W2F-15282-31209

3 vaccinations 9 coded responses 26 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 560 / MN
Registered: 2021-01-05

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

2020-12-24
Dose 1 — Pfizer-BioNTech
2021-01-05
Registered in v-safe
2021-01-05
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-14
Dose 2 — Pfizer-BioNTech
2021-01-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-17
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Nausea, Pain, Sneezing, Throat irritation — Feeling: Fair · Fatigue or tiredness · Be unable to work

Free text: Cough sore, scratchy throat, nausea, sneezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Report sent to call center — days 1–6 daily, dose 2
Be unable to work

1 call case(s)
2021-01-18
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea, Throat irritation — Feeling: Fair · Be unable to work

Free text: Cough, scratchy throat, rhinorrhea, congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Report sent to call center — days 1–6 daily, dose 2
Be unable to work

1 call case(s)
2021-01-19
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Headache, Nausea · Be unable to work

Adult check-in
2021-01-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-21
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-27
Survey response — day 42, dose 2
MedDRA: Malaise, Rhinorrhoea, Sneezing, Throat irritation — Feeling: Fair

Free text: Scratchy throat, sneezing, runny nose, malaise

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-29
Dose 3 — Pfizer-BioNTech
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-01
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain — Feeling: Good · Site: Pain

Free text: Pain in left armpit, cannot palpate a lump

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain

Free text: Swollen, tender lymph nodes left axilla and left neck (shot in left arm)

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

Free text: Swollen tender lymph nodes left axilla and neck

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-29
Survey response — 3 months, dose 3
MedDRA: Cough, Nasopharyngitis, SARS-CoV-2 test negative, Sinus congestion — Feeling: Fair · Be unable to work or attend school

Free text: I have a cold I'm getting over, cough, sinus congestion. Negative COVID tests

MedDRA releases: 2024-11 · check-in free text available
2022-04-01
Survey response — 6 months, dose 3
MedDRA: Oropharyngeal pain — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Had a month long sore throat finally treated with amoxicillin and it was gone.

MedDRA releases: 2024-11 · check-in free text available
2022-04-01
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-04
Call 1 — Left Voicemail
2022-04-04
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-10-01
Survey response — 12 months, dose 3
MedDRA: Abortion spontaneous, COVID-19, Chills, Cough, Fatigue, Pain — Feeling: Good · Be unable to work or attend school

Free text: Cough, chills, body aches, fatigue , also had miscarriage at 7 weeks while having COVID

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-24	Pfizer-BioNTech
2	2021-01-14	Pfizer-BioNTech
3	2021-09-29	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-17	priority 2/3
2021-01-18	priority 2/3
2022-04-01	Successful 2022-04-04	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 2 — days 1–6 daily, dose 2

2021-01-17

Systemic reaction (other): Cough sore, scratchy throat, nausea, sneezing

2021-01-18

Systemic reaction (other): Cough, scratchy throat, rhinorrhea, congestion

Release 4 — day 42, dose 2

2021-02-27

Symptoms: Scratchy throat, sneezing, runny nose, malaise

Release 9 — days 1–6 daily, dose 3

2021-10-01

Systemic reaction (other): Pain in left armpit, cannot palpate a lump

2021-10-02

Systemic reaction (other): Swollen, tender lymph nodes left axilla and left neck (shot in left arm)

2021-10-03

Systemic reaction (other): Swollen tender lymph nodes left axilla and neck

Release 10 — 3 months, dose 3

2021-12-29

Symptoms: I have a cold I'm getting over, cough, sinus congestion. Negative COVID tests

Release 11 — 6 months, dose 3

2022-04-01

Symptoms: Had a month long sore throat finally treated with amoxicillin and it was gone.

Release 12 — 12 months, dose 3

2022-10-01

Symptoms: Cough, chills, body aches, fatigue , also had miscarriage at 7 weeks while having 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
SD	Abortion spontaneous	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Malaise	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Sneezing	✓	✓	✓
SD	Throat irritation	✓	✓	✓
SRO	Axillary pain	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Nausea	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sneezing	✓	✓	✓
SRO	Throat irritation	✓	✓	✓

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