W3D-10892-82606

3 vaccinations 6 coded responses 28 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 26-30
ZIP prefix: 554 / MN
Registered: 2021-01-12

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

2021-01-12
Registered in v-safe
2021-01-12
Dose 1 — Pfizer-BioNTech
2021-01-12
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

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

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

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

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-20
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-01-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-02
Dose 2 — Pfizer-BioNTech
2021-02-10
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-23
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
2021-03-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-04
Survey response — 3 months, dose 2
MedDRA: Blood immunoglobulin G increased, SARS-CoV-2 test negative — Feeling: Poor

Free text: I tested positive for the IgG but negative for IgM and negative for PCR.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-03
Survey response — 6 months, dose 2
MedDRA: Depression, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Feel depressed more.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-26
Dose 3 — Pfizer-BioNTech
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-05
Health check-in — day 7, dose 3
Feeling: Good · None

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

Adult check-in
2021-10-17
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-24
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-01
Survey response — day 35, dose 3
MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Wake up congested and a tiny bit of a sore throat, but then it goes away as the day goes on.

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Survey response — day 42, dose 3
MedDRA: Depressed mood, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair

Free text: Feel congested in the morning when I wake up. Sometimes a sore throat in the morning that seems to go away usually as the day goes on. I also feel more depressed, not sure if that is related to booster or seasonal affect disorder.

MedDRA releases: 2024-11 · check-in free text available
2021-12-26
Survey response — 3 months, dose 3
MedDRA: Depression — Feeling: Poor · 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: Depression.

MedDRA releases: 2024-11 · check-in free text available
2021-12-26
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-27
Call 1 — Left Voicemail
2022-03-27
Survey response — 6 months, dose 3
MedDRA: Gastrointestinal disorder, Nasopharyngitis, Pregnancy — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pregnancy, worse cold, frequent stomach issues

MedDRA releases: 2024-11 · check-in free text available
2022-09-26
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-12	Pfizer-BioNTech
2	2021-02-02	Pfizer-BioNTech
3	2021-09-26	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-12-26	Unsuccessful

Free text

Release 8 — 3 months, dose 2

2021-05-04

Symptoms: I tested positive for the IgG but negative for IgM and negative for PCR.

Release 9 — 6 months, dose 2

2021-08-03

Symptoms: Feel depressed more.

Release 10 — day 35, dose 3

2021-11-01

Symptoms: Wake up congested and a tiny bit of a sore throat, but then it goes away as the day goes on.

Release 10 — day 42, dose 3

2021-11-08

Symptoms: Feel congested in the morning when I wake up. Sometimes a sore throat in the morning that seems to go away usually as the day goes on. I also feel more depressed, not sure if that is related to booster or seasonal affect disorder.

Release 10 — 3 months, dose 3

2021-12-26

Symptoms: Depression.

Release 11 — 6 months, dose 3

2022-03-27

Symptoms: Pregnancy, worse cold, frequent stomach issues

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	Blood immunoglobulin G increased	✓	✓	✓
SD	Depressed mood	·	·	✓
SD	Depression	✓	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Pregnancy	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	✓	✓	✓

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