XYT-10695-48438

5 vaccinations 11 coded responses 38 check-ins 11 free-text entries 5 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 843 / UT
Registered: 2021-04-08

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

2021-03-17
Dose 1 — Pfizer-BioNTech
2021-04-08
Registered in v-safe
2021-04-08
Dose 2 — Pfizer-BioNTech
2021-04-08
Health check-in — 0 day, dose 2
Feeling: Good · None

Adult check-in
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Headache — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Pain — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Injection site pain, Oropharyngeal pain — Feeling: Fair · Headache, Muscle or body aches, Diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Muscle or body aches, Fatigue or tiredness, Diarrhea

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: Good · Chills, Muscle or body aches

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-15
Health check-in — 7 day, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — 14 day, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — 21 day, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — 28 day, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — 35 day, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — 42 day, dose 2
Feeling: Good

Adult check-in
2021-07-10
Survey response — 3 month, dose 2
MedDRA: Pathogen resistance, Urinary tract infection — 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 · Telehealth, virtual health, or email health consultation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-07-10
Report sent to call center — 3 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

1 call case(s)
2021-07-26
Call 1 — Left Voicemail
2021-10-07
Health check-in — 6 month, dose 2
Feeling: Good

Adult check-in
2021-11-17
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-11-18
Survey response — days 1–6 daily, dose 3
MedDRA: Ear pain, Oropharyngeal pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2021-11-19
Survey response — days 1–6 daily, dose 3
MedDRA: Chills, Respiratory rate increased — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2021-11-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-11-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Joint pains, Fatigue or tiredness

Adult check-in
2021-11-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-11-25
Health check-in — 7 day, dose 3
Feeling: Good · None

Adult check-in
2021-12-01
Health check-in — 14 day, dose 3
Feeling: Good

Adult check-in
2021-12-08
Health check-in — 21 day, dose 3
Feeling: Good

Adult check-in
2021-12-15
Survey response — 28 day, dose 3
MedDRA: Hepatic pain, Nausea — Feeling: Good

MedDRA releases: 2024-11 · check-in answers available
2021-12-22
Survey response — 35 day, dose 3
MedDRA: Office visit, Vitreous detachment — 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

MedDRA releases: 2024-11 · check-in answers available
2021-12-22
Report sent to call center — 35 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

1 call case(s)
2021-12-27
Call successful
Participant prefers to complete VAERS report online
2021-12-27
Call successful
Participant prefers to complete VAERS report online
2021-12-29
Health check-in — 42 day, dose 3
Feeling: Good

Adult check-in
2022-02-16
Survey response — 3 month, dose 3
MedDRA: Abdominal discomfort, Burning sensation, Pollakiuria, Urinary tract infection — Feeling: Good · 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
2022-02-16
Report sent to call center — 3 month, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-18
Call successful
Participant prefers to complete VAERS report online
2022-05-18
Survey response — 6 month, dose 3
MedDRA: Cough, Pneumonia, Secretion discharge, Wheezing — Feeling: Fair · 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
2022-05-18
Report sent to call center — 6 month, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-27
Dose 4 — Moderna
2022-11-07
Dose 5 — Moderna
Co-administered: Flu
2022-11-17
Health check-in — 12 month, dose 3
Feeling: Good

Adult check-in
2022-11-17
Health check-in — 7 day, dose 5
Feeling: Good · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2022-11-17
Report sent to call center — 7 day, dose 5
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-18
Call successful
Participant prefers to complete VAERS report online
2022-11-21
Health check-in — 14 day, dose 5
Feeling: Good

Adult check-in
2022-11-28
Health check-in — 21 day, dose 5
Feeling: Good

Adult check-in
2022-12-05
Health check-in — 28 day, dose 5
Feeling: Good

Adult check-in
2022-12-13
Health check-in — 35 day, dose 5
Feeling: Good

Adult check-in
2022-12-19
Health check-in — 42 day, dose 5
Feeling: Good

Adult check-in
2023-02-06
Health check-in — 3 month, dose 5
Feeling: Good

Adult check-in
2023-05-10
Health check-in — 6 month, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Pfizer-BioNTech
2	2021-04-08	Pfizer-BioNTech
3	2021-11-17	Pfizer-BioNTech	Flu
4	2022-05-27	Moderna	No
5	2022-11-07	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-07-10	Successful 2021-12-27	Participant prefers to complete VAERS report online
2021-12-22	Successful 2021-12-27	Participant prefers to complete VAERS report online
2022-02-16	Successful 2022-02-18	Participant prefers to complete VAERS report online
2022-05-18	Successful 2022-05-19	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-17	Successful 2022-11-18	Participant prefers to complete VAERS report online

Free text

Release 7

Systemic reaction (other): Deep inner ear pain and intermittent stabbing head pains

Systemic reaction (other): Severe armpit pain on the side where the injection occurred. Hard to lift arm because of it.

Systemic reaction (other): Moderate armpit pain on the side of the injection. Did have a sore throat and chills come back for 30 minutes, then gone.

Systemic reaction (other): Armpit on side of injection still swollen but only hurts if I touch it.

Release 9

Symptoms: Antibiotic-resistant urinary tract infection

Release 10

Systemic reaction (other): Sore throat, earrache

Systemic reaction (other): Violent chills, rapid breathing

Symptoms: Pain across my liver. Very nauseated. Lasted a few hours.

Symptoms: Had posterior vitreous detachment in both eyes on December 10. It is normal for my age but thought I would mention it in case the vaccine brought it on.

Healthcare visit (other): Had urgent eye doctor visit

Release 11

Symptoms: Just had another UTI with burning, lower abdominal pressure, frequency of urination.

Symptoms: Have lung infection. Taking antibiotics. Coughing, tons of mucus, wheezing.

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	Abdominal discomfort	·	·	✓
SD	Burning sensation	·	·	✓
SD	Cough	·	·	✓
SD	Hepatic pain	·	·	✓
SD	Nausea	·	·	✓
SD	Pathogen resistance	·	·	✓
SD	Pneumonia	·	·	✓
SD	Pollakiuria	·	·	✓
SD	Secretion discharge	·	·	✓
SD	Urinary tract infection	✓	✓	✓
SD	Vitreous detachment	·	·	✓
SD	Wheezing	·	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Respiratory rate increased	·	·	✓

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