XY9-26077-84093

5 vaccinations 9 coded responses 62 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 752 / TX
Registered: 2021-03-07

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

Timeline

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

2021-03-07
Registered in v-safe
2021-03-07
Dose 1 — Pfizer-BioNTech
2021-03-07
Health check-in — 0 day, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — 7 day, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — 14 day, dose 1
Feeling: Good

Adult check-in
2021-03-28
Dose 2 — Pfizer-BioNTech
2021-03-28
Health check-in — 0 day, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-06
Health check-in — 7 day, dose 2
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-11
Health check-in — 14 day, dose 2
Feeling: Good

Adult check-in
2021-04-18
Health check-in — 21 day, dose 2
Feeling: Good

Adult check-in
2021-04-25
Health check-in — 28 day, dose 2
Feeling: Fair

Adult check-in
2021-05-02
Survey response — 35 day, dose 2
MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-09
Survey response — 42 day, dose 2
MedDRA: Chills, Fatigue, Pain — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-06-27
Health check-in — 3 month, dose 2
Feeling: Fair

Adult check-in
2021-09-26
Health check-in — 6 month, dose 2
Feeling: Good

Adult check-in
2021-09-29
Dose 3 — Pfizer-BioNTech
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-10-06
Health check-in — 7 day, dose 3
Feeling: Good · Chills, Fatigue or tiredness

Adult check-in
2021-10-13
Survey response — 14 day, dose 3
MedDRA: Alopecia, Fatigue, Headache, Nasopharyngitis, Pulse abnormal, Vertigo — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2021-10-20
Survey response — 21 day, dose 3
MedDRA: Chest discomfort, Cough, Ear discomfort, Fatigue, Headache, Nasopharyngitis, Pain, SARS-CoV-2 test negative, Sinus congestion, Throat irritation, Vertigo — 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

MedDRA releases: 2024-11 · check-in answers available
2021-10-20
Report sent to call center — 21 day, 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 · 1 call case(s)
2021-10-22
Call 2 — Left Voicemail
2021-10-27
Health check-in — 28 day, dose 3
Feeling: Fair

Adult check-in
2021-11-03
Health check-in — 35 day, dose 3
Feeling: Good

Adult check-in
2021-11-10
Health check-in — 42 day, dose 3
Feeling: Fair

Adult check-in
2021-12-29
Health check-in — 3 month, dose 3
Feeling: Good

Adult check-in
2022-03-30
Survey response — 6 month, dose 3
MedDRA: Fatigue, Lymphadenopathy, Renal impairment — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-05-19
Dose 4 — Pfizer-BioNTech
Co-administered: Tetanus
2022-05-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-05-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fever · Headache, Fatigue or tiredness

Adult check-in
2022-05-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-05-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-05-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-05-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fever · Chills, Headache, Fatigue or tiredness

Adult check-in
2022-05-26
Health check-in — 7 day, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-06-02
Survey response — 14 day, dose 4
MedDRA: Chills, Fatigue, Nausea, Pain — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-06-09
Survey response — 21 day, dose 4
MedDRA: Dizziness, Faeces pale, Fatigue, Headache, Heart rate increased, Hot flush — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-06-16
Health check-in — 28 day, dose 4
Feeling: Good

Adult check-in
2022-06-23
Health check-in — 35 day, dose 4
Feeling: Good

Adult check-in
2022-06-30
Health check-in — 42 day, dose 4
Feeling: Good

Adult check-in
2022-08-18
Health check-in — 3 month, dose 4
Feeling: Good

Adult check-in
2022-11-15
Dose 5 — Pfizer-BioNTech
2022-11-16
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-11-18
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-11-19
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-11-20
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
2022-11-21
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
2022-11-22
Health check-in — 7 day, dose 5
Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-11-29
Health check-in — 14 day, dose 5
Feeling: Good

Adult check-in
2022-12-06
Survey response — 21 day, dose 5
MedDRA: Fatigue, Pain — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-12-13
Health check-in — 28 day, dose 5
Feeling: Fair

Adult check-in
2022-12-20
Health check-in — 35 day, dose 5
Feeling: Fair

Adult check-in
2022-12-29
Health check-in — 42 day, dose 5
Feeling: Good

Adult check-in
2023-02-14
Health check-in — 3 month, dose 5
Feeling: Fair

Adult check-in
2023-05-16
Survey response — 6 month, dose 5
MedDRA: COVID-19 — 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 · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11 · check-in answers available
2023-05-16
Report sent to call center — 6 month, dose 5
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)
2023-05-17
Call 1 — Left Voicemail
2023-05-17
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-07	Pfizer-BioNTech
2	2021-03-28	Pfizer-BioNTech
3	2021-09-29	Pfizer-BioNTech	No
4	2022-05-19	Pfizer-BioNTech	Tetanus
5	2022-11-15	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-10-20	Unsuccessful
2023-05-16	Unsuccessful

Free text

Release 8

Symptoms: Fatigue

Symptoms: Fatigue, body aches & chills without feverFor two days

Release 10

Symptoms: Cold symptoms, fatigue, headache, pulsating in ear, vertigo, mild hair loss

Symptoms: Cold symptoms- cough, sinus congestion, ear pressure & discomfort, headache, itchy throat, fatigue, pulsating in right ear, mild discomfort in heart area, vertigo, mild body aches

Healthcare visit (other): Covid test - negative result

Release 11

Symptoms: Fatigue, swollen lymph glands, kidney function decline

Symptoms: Fatigue, nausea, chills & body aches

Symptoms: Rapid heart rate, fatigue, headaches, faintish, pale stools, hot flushes

Release 12

Symptoms: Fatigue, body aches

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	SARS-CoV-2 test negative	·	·	✓
SD	Alopecia	·	·	✓
SD	Chest discomfort	·	·	✓
SD	Chills	✓	✓	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Dizziness	·	·	✓
SD	Ear discomfort	·	·	✓
SD	Faeces pale	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Hot flush	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	·	·	✓
SD	Pain	✓	✓	✓
SD	Pulse abnormal	·	·	✓
SD	Renal impairment	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Throat irritation	·	·	✓
SD	Vertigo	·	·	✓

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