Y75-11918-73826

3 vaccinations 11 coded responses 31 check-ins 11 free-text entries 9 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 907 / CA
Registered: 2020-12-20

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

2020-12-20
Registered in v-safe
2020-12-20
Dose 1 — Pfizer-BioNTech
2020-12-20
Survey response — day 0, dose 1
MedDRA: Dizziness, Pruritus — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Itchiness, mild dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-20
Report sent to call center — day 0, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-21
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to work

Free text: runny nose, sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-21
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2020-12-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Diarrhea

Adult check-in
2020-12-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-25
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Loss of personal independence in daily activities — Feeling: Fair · Be unable to do your normal daily activities

Free text: dizziness that limited me from normal activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-25
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-10
Dose 2 — Pfizer-BioNTech
2021-01-10
Survey response — day 0, dose 2
MedDRA: Dysphagia, Hyperhidrosis, Hypoaesthesia, Paraesthesia, Pruritus — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: itchiness; trouble swallowing; sweating; numbness & tingling in feet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-10
Report sent to call center — day 0, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-11
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: swollen glands below the jawline

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-12
Survey response — days 1–6 daily, dose 2
MedDRA: Nasal congestion, Respiratory tract congestion, Rhinorrhoea — Feeling: Good · Headache, Joint pains, Muscle or body aches

Free text: runny nose, congestion in nose, and later in evening congestion in chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: sore throat (moderate), runny nose fmild), congestion (mild)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-14
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Poor · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-15
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Hypoaesthesia, Paraesthesia — Feeling: Poor · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Coughing (dry, no phlegm) and numbness/tingling in feet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-01-16
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-01-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-01-31
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-11
Dose 3 — Moderna
2022-01-17
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-01-17
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain, Pre-existing disease, Rhinorrhoea — Feeling: Fair

Free text: Allergies with nasal drainage causing mild sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-01-20
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-01-25
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-02-01
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-08
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-04-12
Survey response — 3 months, dose 3
MedDRA: Abdominal pain, Diarrhoea, Fatigue, Feeling abnormal, Headache, Nausea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fatigue, not feeling quite myself today. Within the last two weeks I've had 4-5 days of diarrhea, 2 days of abdominal pain, 1-2 days of nausea, 1 day headache and significant fatigue.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-20	Pfizer-BioNTech
2	2021-01-10	Pfizer-BioNTech
3	2022-01-11	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2020-12-20	priority 2/3
2020-12-21	priority 2/3
2020-12-25	priority 2/3
2021-01-10	priority 2/3
2021-01-11	priority 2/3
2021-01-13	priority 2/3
2021-01-14	priority 2/3
2021-01-15	priority 2/3
2021-01-16	priority 2/3

Free text

Release 1 — day 0, dose 1

2020-12-20

Systemic reaction (other): Itchiness, mild dizziness

Release 1 — days 1–6 daily, dose 1

2020-12-21

Systemic reaction (other): runny nose, sore throat

2020-12-25

Systemic reaction (other): dizziness that limited me from normal activities

Release 1 — day 0, dose 2

2021-01-10

Systemic reaction (other): itchiness; trouble swallowing; sweating; numbness & tingling in feet

Release 1 — days 1–6 daily, dose 2

2021-01-11

Systemic reaction (other): swollen glands below the jawline

2021-01-12

Systemic reaction (other): runny nose, congestion in nose, and later in evening congestion in chest

2021-01-13

Systemic reaction (other): sore throat (moderate), runny nose fmild), congestion (mild)

Release 2 — days 1–6 daily, dose 2

2021-01-14

Systemic reaction (other): Coughing

2021-01-15

Systemic reaction (other): Coughing (dry, no phlegm) and numbness/tingling in feet

Release 10 — days 1–6 daily, dose 3

2022-01-17

Systemic reaction (other): Allergies with nasal drainage causing mild sore throat

Release 11 — 3 months, dose 3

2022-04-12

Symptoms: Fatigue, not feeling quite myself today. Within the last two weeks I've had 4-5 days of diarrhea, 2 days of abdominal pain, 1-2 days of nausea, 1 day headache and significant fatigue.

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	Abdominal pain	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Feeling abnormal	·	·	✓
SD	Headache	·	·	✓
SD	Nausea	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dysphagia	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Loss of personal independence in daily activities	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pre-existing disease	·	·	✓
SRO	Pruritus	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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