W7K-21788-54735

4 vaccinations 10 coded responses 51 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 857 / AZ
Registered: 2020-12-26

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

2020-12-26
Registered in v-safe
2020-12-26
Dose 1 — Pfizer-BioNTech
2020-12-26
Health check-in — day 0, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2020-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Nausea

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

Adult check-in
2021-01-02
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-09
Survey response — day 14, dose 1
MedDRA: Abdominal discomfort, Chills, Headache, Pyrexia — Feeling: Good · Be unable to work

Free text: Fever and chills on Monday with headache and upset stomach

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Report sent to call center — day 14, dose 1
Be unable to work

1 call case(s)
2021-01-16
Dose 2 — Pfizer-BioNTech
2021-01-16
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-01-17
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness, Nausea

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-01-23
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-01-30
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-03
Call 1 — Left Voicemail
2021-02-03
Call 1 — Left Voicemail
2021-02-06
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-02-13
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-02-20
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-02-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-17
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-28
Dose 3 — Pfizer-BioNTech
2021-09-28
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-09-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-10-01
Survey response — days 1–6 daily, dose 3
MedDRA: Throat irritation — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Scratchy throat

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Respiratory tract congestion, Sneezing — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Congestion, cough, sneezing

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain, Respiratory tract congestion, Sneezing — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sneezing, congestion, sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sneezing, runny nose, congestion

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Survey response — day 7, dose 3
MedDRA: Oropharyngeal pain, Sneezing — Feeling: Fair

Free text: Sneezing, sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-10-12
Survey response — day 14, dose 3
MedDRA: Discomfort, Headache, Nasal discharge discolouration, Sinusitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Symptoms of a sinus infection. Copious yellow diacharge from nose, headache, facial pressure

MedDRA releases: 2024-11 · check-in free text available
2021-10-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-26
Survey response — day 28, dose 3
MedDRA: Breast feeding, Mastitis — Feeling: Good

Free text: Mastitis, I am breast feeding.

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-09
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-30
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-29
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-29
Dose 4 — Pfizer-BioNTech
2022-09-30
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in
2022-09-30
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-10-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache

Adult check-in
2022-10-02
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Nausea

Adult check-in
2022-10-03
Survey response — days 1–6 daily, dose 4
MedDRA: Eye discharge, Ocular hyperaemia — Feeling: Good

Free text: Red eyes with some discharge

MedDRA releases: 2024-11 · check-in free text available
2022-10-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-06
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-13
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-22
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-27
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-12-31
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-30
Survey response — 6 months, dose 4
MedDRA: Abortion spontaneous — 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

MedDRA releases: 2024-11
2023-03-30
Report sent to call center — 6 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-03-31
Call successful
Not applicable - Accidental Reporting

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-26	Pfizer-BioNTech
2	2021-01-16	Pfizer-BioNTech
3	2021-09-28	Pfizer-BioNTech	No
4	2022-09-29	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-09	Unsuccessful
2021-01-17	Unsuccessful
2023-03-30	Successful 2023-03-31	Not applicable - Accidental Reporting

Free text

Release 1 — day 14, dose 1

2021-01-09

Symptoms: Fever and chills on Monday with headache and upset stomach

Release 9 — days 1–6 daily, dose 3

2021-10-01

Systemic reaction (other): Scratchy throat

2021-10-02

Systemic reaction (other): Congestion, cough, sneezing

2021-10-03

Systemic reaction (other): Sneezing, congestion, sore throat

Release 10 — days 1–6 daily, dose 3

2021-10-04

Systemic reaction (other): Sneezing, runny nose, congestion

Release 10 — day 7, dose 3

2021-10-05

Systemic reaction (other): Sneezing, sore throat

Release 10 — day 14, dose 3

2021-10-12

Symptoms: Symptoms of a sinus infection. Copious yellow diacharge from nose, headache, facial pressure

Release 10 — day 28, dose 3

2021-10-26

Symptoms: Mastitis, I am breast feeding.

Release 12 — days 1–6 daily, dose 4

2022-10-03

Systemic reaction (other): Red eyes with some discharge

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	Abdominal discomfort	✓	✓	✓
SD	Abortion spontaneous	·	·	✓
SD	Breast feeding	·	·	✓
SD	Chills	✓	✓	✓
SD	Discomfort	·	·	✓
SD	Headache	✓	✓	✓
SD	Mastitis	·	·	✓
SD	Nasal discharge discolouration	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Sinusitis	·	·	✓
SRO	Cough	·	·	✓
SRO	Eye discharge	·	·	✓
SRO	Ocular hyperaemia	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Sneezing	·	·	✓
SRO	Throat irritation	·	·	✓

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