue, and body aches.

Release 10 — 3 months, dose 2

2022-01-07

Symptoms: Sinus infection, double ear infection, and bronchitis. Treated with antibiotic, tested for COVID-19 and was negative.

Release 12 — 12 months, dose 2

2022-10-08

Symptoms: COVID positive 7/10/22 followed by pneumonia Rebound of COVID 9/7/22 Diagnosed with COVID induced Asthma

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	Asthenia	·	·	✓
SD	Asthma	·	·	✓
SD	Bronchitis	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Ear infection	·	·	✓
SD	Ear pain	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Paranasal sinus hypersecretion	·	·	✓
SD	Pneumonia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinusitis	·	·	✓
SD	Sputum discoloured	·	·	✓

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