WSU-17522-43653

3 vaccinations 2 coded responses 30 check-ins 2 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 729 / AR
Registered: 2021-08-20

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-08-18
Dose 1 — Pfizer-BioNTech
2021-08-20
Registered in v-safe
2021-08-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-08-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-08-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-08-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-08-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-08-25
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness, Diarrhea

Adult check-in
2021-09-01
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-09-10
Dose 2 — Pfizer-BioNTech
2021-09-10
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Diarrhea

Adult check-in
2021-09-11
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-09-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-09-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-09-14
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
2021-09-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-09-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-09-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-09-27
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-10-01
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-10-08
Survey response — day 28, dose 2
MedDRA: Bacterial infection, Fatigue, Headache, Influenza virus test, Office visit, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test negative — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: High fever, headache, sore throat, extreme fatigue. Doctor made me test for COVID. Both rapid and other test came back negative. After results of COVID, tested for influenza and strep. Determined a bacterial infection.

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-05
Call 1 — Left Voicemail
2022-03-11
Survey response — 6 months, dose 2
MedDRA: COVID-19 — 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: COVID

MedDRA releases: 2024-11 · check-in free text available
2022-03-11
Report sent to call center — 6 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)
2022-03-14
Call 1 — Left Voicemail
2022-04-28
Dose 3 — Pfizer-BioNTech
2022-05-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-05-04
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Vomiting, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-05-07
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-05-12
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-05-19
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-05-26
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-06-04
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-06-09
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-07-28
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-10-27
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-04-28
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-18	Pfizer-BioNTech	No
2	2021-09-10	Pfizer-BioNTech	No
3	2022-04-28	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-10-08	Unsuccessful
2022-03-11	Unsuccessful

Free text

Release 10 — day 28, dose 2

2021-10-08

Symptoms: High fever, headache, sore throat, extreme fatigue. Doctor made me test for COVID. Both rapid and other test came back negative. After results of COVID, tested for influenza and strep. Determined a bacterial infection.

Release 11 — 6 months, dose 2

2022-03-11

Symptoms: 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	Bacterial infection	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Influenza virus test	·	·	✓
SD	Office visit	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓

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