XV4-92817-25952

3 vaccinations 11 coded responses 35 check-ins 11 free-text entries 6 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 482 / MI
Registered: 2020-12-18

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

2020-12-18
Registered in v-safe
2020-12-18
Dose 1 — Pfizer-BioNTech
2020-12-18
Health check-in — 0 day, dose 1
Feeling: Good · None

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

Adult check-in
2020-12-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-22
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Pain in extremity — Feeling: Good · Fatigue or tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2020-12-27
Health check-in — 7 day, dose 1
Feeling: Good · None

Adult check-in
2021-01-01
Health check-in — 14 day, dose 1
Feeling: Good

Adult check-in
2021-01-08
Dose 2 — Pfizer-BioNTech
2021-01-08
Health check-in — 0 day, dose 2
Feeling: Good · None

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, 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 work · 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: Good · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-10
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)
2021-01-11
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness postural — Feeling: Good · Site: Pain · Headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-12
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Vertigo — Feeling: Fair · Site: Pain · Headache · Be unable to work, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-12
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)
2021-01-13
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Office visit, Vertigo — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-13
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-14
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Vertigo — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-14
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)
2021-01-15
Survey response — 7 day, dose 2
MedDRA: Dizziness, Vertigo — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-01-15
Report sent to call center — 7 day, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-22
Health check-in — 14 day, dose 2
Feeling: Good

Adult check-in
2021-01-29
Health check-in — 21 day, dose 2
Feeling: Good

Adult check-in
2021-02-05
Health check-in — 28 day, dose 2
Feeling: Good

Adult check-in
2021-02-14
Health check-in — 35 day, dose 2
Feeling: Good

Adult check-in
2021-02-19
Health check-in — 42 day, dose 2
Feeling: Good

Adult check-in
2021-03-01
Call 1 — Left Voicemail
2021-03-01
Call successful
Does not wish to fill out VAERS report
2021-04-09
Health check-in — 3 month, dose 2
Feeling: Good

Adult check-in
2021-07-11
Survey response — 6 month, dose 2
MedDRA: Vertigo — Feeling: Good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-10-05
Dose 3 — Pfizer-BioNTech
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Diarrhea

Adult check-in
2021-10-10
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Lymph node pain — Feeling: Good

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

Adult check-in
2021-10-12
Health check-in — 7 day, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-19
Survey response — 14 day, dose 3
MedDRA: Laryngitis, Nasopharyngitis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2021-10-26
Health check-in — 21 day, dose 3
Feeling: Good

Adult check-in
2021-11-02
Health check-in — 28 day, dose 3
Feeling: Good

Adult check-in
2021-11-09
Health check-in — 35 day, dose 3
Feeling: Fair

Adult check-in
2021-11-17
Health check-in — 42 day, dose 3
Feeling: Good

Adult check-in
2022-01-04
Survey response — 3 month, dose 3
MedDRA: Cough, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-04-05
Survey response — 6 month, dose 3
MedDRA: Back pain, Diarrhoea, Fatigue, Headache, Somnolence, Vomiting — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-18	Pfizer-BioNTech
2	2021-01-08	Pfizer-BioNTech
3	2021-10-05	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-09	Successful	Does not wish to fill out VAERS report
2021-01-10	Successful	Does not wish to fill out VAERS report
2021-01-12	Successful	Does not wish to fill out VAERS report
2021-01-13	Successful	Does not wish to fill out VAERS report
2021-01-14	Successful	Does not wish to fill out VAERS report
2021-01-15	Successful 2021-03-01	Does not wish to fill out VAERS report

Free text

Release 1

Systemic reaction (other): sore throat last night, less sore in am

Systemic reaction (other): dizziness when bending down

Systemic reaction (other): dizziness, ? vertigo

Systemic reaction (other): dizziness, + vertigo

Healthcare visit (other): saw a PA in my PCP office

Systemic reaction (other): dizziness, Ã— vertigo

Release 2

Systemic reaction (other): minimal dizziness, still keeping head up, minimizing head movement, tx for vertigo

Release 9

Symptoms: recurrent vertigo in May...lasting about a week, but able to work

Release 10

Systemic reaction (other): I did have pain under armpit , ( injected arm) probably lymph node area day 2 after shot, gone by say 3

Symptoms: I have a cold with laryngitis

Symptoms: runny nose, moist cough at times,

Release 11

Symptoms: 10 hours of severe diarrea, vomiting...followed by back ache, headache, fatigue...slept all day

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	Cough	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Laryngitis	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Somnolence	·	·	✓
SD	Vertigo	✓	✓	✓
SD	Vomiting	·	·	✓
SRO	Axillary pain	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Dizziness postural	✓	✓	✓
SRO	Lymph node pain	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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