YFA-24078-77921

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

Sex: Female
Age at first dose: 51-55
ZIP prefix: 276 / NC
Registered: 2021-03-03

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

2021-02-09
Dose 1 — Pfizer-BioNTech
2021-03-03
Registered in v-safe
2021-03-03
Dose 2 — Pfizer-BioNTech
2021-03-03
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Fair · Fatigue or tiredness

Free text: Lightheaded and dizzy

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

Free text: Did not sleep well, but just restless. No major side effects.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

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 — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-31
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-07
Survey response — day 35, dose 2
MedDRA: Headache — Feeling: Fair

Free text: Woke up with Headache this morning - not sure if pollen or sinus related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-01
Survey response — 6 months, dose 2
MedDRA: Cough, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities

Free text: Congestion and dry cough - had two negative Covid tests a week and half ago.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-12
Dose 3 — Pfizer-BioNTech
2022-03-03
Survey response — 12 months, dose 2
MedDRA: Dizziness, Presyncope — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lightheadedness and almost fainted a few times.

MedDRA releases: 2024-11 · check-in free text available
2022-04-12
Survey response — 6 months, dose 3
MedDRA: Ageusia, Anosmia, Cough, Fatigue, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, 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: Tested positive for Covid 19 - fatigue, sore throat, congestion, dry cough, loss of taste and smell for a few days.

MedDRA releases: 2024-11 · check-in free text available
2022-04-12
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-04-14
Call 1 — Left Voicemail
2022-06-02
Dose 4 — Pfizer-BioNTech
2022-06-26
Survey response — day 21, dose 4
MedDRA: Arthralgia, Back pain, Pain in extremity — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Leg/knee pain radiating from back.

MedDRA releases: 2024-11 · check-in free text available
2022-06-26
Report sent to call center — day 21, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-27
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-27
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-30
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-07
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-14
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-09-01
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-01
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-11-18
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-22
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-29
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-12-06
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-13
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-31
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-05-02
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-09	Pfizer-BioNTech
2	2021-03-03	Pfizer-BioNTech
3	2021-10-12	Pfizer-BioNTech	No
4	2022-06-02	Pfizer-BioNTech	No
5	2022-11-01	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2022-04-12	Successful 2022-06-27	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-26	Successful 2022-06-27	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 5 — day 0, dose 2

2021-03-03

Systemic reaction (other): Lightheaded and dizzy

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): Did not sleep well, but just restless. No major side effects.

Release 7 — day 35, dose 2

2021-04-07

Symptoms: Woke up with Headache this morning - not sure if pollen or sinus related.

Release 9 — 6 months, dose 2

2021-09-01

Symptoms: Congestion and dry cough - had two negative Covid tests a week and half ago.

Release 11 — 12 months, dose 2

2022-03-03

Symptoms: Lightheadedness and almost fainted a few times.

Release 11 — 6 months, dose 3

2022-04-12

Symptoms: Tested positive for Covid 19 - fatigue, sore throat, congestion, dry cough, loss of taste and smell for a few days.

Release 12 — day 21, dose 4

2022-06-26

Symptoms: Leg/knee pain radiating from 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
SD	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Arthralgia	·	·	✓
SD	Back pain	·	·	✓
SD	Cough	✓	·	✓
SD	Dizziness	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Presyncope	·	·	✓
SD	Respiratory tract congestion	✓	·	✓
SD	SARS-CoV-2 test negative	✓	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Restlessness	✓	✓	✓

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