XU8-12894-75199

2 vaccinations 15 coded responses 16 check-ins 15 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 207 / MD
Registered: 2021-04-08

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-04-07
Dose 1 — Pfizer-BioNTech
2021-04-08
Registered in v-safe
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea, Secretion discharge — Feeling: Fair · Site: Pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Nasopharyngitis — Feeling: Poor · Site: Pain, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-13
Survey response — days 1–6 daily, dose 1
MedDRA: Nasopharyngitis, Oropharyngeal pain, Pain, Rhinorrhoea — Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-14
Survey response — 7 day, dose 1
MedDRA: Nasopharyngitis — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-28
Dose 2 — Pfizer-BioNTech
2021-04-28
Survey response — 0 day, dose 2
MedDRA: Dizziness — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Fair · Site: Pain · Muscle or body aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Good · Site: Pain · Muscle or body aches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-05
Survey response — 7 day, dose 2
MedDRA: Constipation — Feeling: Fair · Joint pains

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-14
Survey response — 14 day, dose 2
MedDRA: Influenza, Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-06-09
Survey response — 42 day, dose 2
MedDRA: Back pain, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-06-09
Report sent to call center — 42 day, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-31
Survey response — 3 month, dose 2
MedDRA: Ear pain, Ear pruritus, Influenza, Nasopharyngitis, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

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

1 call case(s)
2021-10-27
Survey response — 6 month, dose 2
MedDRA: Nasopharyngitis — 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 · Emergency room or emergency department visit

MedDRA releases: 2024-11 · check-in answers available
2021-10-27
Report sent to call center — 6 month, 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

Emergency room or emergency department visit · 1 call case(s)
2021-10-28
Call 1 — Left Voicemail
2021-11-02
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Pfizer-BioNTech
2	2021-04-28	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-06-09	Unsuccessful
2021-07-31	Unsuccessful
2021-10-27	Unsuccessful

Free text

Release 7

Systemic reaction (other): Dizziness

Systemic reaction (other): Symptoms of a cold runny nose, sore throat & coughing up mucus

Systemic reaction (other): Common Cold Symptoms

Systemic reaction (other): Cold Symptoms runny nose, soar throat & body aches

Systemic reaction (other): Symptoms of the common cold

Release 8

Systemic reaction (other): Dizzy

Systemic reaction (other): Loss of appetite

Systemic reaction (other): Loss of Appetite

Systemic reaction (other): itching a lot

Systemic reaction (other): Constipated

Symptoms: Symptoms of a Cold or Flu

Symptoms: Aching body back and legs

Release 9

Symptoms: My ears are driving me crazy they are Constantly Itching and also they are very painful. Cold or flu symptoms, I was prescribed cough syrup and ear drops

Healthcare visit (other): Primary Doctor Appointment

Release 10

Symptoms: A Terrible cold that doesn't seem to want to go away

Free-text releases are not linked to a specific 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	✓	·	✓
SD	Back pain	✓	✓	✓
SD	Ear pain	✓	·	✓
SD	Ear pruritus	✓	·	✓
SD	Influenza	✓	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SRO	Constipation	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	·	✓
SRO	Pruritus	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Secretion discharge	✓	✓	✓

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