WED-26506-36202

4 vaccinations 13 coded responses 49 check-ins 12 free-text entries 3 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 554 / MN
Registered: 2021-04-02

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

2021-04-01
Dose 1 — Pfizer-BioNTech
2021-04-02
Registered in v-safe
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Photosensitivity reaction, Vision blurred — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Free text: Blurred vision, photo sensitivity

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Photosensitivity reaction, Vision blurred — Feeling: Fair · Headache, Nausea

Free text: Blurry vision & photosensitivity

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-04-08
Survey response — day 7, dose 1
MedDRA: Sinus congestion — Feeling: Fair · Headache · Be unable to do your normal daily activities

Free text: Sinus congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — day 14, dose 1
MedDRA: Cough, Sinusitis — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Sinus infection with cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Dose 2 — Pfizer-BioNTech
2021-04-22
Health check-in — day 0, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Paranasal sinus discomfort — Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea

Free text: Sinus pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Sinusitis — Feeling: Fair · Fatigue or tiredness

Free text: Sinus infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Sinusitis — Feeling: Fair · Headache · Be unable to work

Free text: Sinus Infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — day 7, dose 2
MedDRA: Sinusitis — Feeling: Fair · Fatigue or tiredness

Free text: Sinus infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-13
Health check-in — day 21, dose 2
Feeling: Poor

Adult check-in
2021-05-20
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-27
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-03
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-10-21
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-27
Dose 3 — Moderna
2021-11-28
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-11-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-12-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-04
Health check-in — day 7, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-12-11
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-01
Survey response — day 35, dose 3
MedDRA: Abdominal discomfort, Chills, Headache, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Chills, upset stomach, body aches, headache

MedDRA releases: 2024-11 · check-in free text available
2022-01-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-27
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-28
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-22
Dose 4 — Pfizer-BioNTech
2022-09-24
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-25
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-09-26
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-09-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-09-28
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-09-29
Health check-in — day 7, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-10-06
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-13
Survey response — day 21, dose 4
MedDRA: Oropharyngeal pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-10-13
Report sent to call center — day 21, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-14
Call 1 — Left Voicemail
2022-10-20
Survey response — day 28, dose 4
MedDRA: Nasal congestion, Respiratory tract congestion, Secretion discharge, Upper-airway cough syndrome — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Nasal congestion, excess mucous, mucous draining down throat, chest congestion

MedDRA releases: 2024-11 · check-in free text available
2022-10-27
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-03
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-22
Survey response — 3 months, dose 4
MedDRA: Abortion spontaneous, Nasopharyngitis — Feeling: Fair · 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: Sinus cold. Miscarriage.

MedDRA releases: 2024-11 · check-in free text available
2022-12-22
Report sent to call center — 3 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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-23
Call 2 — Left Voicemail
2022-12-23
Call 1 — Left Voicemail
2023-03-23
Survey response — 6 months, dose 4
MedDRA: COVID-19, Pharyngitis streptococcal, Sinusitis — Feeling: Fair · 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

MedDRA releases: 2024-11
2023-03-23
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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-03-24
Call successful
Participant prefers to complete VAERS report online
2023-03-24
Call successful
Participant prefers to complete VAERS report online
2023-03-24
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Pfizer-BioNTech
2	2021-04-22	Pfizer-BioNTech
3	2021-11-27	Moderna	No
4	2022-09-22	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-10-13	Successful 2023-03-24	Participant prefers to complete VAERS report online
2022-12-22	Successful 2023-03-24	Participant prefers to complete VAERS report online
2023-03-23	Successful 2023-03-24	Participant prefers to complete VAERS report online

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-02

Systemic reaction (other): Blurred vision, photo sensitivity

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): Blurry vision & photosensitivity

Release 7 — day 7, dose 1

2021-04-08

Systemic reaction (other): Sinus congestion

Release 7 — day 14, dose 1

2021-04-15

Symptoms: Sinus infection with cough

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Sinus pressure

2021-04-27

Systemic reaction (other): Sinus infection

2021-04-28

Systemic reaction (other): Sinus Infection

Release 8 — day 7, dose 2

2021-04-29

Systemic reaction (other): Sinus infection

Release 10 — day 35, dose 3

2022-01-01

Symptoms: Chills, upset stomach, body aches, headache

Release 12 — day 21, dose 4

2022-10-13

Symptoms: Sore throat

Release 12 — day 28, dose 4

2022-10-20

Symptoms: Nasal congestion, excess mucous, mucous draining down throat, chest congestion

Release 12 — 3 months, dose 4

2022-12-22

Symptoms: Sinus cold. Miscarriage.

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	Chills	·	·	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Headache	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pharyngitis streptococcal	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Secretion discharge	·	·	✓
SD	Sinusitis	✓	✓	✓
SD	Upper-airway cough syndrome	·	·	✓
SRO	Paranasal sinus discomfort	✓	✓	✓
SRO	Photosensitivity reaction	✓	✓	✓
SRO	Sinus congestion	✓	✓	✓
SRO	Sinusitis	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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