Y4H-17169-70115

2 vaccinations 7 coded responses 21 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 857 / AZ
Registered: 2021-03-08

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

2021-03-07
Dose 1 — Pfizer-BioNTech
2021-03-08
Registered in v-safe
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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 — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Survey response — day 14, dose 1
MedDRA: Influenza like illness — Feeling: Poor

Free text: Flu like symptoms, but I don't think it's Covid

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Dose 2 — Pfizer-BioNTech
2021-03-28
Survey response — day 21, dose 1
MedDRA: Cough, Nasopharyngitis, Respiratory tract congestion — Feeling: Fair

Free text: I have a head Cold with lots of congestion and coughing. I don't think it's Covid related.I get my second vaccination shot this evening.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Nasopharyngitis, Productive cough, Respiratory tract congestion — Feeling: Fair · Fatigue or tiredness · 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: Congestion from hard cold, phlegm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Sinus congestion — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Sinus congestion, coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — day 7, dose 2
MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Congestion, coughing

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

Adult check-in
2021-04-19
Survey response — day 21, dose 2
MedDRA: Cough, Headache, Office visit, Paranasal sinus hypersecretion, Sinus congestion — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Sinus congestion and drainage, nearly constant dry cough, headaches. · Healthcare visit (other): Dr office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-25
Survey response — day 28, dose 2
MedDRA: Cough, Dyspnoea, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Persistent Coughing continues; dry hacking cough. Cannot sleep through the night. Up for cough at least 6 times each night. Dr treatment is Mucinex DM/day, Xyzal/night. · Healthcare visit (other): Dr office visits and phone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-15
Call 1 — Left Voicemail
2021-06-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-28
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-07	Pfizer-BioNTech
2	2021-03-28	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-04-01	Unsuccessful
2021-04-19	Unsuccessful
2021-04-25	Unsuccessful

Free text

Release 6 — day 14, dose 1

2021-03-21

Symptoms: Flu like symptoms, but I don't think it's Covid

Release 6 — day 21, dose 1

2021-03-28

Symptoms: I have a head Cold with lots of congestion and coughing. I don't think it's Covid related.I get my second vaccination shot this evening.

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): Congestion from hard cold, phlegm

2021-04-03

Systemic reaction (other): Sinus congestion, coughing

Release 6 — day 7, dose 2

2021-04-04

Systemic reaction (other): Congestion, coughing

Release 7 — day 21, dose 2

2021-04-19

Symptoms: Sinus congestion and drainage, nearly constant dry cough, headaches.

Healthcare visit (other): Dr office

Release 7 — day 28, dose 2

2021-04-25

Symptoms: Persistent Coughing continues; dry hacking cough. Cannot sleep through the night. Up for cough at least 6 times each night. Dr treatment is Mucinex DM/day, Xyzal/night.

Healthcare visit (other): Dr office visits and phone

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	Cough	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Influenza like illness	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Paranasal sinus hypersecretion	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Sinus congestion	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Productive cough	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Sinus congestion	✓	✓	✓

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