XVH-15177-15456

4 vaccinations 6 coded responses 53 check-ins 5 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 076 / NJ
Registered: 2021-04-16

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-04-16
Registered in v-safe
2021-04-16
Dose 1 — Pfizer-BioNTech
2021-04-16
Health check-in — day 0, dose 1
Feeling: Fair · None

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-22
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good

Free text: Slight swelling and achy lymph nodes under armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-07
Dose 2 — Pfizer-BioNTech
2021-05-07
Health check-in — day 0, dose 2
Feeling: Fair · Chills

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-05-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-05-14
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-05-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-16
Dose 3 — Pfizer-BioNTech
2021-12-16
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-12-17
Survey response — days 1–6 daily, dose 3
MedDRA: Heart rate increased — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Rapid heartbeat

MedDRA releases: 2024-11 · check-in free text available
2021-12-18
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-19
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-23
Survey response — day 7, dose 3
MedDRA: Ear pain, Nasal congestion, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Sore throat, nasal congestion, runny nose, ear pain

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-06
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-01-13
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-20
Survey response — day 35, dose 3
MedDRA: Chills, Cough, Fatigue, Headache, Nausea, Pain, Respiratory tract congestion, Sinus 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Fatigue, cough, congestion, chills, nausea, sinus pain, headaches, body aches

MedDRA releases: 2024-11 · check-in free text available
2022-01-20
Report sent to call center — day 35, 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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-21
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-01-27
Health check-in — day 42, dose 3
Feeling: Poor

Adult check-in
2022-03-19
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-16
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-16
Survey response — 12 months, dose 3
MedDRA: Ageusia, Cough, Fatigue, Headache, Pain, Respiratory tract congestion, Rhinorrhoea — 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: Fatigue, cough, body aches, headache, loss of taste, congestion, runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-12-16
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 · 1 call case(s)
2022-12-19
Call successful
Not applicable - Accidental Reporting
2023-05-05
Dose 4 — Pfizer-BioNTech
2023-05-05
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain · Chills, Headache

Adult check-in
2023-05-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness

Adult check-in
2023-05-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache, Joint pains

Adult check-in
2023-05-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2023-05-09
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2023-05-10
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2023-05-11
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2023-05-12
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2023-05-19
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2023-05-26
Survey response — day 21, dose 4
MedDRA: Ovarian cyst, Ovarian cystectomy, Surgery — 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 · Hospitalization

MedDRA releases: 2024-11
2023-05-26
Call case (no matching report) — Successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-05-30
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-06-02
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2023-06-09
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2023-06-16
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-16	Pfizer-BioNTech
2	2021-05-07	Pfizer-BioNTech
3	2021-12-16	Pfizer-BioNTech	No
4	2023-05-05	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-01-20	Successful 2022-01-21	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-16	Successful 2022-12-19	Not applicable - Accidental Reporting
2023-05-26	Successful 2023-05-30	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-22

Systemic reaction (other): Slight swelling and achy lymph nodes under armpit

Release 10 — days 1–6 daily, dose 3

2021-12-17

Systemic reaction (other): Rapid heartbeat

Release 10 — day 7, dose 3

2021-12-23

Systemic reaction (other): Sore throat, nasal congestion, runny nose, ear pain

Release 10 — day 35, dose 3

2022-01-20

Symptoms: Fatigue, cough, congestion, chills, nausea, sinus pain, headaches, body aches

Release 12 — 12 months, dose 3

2022-12-16

Symptoms: Fatigue, cough, body aches, headache, loss of taste, congestion, runny nose

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
HCVO	Surgery	·	·	✓
SD	Ageusia	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Nausea	·	·	✓
SD	Ovarian cyst	·	·	✓
SD	Ovarian cystectomy	·	·	✓
SD	Pain	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinus pain	·	·	✓
SRO	Ear pain	·	·	✓
SRO	Heart rate increased	·	·	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Nasal congestion	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Rhinorrhoea	·	·	✓

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