XUX-16733-31909

5 vaccinations 12 coded responses 45 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 968 / HI
Registered: 2021-01-22

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-22
Registered in v-safe
2021-01-22
Dose 1 — Pfizer-BioNTech
2021-01-22
Health check-in — 0 day, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Fatigue or tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-01-29
Health check-in — 7 day, dose 1
Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-05
Survey response — 14 day, dose 1
MedDRA: Dyspepsia, Fatigue, Nausea, Pain — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-12
Health check-in — 21 day, dose 1
Feeling: Good

Adult check-in
2021-02-13
Dose 2 — Pfizer-BioNTech
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-20
Survey response — 7 day, dose 2
MedDRA: Cough — Feeling: Good · Fatigue or tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-02-27
Health check-in — 14 day, dose 2
Feeling: Good

Adult check-in
2021-03-06
Health check-in — 21 day, dose 2
Feeling: Good

Adult check-in
2021-03-13
Health check-in — 28 day, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — 35 day, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — 42 day, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — 3 month, dose 2
Feeling: Good

Adult check-in
2021-08-14
Survey response — 6 month, dose 2
MedDRA: Oral pain, Oropharyngeal pain, Pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2021-09,2024-11 · check-in answers available
2021-08-14
Report sent to call center — 6 month, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-07
Dose 3 — Pfizer-BioNTech
2021-09-09
Survey response — days 1–6 daily, dose 3
MedDRA: Eye pruritus — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2021-09-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-09-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-09-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-09-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-09-14
Health check-in — 7 day, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-09-21
Health check-in — 14 day, dose 3
Feeling: Good

Adult check-in
2021-09-28
Health check-in — 21 day, dose 3
Feeling: Good

Adult check-in
2021-10-05
Survey response — 28 day, dose 3
MedDRA: Fatigue, Pain — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2021-10-12
Health check-in — 35 day, dose 3
Feeling: Good

Adult check-in
2021-10-19
Health check-in — 42 day, dose 3
Feeling: Good

Adult check-in
2021-12-08
Call 1 — Could Not Reach Participant
2021-12-16
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-22
Dose 4 — Pfizer-BioNTech
2022-03-08
Health check-in — 6 month, dose 3
Feeling: Good

Adult check-in
2022-09-07
Survey response — 12 month, dose 3
MedDRA: Influenza, SARS-CoV-2 test positive — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-09-14
Dose 5 — Pfizer-BioNTech
2022-09-15
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-16
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-09-17
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-18
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-09-19
Survey response — days 1–6 daily, dose 5
MedDRA: Insomnia — Feeling: Good · Fatigue or tiredness

MedDRA releases: 2024-11 · check-in answers available
2022-09-20
Survey response — days 1–6 daily, dose 5
MedDRA: Insomnia — Feeling: Good · Fatigue or tiredness

MedDRA releases: 2024-11 · check-in answers available
2022-09-21
Health check-in — 7 day, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-09-28
Health check-in — 14 day, dose 5
Feeling: Good

Adult check-in
2022-10-05
Health check-in — 21 day, dose 5
Feeling: Good

Adult check-in
2022-10-12
Survey response — 28 day, dose 5
MedDRA: Abdominal discomfort, Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-10-26
Survey response — 42 day, dose 5
MedDRA: Diarrhoea, Headache, Lethargy — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-12-14
Survey response — 3 month, dose 5
MedDRA: Abdominal discomfort, Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2023-03-15
Health check-in — 6 month, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Pfizer-BioNTech
2	2021-02-13	Pfizer-BioNTech
3	2021-09-07	Pfizer-BioNTech	No
4	2022-02-22	Pfizer-BioNTech	No
5	2022-09-14	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-08-14	Successful 2021-12-16	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 2

Systemic reaction (other): Mild sore throat when I woke up

Release 3

Symptoms: Heartburn, body aches, nausea, tiredness

Release 4

Systemic reaction (other): Light cough

Release 9

Symptoms: Pain on left side of throat, sore on roof of my mouth on left side. Body aches

Systemic reaction (other): Itching eyes

Release 10

Symptoms: Fatigue and body aches

Release 12

Symptoms: Came back from a trip and felt like I got the flu. Tested positive for Covid

Systemic reaction (other): I have trouble sleeping more than 3-4 hours.

Systemic reaction (other): Problems getting a good nights sleep

Symptoms: Stomach upset. Diarrhea

Symptoms: Diarrhea, lethargy, mild headaches

Symptoms: Upset stomach, diarrhea

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
SD	Abdominal discomfort	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dyspepsia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Influenza	·	·	✓
SD	Lethargy	·	·	✓
SD	Nausea	✓	✓	✓
SD	Oral pain	✓	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pain	✓	✓	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Eye pruritus	·	·	✓
SRO	Insomnia	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓

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