X2F-57825-84902

5 vaccinations 14 coded responses 52 check-ins 14 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 940 / CA
Registered: 2021-04-10

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-04-10
Registered in v-safe
2021-04-10
Dose 1 — Pfizer-BioNTech
2021-04-10
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Nausea

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-17
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-01
Dose 2 — Pfizer-BioNTech
2021-05-01
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Photophobia, Pyrexia — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Light sensitivity (yesterday), mild fever (yesterday), lymph node pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain — Feeling: Fair · Site: Pain · Muscle or body aches, Nausea

Free text: Lymph node soreness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain — Feeling: Fair · Site: Pain · Muscle or body aches, Nausea

Free text: Achey lymph node same arm as injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-08
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-12
Survey response — day 42, dose 2
MedDRA: Sinusitis — Feeling: Good

Free text: Sinus infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-31
Survey response — 3 months, dose 2
MedDRA: Oropharyngeal pain, Respiratory tract congestion, Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sore throat, congestion, sinus infection

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-31
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-30
Survey response — 6 months, dose 2
MedDRA: 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

Free text: Sinus infection

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
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)
2021-11-02
Call 1 — Left Voicemail
2021-11-19
Dose 3 — Moderna
2022-05-22
Survey response — 6 months, dose 3
MedDRA: Sinusitis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sinus infection

MedDRA releases: 2024-11 · check-in free text available
2022-06-03
Dose 4 — Moderna
2022-06-03
Health check-in — day 0, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-06-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness

Adult check-in
2022-06-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2022-06-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2022-06-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-06-08
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Itching · Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school

Adult check-in
2022-06-09
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Itching · Fatigue or tiredness, Diarrhea

Adult check-in
2022-06-10
Health check-in — day 7, dose 4
Feeling: Good · Site: Itching · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2022-06-17
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-26
Survey response — day 21, dose 4
MedDRA: Ageusia, Cough, Fatigue, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: Fair · Be unable to do your normal daily activities

Free text: Tired, cough, congestion, some loss of taste; pos covid test

MedDRA releases: 2024-11 · check-in free text available
2022-07-01
Survey response — day 28, dose 4
MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Covid dx

MedDRA releases: 2024-11 · check-in free text available
2022-07-08
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-07-15
Survey response — day 42, dose 4
MedDRA: Dyspnoea — Feeling: Good

Free text: Breathing troubles

MedDRA releases: 2024-11 · check-in free text available
2022-09-02
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-30
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-09-30
Health check-in — day 0, dose 5
Feeling: Good · Chills, Headache

Adult check-in
2022-10-01
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-02
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-03
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache

Adult check-in
2022-10-04
Survey response — days 1–6 daily, dose 5
MedDRA: Nasal congestion — Feeling: Good · Site: Pain, Redness, Swelling, Itching

Free text: Nasal Congestion

MedDRA releases: 2024-11 · check-in free text available
2022-10-05
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Redness, Itching · Headache

Adult check-in
2022-10-06
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Itching · Headache

Adult check-in
2022-10-07
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-14
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-21
Survey response — day 21, dose 5
MedDRA: Dry throat, Headache, Respiratory tract congestion, Throat irritation — Feeling: Fair

Free text: Congestion headache scratchy dry throat.

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-04
Survey response — day 35, dose 5
MedDRA: Paranasal sinus discomfort, Respiratory tract congestion — Feeling: Good

Free text: Congestion and sinus irritation

MedDRA releases: 2024-11 · check-in free text available
2022-11-15
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-30
Survey response — 3 months, dose 5
MedDRA: Gastrointestinal disorder, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activities

Free text: Stomach and bowel issues; severe congestion

MedDRA releases: 2024-11 · check-in free text available
2023-03-31
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-10	Pfizer-BioNTech
2	2021-05-01	Pfizer-BioNTech
3	2021-11-19	Moderna	No
4	2022-06-03	Moderna	No
5	2022-09-30	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-07-31	Unsuccessful
2021-10-30	Unsuccessful

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-03

Systemic reaction (other): Light sensitivity (yesterday), mild fever (yesterday), lymph node pain

2021-05-04

Systemic reaction (other): Lymph node soreness

2021-05-05

Systemic reaction (other): Achey lymph node same arm as injection

Release 9 — day 42, dose 2

2021-06-12

Symptoms: Sinus infection

Release 9 — 3 months, dose 2

2021-07-31

Symptoms: Sore throat, congestion, sinus infection

Release 10 — 6 months, dose 2

2021-10-30

Symptoms: Sinus infection

Release 11 — 6 months, dose 3

2022-05-22

Symptoms: Sinus infection

Release 12 — day 21, dose 4

2022-06-26

Symptoms: Tired, cough, congestion, some loss of taste; pos covid test

Release 12 — day 28, dose 4

2022-07-01

Symptoms: Covid dx

Release 12 — day 42, dose 4

2022-07-15

Symptoms: Breathing troubles

Release 12 — days 1–6 daily, dose 5

2022-10-04

Systemic reaction (other): Nasal Congestion

Release 12 — day 21, dose 5

2022-10-21

Symptoms: Congestion headache scratchy dry throat.

Release 12 — day 35, dose 5

2022-11-04

Symptoms: Congestion and sinus irritation

Release 12 — 3 months, dose 5

2022-12-30

Symptoms: Stomach and bowel issues; severe congestion

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	Ageusia	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Dry throat	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	·	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Respiratory tract congestion	✓	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sinusitis	✓	✓	✓
SD	Throat irritation	·	·	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Nasal congestion	·	·	✓
SRO	Photophobia	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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