X2J-30635-75336

4 vaccinations 7 coded responses 26 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 585 / ND
Registered: 2020-12-17

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

2020-12-17
Registered in v-safe
2020-12-17
Dose 1 — Pfizer-BioNTech
2020-12-17
Health check-in — day 0, dose 1
Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness, Nausea

Adult check-in
2020-12-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2020-12-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2020-12-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2020-12-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2020-12-26
Health check-in — day 7, dose 1
Feeling: Good · Headache, Abdominal pain

Adult check-in
2021-01-02
Survey response — day 14, dose 1
MedDRA: Fatigue, Nausea — Feeling: Fair

Free text: Nausea, fatique

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Dose 2 — Pfizer-BioNTech
2021-01-08
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-08
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea · 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
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-14
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-21
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-01-28
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-02-11
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-02-18
Survey response — day 42, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — 3 months, dose 2
MedDRA: Cough, Rhinorrhoea — Feeling: Fair

Free text: Runny nose, cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-10
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-08-20
Dose 3 — Pfizer-BioNTech
Co-administered: Other
2021-09-28
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-10-01
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-11-21
Survey response — 3 months, dose 3
MedDRA: Mental disorder — Feeling: Good

Free text: Poor mental health

MedDRA releases: 2024-11 · check-in free text available
2022-02-18
Survey response — 6 months, dose 3
MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Tested positive for COVID

MedDRA releases: 2024-11 · check-in free text available
2022-04-19
Dose 4 — Pfizer-BioNTech
2022-08-20
Survey response — 12 months, dose 3
MedDRA: Anaemia, COVID-19, Hypovitaminosis — Feeling: Poor · 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, Emergency room or emergency department visit

Free text: Covid, anemia, vitamin deficiencies

MedDRA releases: 2024-11 · check-in free text available
2022-08-20
Report sent to call center — 12 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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-08-22
Call 1 — Could Not Reach Participant
2022-08-25
Call 2 — Requested Callback
2022-08-25
Callback requested for
12:02PM ET
2022-08-25
Call successful
Does not wish to fill out VAERS report
2022-10-18
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2023-04-19
Survey response — 12 months, dose 4
MedDRA: Back pain, Migraine, Neck pain, Pre-existing disease — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-17	Pfizer-BioNTech
2	2021-01-07	Pfizer-BioNTech
3	2021-08-20	Pfizer-BioNTech	Other
4	2022-04-19	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-08	priority 2/3
2021-01-09	priority 2/3
2022-08-20	Successful 2022-08-25	Does not wish to fill out VAERS report

Free text

Release 1 — day 14, dose 1

2021-01-02

Symptoms: Nausea, fatique

Release 4 — day 42, dose 2

2021-02-18

Symptoms: Fatigue

Release 7 — 3 months, dose 2

2021-04-08

Symptoms: Runny nose, cough

Release 10 — 3 months, dose 3

2021-11-21

Symptoms: Poor mental health

Release 11 — 6 months, dose 3

2022-02-18

Symptoms: Tested positive for COVID

Release 12 — 12 months, dose 3

2022-08-20

Symptoms: Covid, anemia, vitamin deficiencies

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	Anaemia	·	·	✓
SD	Back pain	·	·	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Hypovitaminosis	·	·	✓
SD	Mental disorder	·	·	✓
SD	Migraine	·	·	✓
SD	Nausea	✓	✓	✓
SD	Neck pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test positive	·	·	✓

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