Y4H-13485-15912

5 vaccinations 11 coded responses 43 check-ins 11 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 287 / NC
Registered: 2021-01-27

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

2021-01-27
Registered in v-safe
2021-01-27
Dose 1 — Pfizer-BioNTech
2021-01-27
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia — Feeling: Fair · Headache

Free text: Numbness in left jaw and shoulder

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-03
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-10
Survey response — day 14, dose 1
MedDRA: Insomnia — Feeling: Good

Free text: Insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Dose 2 — Pfizer-BioNTech
2021-02-17
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-26
Survey response — day 7, dose 2
MedDRA: Pre-existing disease — Feeling: Poor · Muscle or body aches

Free text: Arthritis and a cold front coming in

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-10
Survey response — day 21, dose 2
MedDRA: Arthritis, Pre-existing disease, Sinus headache — Feeling: Fair

Free text: Arthritis flare ups, sinus headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — day 28, dose 2
MedDRA: Cough, Paranasal sinus hypersecretion — Feeling: Good

Free text: More coughing and nasal drainage due to allergies and pollen count

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-19
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-27
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-10-01
Survey response — days 1–6 daily, dose 3
MedDRA: Fatigue, Headache, Nausea, Pain — Feeling: Fair · Fatigue or tiredness, Abdominal pain

Free text: For 3 days after booster along with flu shot I had headaches, body aches, nausea and fatigue. Better now on day 4

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains, Fatigue or tiredness, Nausea

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains

Adult check-in
2021-10-04
Health check-in — day 7, dose 3
Feeling: Fair · Muscle or body aches, Nausea

Adult check-in
2021-10-11
Survey response — day 14, dose 3
MedDRA: Arthralgia — Feeling: Fair

Free text: Joint pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-01
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-08
Health check-in — day 42, dose 3
Feeling: Good

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

Adult check-in
2022-04-01
Survey response — 6 months, dose 3
MedDRA: Cough, Sleep disorder — Feeling: Fair

Free text: Coughing all night, waking up to 5 times a night

MedDRA releases: 2024-11 · check-in free text available
2022-06-15
Dose 4 — Pfizer-BioNTech
2022-09-08
Dose 5 — Pfizer-BioNTech
2022-09-27
Survey response — 12 months, dose 3
MedDRA: Fatigue, Muscle spasms, Oropharyngeal pain — 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

Free text: I tested positive for covid September 21. I received my bivariate booster September 8. Sore throat, fatigue, leg cramps.

MedDRA releases: 2024-11 · check-in free text available
2022-09-27
Report sent to call center — 12 months, 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)
2022-09-28
Survey response — day 14, dose 5
MedDRA: Cough, Fatigue, Muscle spasms, Oropharyngeal pain, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Upper-airway cough syndrome — 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

Free text: COVID tested positive on September 21st with sore throat fatigue leg cramps post nasal drip and coughing. I tested negative on September 28th with only remaining occasional cough and fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-09-28
Report sent to call center — day 14, dose 5
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)
2022-09-28
Call 1 — Left Voicemail
2022-09-29
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-09-29
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-29
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-10
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-13
Survey response — day 35, dose 5
MedDRA: Fatigue, Medical counselling, Rhinorrhoea, SARS-CoV-2 test positive, Sneezing — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I tested positive for covid again today. Runny nose, excessive sneezing and fatigue · Healthcare visit (other): I called my doctor. I have not heard back

MedDRA releases: 2024-11 · check-in free text available
2022-10-13
Report sent to call center — day 35, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-14
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-20
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-08
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-09
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-27	Pfizer-BioNTech
2	2021-02-17	Pfizer-BioNTech
3	2021-09-27	Pfizer-BioNTech	Flu
4	2022-06-15	Pfizer-BioNTech	No
5	2022-09-08	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-09-27	Successful 2022-09-29	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-28	Successful 2022-09-29	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-13	Successful 2022-10-14	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-30

Systemic reaction (other): Numbness in left jaw and shoulder

Release 3 — day 14, dose 1

2021-02-10

Symptoms: Insomnia

Release 4 — day 7, dose 2

2021-02-26

Systemic reaction (other): Arthritis and a cold front coming in

Release 5 — day 21, dose 2

2021-03-10

Symptoms: Arthritis flare ups, sinus headaches

Release 5 — day 28, dose 2

2021-03-17

Symptoms: More coughing and nasal drainage due to allergies and pollen count

Release 9 — days 1–6 daily, dose 3

2021-10-01

Systemic reaction (other): For 3 days after booster along with flu shot I had headaches, body aches, nausea and fatigue. Better now on day 4

Release 10 — day 14, dose 3

2021-10-11

Symptoms: Joint pain

Release 11 — 6 months, dose 3

2022-04-01

Symptoms: Coughing all night, waking up to 5 times a night

Release 12 — 12 months, dose 3

2022-09-27

Symptoms: I tested positive for covid September 21. I received my bivariate booster September 8. Sore throat, fatigue, leg cramps.

Release 12 — day 14, dose 5

2022-09-28

Symptoms: COVID tested positive on September 21st with sore throat fatigue leg cramps post nasal drip and coughing. I tested negative on September 28th with only remaining occasional cough and fatigue

Release 12 — day 35, dose 5

2022-10-13

Symptoms: I tested positive for covid again today. Runny nose, excessive sneezing and fatigue

Healthcare visit (other): I called my doctor. I have not heard back

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	Medical counselling	·	·	✓
SD	Arthralgia	·	·	✓
SD	Arthritis	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Insomnia	✓	✓	✓
SD	Muscle spasms	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Paranasal sinus hypersecretion	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sinus headache	✓	✓	✓
SD	Sleep disorder	·	·	✓
SD	Sneezing	·	·	✓
SD	Upper-airway cough syndrome	·	·	✓
SRO	Fatigue	·	·	✓
SRO	Headache	·	·	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Nausea	·	·	✓
SRO	Pain	·	·	✓
SRO	Pre-existing disease	✓	✓	✓

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