Y76-31769-30559

3 vaccinations 7 coded responses 29 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 028 / RI
Registered: 2021-04-01

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

2021-03-10
Dose 1 — Pfizer-BioNTech
2021-03-31
Dose 2 — Pfizer-BioNTech
2021-04-01
Registered in v-safe
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good · Headache

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: Nio

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness

Free text: Yesterday I became extremely tired and kept falling asleep during conversations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-09
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 21, dose 2
Feeling: Good

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

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

Adult check-in
2021-05-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-30
Survey response — 3 months, dose 2
MedDRA: Hospitalisation, SARS-CoV-2 test positive, Spinal operation — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: Re-diagnosed with a positive COVID-19 test on May 21, 2021. This was six weeks after I finished the second vaccine. I had no symptoms. This occurred during my hospitalization for a thoracic fusion. · Healthcare visit (other): Thoracic fusion T9-L1 care was related to back surgery not COVID 19

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-30
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-06
Call 1 — Left Voicemail
2021-09-29
Survey response — 6 months, dose 2
MedDRA: COVID-19 — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Diagnosed with COVID (for the 2nd time) on May 21. 2021 without symptoms two months after my 2nd immunization on March 31

MedDRA releases: 2024-11 · check-in free text available
2021-09-29
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-01
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-22
Dose 3 — Pfizer-BioNTech
2021-10-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-10-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-10-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Abdominal pain

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Abdominal pain

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-29
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-05
Survey response — day 14, dose 3
MedDRA: Cough — Feeling: Fair

Free text: Cough

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-27
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-03
Survey response — day 42, dose 3
MedDRA: Cough — Feeling: Good

Free text: Cough

MedDRA releases: 2024-11 · check-in free text available
2022-01-21
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-22
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-24
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Pfizer-BioNTech
2	2021-03-31	Pfizer-BioNTech
3	2021-10-22	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-06-30	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-09-29	Successful 2021-10-01	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 6 — days 1–6 daily, dose 2

2021-04-03

Systemic reaction (other): No

2021-04-04

Systemic reaction (other): Nio

2021-04-05

Systemic reaction (other): Yesterday I became extremely tired and kept falling asleep during conversations

Release 9 — 3 months, dose 2

2021-06-30

Symptoms: Re-diagnosed with a positive COVID-19 test on May 21, 2021. This was six weeks after I finished the second vaccine. I had no symptoms. This occurred during my hospitalization for a thoracic fusion.

Healthcare visit (other): Thoracic fusion T9-L1 care was related to back surgery not COVID 19

Release 9 — 6 months, dose 2

2021-09-29

Symptoms: Diagnosed with COVID (for the 2nd time) on May 21. 2021 without symptoms two months after my 2nd immunization on March 31

Release 10 — day 14, dose 3

2021-11-05

Symptoms: Cough

Release 10 — day 42, dose 3

2021-12-03

Symptoms: Cough

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	Spinal operation	✓	✓	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Hospitalisation	✓	✓	✓
SD	SARS-CoV-2 test positive	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	No adverse event	✓	✓	✓

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