WT7-31416-02454

4 vaccinations 9 coded responses 45 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 354 / AL
Registered: 2020-12-19

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

2020-12-18
Dose 1 — Pfizer-BioNTech
2020-12-19
Registered in v-safe
2020-12-19
Survey response — days 1–6 daily, dose 1
MedDRA: Paraesthesia oral — Feeling: Good · Site: Pain

Free text: Tingling of my tongue off and on since getting shot last night. Getting less frequent today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-24
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-25
Health check-in — day 7, dose 1
Feeling: Good · None

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

Adult check-in
2021-01-08
Dose 2 — Pfizer-BioNTech
2021-01-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-09
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-10
Survey response — days 1–6 daily, dose 2
MedDRA: Pyrexia — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Last night my fever got up to 102.5 which was higher than when I did my checkin yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-10
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-11
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Lymphadenopathy, Tachycardia — Feeling: Poor · Site: Pain, Redness

Free text: Enlarged supraclavicular lymph node on same side as shot developed last night, today had chest pain and tachycardia (115)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Tachycardia — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Tachycardia and chest pain have improved today but still present. Heart rate mainly 90-100.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Survey response — days 1–6 daily, dose 2
MedDRA: Oedema peripheral — Feeling: Good

Free text: My lymph node is still swollen but smaller and less tender

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-01-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-01
Dose 3 — Pfizer-BioNTech
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-10-08
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
2021-10-22
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-29
Survey response — day 28, dose 3
MedDRA: Food allergy, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Diagnosed with an allergy to shrimp · Healthcare visit (other): Allergist visit

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-01
Call 1 — Left Voicemail
2021-11-03
Call successful
Does not wish to fill out VAERS report
2021-11-05
Health check-in — day 35, dose 3
Feeling: Good

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

Adult check-in
2021-12-31
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-01
Survey response — 6 months, dose 3
MedDRA: Appendicitis, COVID-19, Surgery — 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 · Hospitalization

Free text: Symptoms: Covid19 and Appendicitis · Healthcare visit (other): Surgery

MedDRA releases: 2024-11 · check-in free text available
2022-04-01
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Hospitalization · 1 call case(s)
2022-04-04
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-10-28
Dose 4 — Moderna
2022-10-28
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2022-10-29
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-10-30
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-11-02
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-11-03
Survey response — days 1–6 daily, dose 4
MedDRA: Pain — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: I get achy every day around 4-5 PM and through the night.

MedDRA releases: 2024-11 · check-in free text available
2022-11-06
Health check-in — day 7, dose 4
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-11
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-18
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-25
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-12-04
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-09
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-18	Pfizer-BioNTech
2	2021-01-08	Pfizer-BioNTech
3	2021-10-01	Pfizer-BioNTech	No
4	2022-10-28	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-09	priority 2/3
2021-01-10	priority 2/3
2021-10-29	Successful 2021-11-03	Does not wish to fill out VAERS report
2022-04-01	Successful 2022-04-04	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-19

Systemic reaction (other): Tingling of my tongue off and on since getting shot last night. Getting less frequent today.

2020-12-24

Systemic reaction (other): Sore throat

Release 1 — days 1–6 daily, dose 2

2021-01-10

Systemic reaction (other): Last night my fever got up to 102.5 which was higher than when I did my checkin yesterday

2021-01-11

Systemic reaction (other): Enlarged supraclavicular lymph node on same side as shot developed last night, today had chest pain and tachycardia (115)

2021-01-12

Systemic reaction (other): Tachycardia and chest pain have improved today but still present. Heart rate mainly 90-100.

2021-01-13

Systemic reaction (other): My lymph node is still swollen but smaller and less tender

Release 10 — day 28, dose 3

2021-10-29

Symptoms: Diagnosed with an allergy to shrimp

Healthcare visit (other): Allergist visit

Release 11 — 6 months, dose 3

2022-04-01

Symptoms: Covid19 and Appendicitis

Healthcare visit (other): Surgery

Release 12 — days 1–6 daily, dose 4

2022-11-03

Systemic reaction (other): I get achy every day around 4-5 PM and through the night.

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
HCVO	Office visit	·	·	✓
HCVO	Surgery	·	·	✓
SD	Appendicitis	·	·	✓
SD	COVID-19	·	·	✓
SD	Food allergy	·	·	✓
SRO	Body temperature increased	○	○	○
SRO	Chest pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	·	·	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Tachycardia	✓	✓	✓

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