Y6G-28907-10810

4 vaccinations 9 coded responses 41 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 605 / IL
Registered: 2021-02-11

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

2021-02-11
Registered in v-safe
2021-02-11
Dose 1 — Pfizer-BioNTech
2021-02-11
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-04
Dose 2 — Pfizer-BioNTech
2021-03-04
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lymph glands slightly swollen & painful

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Dry cough - rare

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-11
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2022-03-04
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-10-13
Dose 4 — Moderna
2022-10-13
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2022-10-13
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-10-14
Survey response — days 1–6 daily, dose 4
MedDRA: Cough, Paranasal sinus hypersecretion — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sinus drainage-> sneezing & cough x 2 hours

MedDRA releases: 2024-11 · check-in free text available
2022-10-15
Survey response — days 1–6 daily, dose 4
MedDRA: Body temperature increased, Self-medication — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Took Tylenol late yesterday since temp was 100.3 Now temp is normal

MedDRA releases: 2024-11 · check-in free text available
2022-10-16
Survey response — days 1–6 daily, dose 4
MedDRA: Asthenia, Fatigue, Somnolence — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Took 2 hour nap this morning. Still tired, weak.

MedDRA releases: 2024-11 · check-in free text available
2022-10-17
Survey response — days 1–6 daily, dose 4
MedDRA: Headache, Nausea — Feeling: Good

Free text: Occasional very vague headache/nausea that finally disappeared

MedDRA releases: 2024-11 · check-in free text available
2022-10-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-20
Survey response — day 7, dose 4
MedDRA: Asthenia — Feeling: Good · Fatigue or tiredness

Free text: Still don't quite have all stamina back

MedDRA releases: 2024-11 · check-in free text available
2022-10-27
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-03
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-10
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-17
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-24
Survey response — day 42, dose 4
MedDRA: Oropharyngeal pain, Paranasal sinus hypersecretion, SARS-CoV-2 test negative — Feeling: Fair

Free text: Slight sore throat, slight sinus drainage today. No fever. Neg rapid Covid test. No known exposure to anyone sick. Over did activity yesterday

MedDRA releases: 2024-11 · check-in free text available
2023-01-12
Survey response — 3 months, dose 4
MedDRA: Gastrooesophageal reflux disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-01-12
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-13
Call 1 — Left Voicemail
2023-04-13
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-11	Pfizer-BioNTech
2	2021-03-04	Pfizer-BioNTech
3	2021-10-11	Pfizer-BioNTech	Flu
4	2022-10-13	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2023-01-12	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-05

Systemic reaction (other): Lymph glands slightly swollen & painful

2021-03-06

Systemic reaction (other): Dry cough - rare

Release 12 — days 1–6 daily, dose 4

2022-10-14

Systemic reaction (other): Sinus drainage-> sneezing & cough x 2 hours

2022-10-15

Systemic reaction (other): Took Tylenol late yesterday since temp was 100.3 Now temp is normal

2022-10-16

Systemic reaction (other): Took 2 hour nap this morning. Still tired, weak.

2022-10-17

Systemic reaction (other): Occasional very vague headache/nausea that finally disappeared

Release 12 — day 7, dose 4

2022-10-20

Systemic reaction (other): Still don't quite have all stamina back

Release 12 — day 42, dose 4

2022-11-24

Symptoms: Slight sore throat, slight sinus drainage today. No fever. Neg rapid Covid test. No known exposure to anyone sick. Over did activity yesterday

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	Gastrooesophageal reflux disease	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Paranasal sinus hypersecretion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Asthenia	·	·	✓
SRO	Body temperature increased	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Fatigue	·	·	✓
SRO	Headache	·	·	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Nausea	·	·	✓
SRO	Paranasal sinus hypersecretion	·	·	✓
SRO	Self-medication	·	·	✓
SRO	Somnolence	·	·	✓

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