XW4-26078-88230

4 vaccinations 9 coded responses 21 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 271 / NC
Registered: 2021-04-11

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

Registered dependents

B3K-25743-36511 Child or adolescent in my care · Male · 2022-06-27

Timeline

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

2021-03-21
Dose 1 — Pfizer-BioNTech
2021-04-11
Registered in v-safe
2021-04-11
Dose 2 — Pfizer-BioNTech
2021-04-11
Health check-in — 0 day, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Intermenstrual bleeding — Feeling: Good · Site: Pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-18
Health check-in — 7 day, dose 2
Feeling: Good · None

Adult check-in
2021-04-25
Survey response — 14 day, dose 2
MedDRA: Injection site rash — Feeling: Good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-02
Health check-in — 21 day, dose 2
Feeling: Good

Adult check-in
2021-05-09
Health check-in — 28 day, dose 2
Feeling: Good

Adult check-in
2021-05-16
Survey response — 35 day, dose 2
MedDRA: Fatigue, Oropharyngeal pain, Pain, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-23
Survey response — 42 day, dose 2
MedDRA: Cough, Fatigue, Myalgia, Nasal congestion, Sinus pain — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-07-11
Health check-in — 3 month, dose 2
Feeling: Good

Adult check-in
2021-10-10
Survey response — 6 month, dose 2
MedDRA: Aphonia, Cough, Fatigue, Malaise, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Fair · 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

MedDRA releases: 2024-11 · check-in answers available
2021-10-10
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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-20
Dose 3 — Pfizer-BioNTech
2021-11-01
Call 1 — Left Voicemail
2022-04-11
Survey response — 12 month, dose 2
MedDRA: COVID-19, Fatigue, Headache, Mobility decreased, Nasopharyngitis, Oropharyngeal pain, Productive cough, Respiratory tract congestion, Secretion discharge — 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
2022-09-07
Dose 4 — Pfizer-BioNTech
2022-10-06
Health check-in — 28 day, dose 4
Feeling: Good

Adult check-in
2022-10-12
Health check-in — 35 day, dose 4
Feeling: Good

Adult check-in
2022-10-19
Survey response — 42 day, dose 4
MedDRA: Blood pressure increased, Office visit, Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11 · check-in answers available
2022-10-19
Report sent to call center — 42 day, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-20
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-20
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-07
Survey response — 3 month, dose 4
MedDRA: Cough, Nasal congestion, Oropharyngeal pain — Feeling: Fair

MedDRA releases: 2024-11 · check-in answers available
2023-03-10
Health check-in — 6 month, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-21	Pfizer-BioNTech
2	2021-04-11	Pfizer-BioNTech
3	2021-10-20	Pfizer-BioNTech	No
4	2022-09-07	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-10-10	Successful 2022-10-20	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-19	Successful 2022-10-20	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 7

Systemic reaction (other): Sweating

Systemic reaction (other): Yesterday (after taking my survey) I had menstrual spotting

Symptoms: Mild rash on the arm where I received the injection

Release 8

Symptoms: Sore throat, congestion, body aches, tired

Symptoms: Fatigue, muscle aches, nasal congestion, cough, sinus pain.

Release 10

Symptoms: I've been sick for the past 3 weeks. I took 2 home covid tests, both negative. Early on I had a fever for 2-3 days, and lost my voice. Throughout I've had a cough, runny nose, chest congestion, and fatigue.

Release 11

Symptoms: I had Covid beginning March 16. I was exhausted in bed for 1.5 weeks. Other than the exhaustion I had mostly head cold symptoms (sore throat, congestion, coughing up mucus, headache).

Release 12

Symptoms: Blood pressure higher than usual in last few weeks of pregnancy

Healthcare visit (other): Obgyn

Symptoms: Nasal congestion, sore throat, occasional cough

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	Aphonia	·	·	✓
SD	Blood pressure increased	·	·	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Injection site rash	✓	✓	✓
SD	Malaise	·	·	✓
SD	Mobility decreased	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pregnancy	·	·	✓
SD	Productive cough	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Secretion discharge	·	·	✓
SD	Sinus pain	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Intermenstrual bleeding	✓	✓	✓

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