XS5-15904-31183

4 vaccinations 9 coded responses 37 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 953 / CA
Registered: 2021-02-22

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

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

2021-02-22
Registered in v-safe
2021-02-22
Dose 1 — Pfizer-BioNTech
2021-02-22
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-01
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-15
Dose 2 — Pfizer-BioNTech
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-17
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain, Chest pain — Feeling: Fair · Site: Pain, Redness · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Last night I started to have severe chest pain and upper abdominal pain. Not sure if related to vaccine or not.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — day 7, dose 2
Feeling: Fair · Headache · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Survey response — day 14, dose 2
MedDRA: Headache, Respiratory tract congestion, Sensation of foreign body, Sneezing — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Started with some sneezing, slightly congested and the head ache continues. I hadnt reported this weird feeling in my throat like something is stuck there.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — day 21, dose 2
MedDRA: Cough, Headache, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sore throat and slinger cough. Headache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — day 42, dose 2
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe Head ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-13
Survey response — 6 months, dose 2
MedDRA: Cough, Dyspnoea, Fatigue, Headache, Oropharyngeal pain — 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 · Telehealth, virtual health, or email health consultation

Free text: Extrema fatigueSore throat CoughShortness of breathHeadache

MedDRA releases: 2024-11 · check-in free text available
2021-09-13
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

1 call case(s)
2021-09-14
Call 1 — Left Voicemail
2021-09-14
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-12-30
Dose 3 — Pfizer-BioNTech
2021-12-30
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-01-01
Survey response — days 1–6 daily, dose 3
MedDRA: Chest discomfort — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: I felt a very strong chest pressure

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-08
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-20
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-01-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-12
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-07-02
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-17
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-11-26
Health check-in — day 7, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school

Adult check-in
2022-12-01
Survey response — day 14, dose 4
MedDRA: Acne, Injection site mass, Injection site reaction — Feeling: Fair

Free text: I still feel like a little bump/pimple like in the injection area

MedDRA releases: 2024-11 · check-in free text available
2022-12-10
Survey response — day 21, dose 4
MedDRA: Cough, Ear pain, Headache, Oropharyngeal pain — 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

Free text: Cough, throat pain, headache and ear ache

MedDRA releases: 2024-11 · check-in free text available
2022-12-10
Report sent to call center — day 21, 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-14
Call 1 — Left Voicemail
2022-12-21
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-12-23
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-12-31
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-02-16
Survey response — 3 months, dose 4
MedDRA: Chest pain, Cough, Diarrhoea, Headache, Oropharyngeal pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-05-20
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-22	Pfizer-BioNTech
2	2021-03-15	Pfizer-BioNTech
3	2021-12-30	Pfizer-BioNTech	No
4	2022-11-17	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-09-13	Successful 2021-09-14	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-12-10	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-17

Systemic reaction (other): Last night I started to have severe chest pain and upper abdominal pain. Not sure if related to vaccine or not.

Release 6 — day 14, dose 2

2021-03-29

Symptoms: Started with some sneezing, slightly congested and the head ache continues. I hadnt reported this weird feeling in my throat like something is stuck there.

Release 6 — day 21, dose 2

2021-04-05

Symptoms: Sore throat and slinger cough. Headache.

Release 8 — day 42, dose 2

2021-04-26

Symptoms: Severe Head ache

Release 9 — 6 months, dose 2

2021-09-13

Symptoms: Extrema fatigueSore throat CoughShortness of breathHeadache

Release 10 — days 1–6 daily, dose 3

2022-01-01

Systemic reaction (other): I felt a very strong chest pressure

Release 12 — day 14, dose 4

2022-12-01

Symptoms: I still feel like a little bump/pimple like in the injection area

Release 12 — day 21, dose 4

2022-12-10

Symptoms: Cough, throat pain, headache and ear ache

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	Acne	·	·	✓
SD	Chest pain	·	·	✓
SD	Cough	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Ear pain	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Injection site mass	·	·	✓
SD	Injection site reaction	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Sensation of foreign body	✓	✓	✓
SD	Sneezing	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Chest discomfort	·	·	✓
SRO	Chest pain	✓	✓	✓

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