YGT-71303-57908

4 vaccinations 12 coded responses 50 check-ins 10 free-text entries 16 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 850 / AZ
Registered: 2020-12-31

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

2020-12-31
Registered in v-safe
2020-12-31
Dose 1 — Pfizer-BioNTech
2020-12-31
Health check-in — day 0, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

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

1 call case(s)
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-01-02
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-01-03
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-04
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-01-05
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-07
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness, Abdominal pain

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

Adult check-in
2021-01-21
Dose 2 — Pfizer-BioNTech
2021-01-21
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-26
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain, Tonsillar exudate — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, 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: Sore throat with exudate on tonsils. Possibly ill with something new

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Oropharyngeal pain — Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Sore throat, cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-26
Survey response — day 35, dose 2
MedDRA: Unevaluable event — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: UnrelatedTo Covid · Healthcare visit (other): Unrelated to Covid

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Report sent to call center — day 35, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-24
Survey response — 3 months, dose 2
MedDRA: Nausea, Spinal operation — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: I had surgery on my cervical spine and have been experiencing severe nausea throughout the day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Report sent to call center — 3 months, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-03
Call 1 — Left Voicemail
2021-07-22
Survey response — 6 months, dose 2
MedDRA: Post procedural complication, Spinal operation — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, Hospitalization

Free text: I have am having complications related to spinal surgery.

MedDRA releases: 2024-11 · check-in free text available
2021-07-22
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-24
Call 1 — Left Voicemail
2022-01-07
Dose 3 — Pfizer-BioNTech
2022-01-08
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-01-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school

Adult check-in
2022-01-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school

Adult check-in
2022-01-11
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Nausea, Vomiting, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-01-12
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Abdominal pain · 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

Adult check-in
2022-01-12
Report sent to call center — days 1–6 daily, 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)
2022-01-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2022-01-14
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-17
Call successful
Does not wish to fill out VAERS report
2022-01-21
Survey response — day 14, dose 3
MedDRA: Fatigue, Headache, Nausea, Pyrexia, Respiratory tract congestion — Feeling: Poor · 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: Fatigue, headache, fever, nausea, congestion

MedDRA releases: 2024-11 · check-in free text available
2022-01-21
Report sent to call center — day 14, 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)
2022-01-24
Call 2 — Left Voicemail
2022-01-28
Survey response — day 21, dose 3
MedDRA: COVID-19, Chills, Headache, Nausea, Pyrexia, Respiratory tract congestion — Feeling: Poor · 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: Fever, headache, chills, nausea, congestion. I have Covid, today is day 9

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
Report sent to call center — day 21, 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)
2022-02-01
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-04
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-02-11
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-02-18
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-08
Survey response — 3 months, dose 3
MedDRA: Colitis ischaemic — Feeling: Poor · 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, Emergency room or emergency department visit

Free text: Ischemic colitis

MedDRA releases: 2024-11 · check-in free text available
2022-04-08
Report sent to call center — 3 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 · Emergency room or emergency department visit · 1 call case(s)
2022-04-20
Call 2 — Could Not Reach Participant
2022-04-26
Call 3 — Left Voicemail
2022-07-08
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-25
Dose 4 — Moderna
Co-administered: Tetanus
2022-11-25
Health check-in — day 0, dose 4
Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-11-26
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-11-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-11-28
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-11-29
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-11-30
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-12-02
Health check-in — day 7, dose 4
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-12-09
Survey response — day 14, dose 4
MedDRA: COVID-19 — Feeling: Poor · 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: Covid

MedDRA releases: 2024-11 · check-in free text available
2022-12-09
Report sent to call center — day 14, 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 · 1 call case(s)
2022-12-13
Call 3 — Left Voicemail
2022-12-16
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-12-23
Survey response — day 28, dose 4
MedDRA: Gastrointestinal disorder, Gastrointestinal viral infection — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: GI symptoms/virus

MedDRA releases: 2024-11 · check-in free text available
2022-12-30
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2023-01-06
Survey response — day 42, dose 4
MedDRA: Diarrhoea, Dyspnoea, Fatigue, Nausea, Night sweats — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-01-06
Report sent to call center — day 42, 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-09
Call 1 — Left Voicemail
2023-01-09
Call 1 — Left Voicemail
2023-01-09
Call 1 — Left Voicemail
2023-01-09
Call 1 — Left Voicemail
2023-02-24
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-05-26
Survey response — 6 months, dose 4
MedDRA: Vasculitis — 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 · Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-05-26
Call case (no matching report) — Unsuccessful
2023-05-30
Call 3 — Left Voicemail
2023-05-30
Call X — Left Voicemail
2023-05-30
Call 2 — Left Voicemail
2023-05-30
Call 2 — Left Voicemail
2023-05-30
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-31	Pfizer-BioNTech
2	2021-01-21	Pfizer-BioNTech
3	2022-01-07	Pfizer-BioNTech	No
4	2022-11-25	Moderna	Tetanus

Call center

Reported	Outcome	VAERS-related outcome
2021-01-01	priority 2/3
2021-01-02	priority 2/3
2021-01-03	priority 2/3
2021-01-04	priority 2/3
2021-01-05	priority 2/3
2021-01-26	Successful	Does not wish to fill out VAERS report
2021-02-26	Successful	Does not wish to fill out VAERS report
2021-04-24	Successful	Does not wish to fill out VAERS report
2021-07-22	Successful	Does not wish to fill out VAERS report
2022-01-12	Successful 2022-01-17	Does not wish to fill out VAERS report
2022-01-21	Unsuccessful
2022-01-28	Successful 2022-02-01	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-08	Unsuccessful
2022-12-09	Unsuccessful
2023-01-06	Unsuccessful
2023-05-26	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 2

2021-01-26

Systemic reaction (other): Sore throat with exudate on tonsils. Possibly ill with something new

2021-01-27

Systemic reaction (other): Sore throat, cough

Release 4 — day 35, dose 2

2021-02-26

Symptoms: UnrelatedTo Covid

Healthcare visit (other): Unrelated to Covid

Release 7 — 3 months, dose 2

2021-04-24

Symptoms: I had surgery on my cervical spine and have been experiencing severe nausea throughout the day

Release 9 — 6 months, dose 2

2021-07-22

Symptoms: I have am having complications related to spinal surgery.

Release 11 — day 14, dose 3

2022-01-21

Symptoms: Fatigue, headache, fever, nausea, congestion

Release 11 — day 21, dose 3

2022-01-28

Symptoms: Fever, headache, chills, nausea, congestion. I have Covid, today is day 9

Release 11 — 3 months, dose 3

2022-04-08

Symptoms: Ischemic colitis

Release 12 — day 14, dose 4

2022-12-09

Symptoms: Covid

Release 12 — day 28, dose 4

2022-12-23

Symptoms: GI symptoms/virus

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	Unevaluable event	✓	✓	✓
SD	Chills	·	·	✓
SD	Colitis ischaemic	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Gastrointestinal viral infection	·	·	✓
SD	Headache	·	·	✓
SD	Nausea	✓	✓	✓
SD	Night sweats	·	·	✓
SD	Post procedural complication	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Spinal operation	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SD	Vasculitis	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Tonsillar exudate	✓	✓	✓

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