Y48-17366-95939

5 vaccinations 12 coded responses 51 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 956 / CA
Registered: 2021-03-24

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

2021-03-24
Registered in v-safe
2021-03-24
Dose 1 — Pfizer-BioNTech
2021-03-24
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-31
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-14
Dose 2 — Pfizer-BioNTech
2021-04-14
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Sweating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Cold sweat — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Breaking out into a cold sweat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — day 7, dose 2
Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-30
Survey response — day 14, dose 2
MedDRA: Lymphadenopathy, Sensation of foreign body — Feeling: Good · Be unable to work

Free text: Lump in my throat and swollen glands on left side of my neck.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — day 21, dose 2
MedDRA: Cold sweat, Dyspnoea — Feeling: Fair

Free text: I break out in cold sweats and get short of breath at times.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-16
Survey response — 3 months, dose 2
MedDRA: Cough, Diarrhoea, Ear pain, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test — Feeling: Poor · Be unable to work or attend school

Free text: In the past 7 days I've had a runny nose and ear ache. Then congestion, sore throat, cough, low grade fever for 2 days, and diarrhea. I went in and had a test for covid today. Waiting on results. 2-5 business days.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-29
Dose 3 — Pfizer-BioNTech
2021-11-30
Survey response — days 1–6 daily, dose 3
MedDRA: Vertigo — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Vertigo

MedDRA releases: 2024-11 · check-in free text available
2021-12-01
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness, Vertigo — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Dizziness and vertigo

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness, Vertigo — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Dizziness and vertigo

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
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
2021-12-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-06
Health check-in — day 7, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Diarrhea

Adult check-in
2021-12-13
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-20
Survey response — day 21, dose 3
MedDRA: Eye haemorrhage, Retinal tear — Feeling: Fair

Free text: Tear and hemorrhage in my left eye

MedDRA releases: 2024-11 · check-in free text available
2021-12-27
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-01-04
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-01-10
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-03-01
Survey response — 3 months, dose 3
MedDRA: Haematemesis — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Vomiting blood on 2/14/22

MedDRA releases: 2024-11 · check-in free text available
2022-03-01
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-03-03
Call 1 — Left Voicemail
2022-05-05
Dose 4 — Pfizer-BioNTech
2022-05-05
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-05-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches

Adult check-in
2022-05-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches

Adult check-in
2022-05-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches

Adult check-in
2022-05-09
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2022-05-10
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Joint pains, Muscle or body aches

Adult check-in
2022-05-11
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Joint pains, Muscle or body aches

Adult check-in
2022-05-12
Health check-in — day 7, dose 4
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2022-05-19
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-26
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-02
Survey response — day 28, dose 4
MedDRA: Blood thyroid stimulating hormone decreased, Oropharyngeal pain, Transferrin saturation decreased — Feeling: Fair

Free text: My thyroid tsh level is low and my iron Saturation is low. Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-06-09
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-16
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-06
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-31
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-11-03
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2023-05-03
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Pfizer-BioNTech
2	2021-04-14	Pfizer-BioNTech
3	2021-11-29	Pfizer-BioNTech	No
4	2022-05-05	Pfizer-BioNTech	No
5	2022-10-31	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2022-03-01	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Cough

2021-04-16

Systemic reaction (other): Sweating

2021-04-17

Systemic reaction (other): Breaking out into a cold sweat

Release 8 — day 14, dose 2

2021-04-30

Symptoms: Lump in my throat and swollen glands on left side of my neck.

Release 8 — day 21, dose 2

2021-05-05

Symptoms: I break out in cold sweats and get short of breath at times.

Release 9 — 3 months, dose 2

2021-07-16

Symptoms: In the past 7 days I've had a runny nose and ear ache. Then congestion, sore throat, cough, low grade fever for 2 days, and diarrhea. I went in and had a test for covid today. Waiting on results. 2-5 business days.

Release 10 — days 1–6 daily, dose 3

2021-11-30

Systemic reaction (other): Vertigo

2021-12-01

Systemic reaction (other): Dizziness and vertigo

2021-12-02

Systemic reaction (other): Dizziness and vertigo

Release 10 — day 21, dose 3

2021-12-20

Symptoms: Tear and hemorrhage in my left eye

Release 11 — 3 months, dose 3

2022-03-01

Symptoms: Vomiting blood on 2/14/22

Release 11 — day 28, dose 4

2022-06-02

Symptoms: My thyroid tsh level is low and my iron Saturation is low. Sore throat

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
SD	Blood thyroid stimulating hormone decreased	·	·	✓
SD	Cold sweat	✓	✓	✓
SD	Cough	✓	·	✓
SD	Diarrhoea	✓	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Ear pain	✓	·	✓
SD	Eye haemorrhage	·	·	✓
SD	Haematemesis	·	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pyrexia	✓	·	✓
SD	Respiratory tract congestion	✓	·	✓
SD	Retinal tear	·	·	✓
SD	Rhinorrhoea	✓	·	✓
SD	SARS-CoV-2 test	✓	·	✓
SD	Sensation of foreign body	✓	✓	✓
SD	Transferrin saturation decreased	·	·	✓
SRO	Cold sweat	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	·	·	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Vertigo	·	·	✓

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