XZY-10876-01170

5 vaccinations 9 coded responses 22 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 212 / MD
Registered: 2021-01-04

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

2021-01-04
Registered in v-safe
2021-01-04
Dose 1 — Pfizer-BioNTech
2021-01-04
Survey response — day 0, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Pain

Free text: Slight tenderness at injection siteâ€”minimal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-08
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain — Feeling: Fair

Free text: Back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain — Feeling: Fair · Site: Pain

Free text: Back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-21
Dose 2 — Pfizer-BioNTech
2021-01-25
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Influenza, Myalgia, Oropharyngeal pain, Rhinorrhoea — Feeling: Good

Free text: For 2 days after shot I felt like I had mild flu symptoms. Muscle aches, runny nose, sore throat, headache. All resolved now

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-28
Survey response — day 7, dose 2
MedDRA: Cough — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — day 14, dose 2
MedDRA: Cough — Feeling: Fair · Be unable to do your normal daily activities

Free text: My cough-carafe by has started acting up since a few days after the second shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — day 21, dose 2
MedDRA: Asthma, Influenza like illness, Office visit, Sinusitis, Upper-airway cough syndrome — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Flu-like symptoms. Sinusitis w post-nasal drip and exacerbation of asthma · Healthcare visit (other): I had a previously scheduled in-person visit with ENT

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Report sent to call center — day 21, 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)
2021-02-18
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-22
Survey response — 3 months, dose 2
MedDRA: Pneumonia, Pneumonia bacterial — Feeling: Good · 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

Free text: Bacterial pneumonia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — 3 months, 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)
2021-07-22
Call 1 — Left Voicemail
2021-07-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-10
Dose 3 — Pfizer-BioNTech
2022-01-21
Survey response — 12 months, dose 2
MedDRA: Cough, Lacrimation increased, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test — Feeling: Fair

Free text: Sore throat, runny nose and eyes, cough. I just got tested for covid

MedDRA releases: 2024-11 · check-in free text available
2022-04-10
Dose 4 — Pfizer-BioNTech
2022-09-07
Dose 5 — Moderna
2022-09-24
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-10-07
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-10-12
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-07
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-04	Pfizer-BioNTech
2	2021-01-21	Pfizer-BioNTech
3	2021-10-10	Pfizer-BioNTech	No
4	2022-04-10	Pfizer-BioNTech	No
5	2022-09-07	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-02-11	Unsuccessful
2021-04-22	Unsuccessful

Free text

Release 1 — day 0, dose 1

2021-01-04

Systemic reaction (other): Slight tenderness at injection siteâ€”minimal

Release 1 — days 1–6 daily, dose 1

2021-01-08

Systemic reaction (other): Back pain

2021-01-09

Systemic reaction (other): Back pain

Release 2 — days 1–6 daily, dose 2

2021-01-25

Systemic reaction (other): For 2 days after shot I felt like I had mild flu symptoms. Muscle aches, runny nose, sore throat, headache. All resolved now

Release 3 — day 7, dose 2

2021-01-28

Systemic reaction (other): Cough

Release 3 — day 14, dose 2

2021-02-04

Symptoms: My cough-carafe by has started acting up since a few days after the second shot

Release 4 — day 21, dose 2

2021-02-11

Symptoms: Flu-like symptoms. Sinusitis w post-nasal drip and exacerbation of asthma

Healthcare visit (other): I had a previously scheduled in-person visit with ENT

Release 7 — 3 months, dose 2

2021-04-22

Symptoms: Bacterial pneumonia

Release 10 — 12 months, dose 2

2022-01-21

Symptoms: Sore throat, runny nose and eyes, cough. I just got tested for covid

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	Office visit	✓	✓	✓
SD	Asthma	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Influenza like illness	✓	✓	✓
SD	Lacrimation increased	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pneumonia	✓	✓	✓
SD	Pneumonia bacterial	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test	·	·	✓
SD	Sinusitis	✓	✓	✓
SD	Upper-airway cough syndrome	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Influenza	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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