YJP-26603-99633

3 vaccinations 16 coded responses 29 check-ins 16 free-text entries 4 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 276 / NC
Registered: 2021-03-26

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

PYW-87263-29565 Child or adolescent in my care · Female · 2021-11-21

VKU-26493-73932 Child or adolescent in my care · Female · 2021-11-21

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-24
Dose 1 — Pfizer-BioNTech
2021-03-26
Registered in v-safe
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Stomatitis — Feeling: Fair

Free text: Sore throat, mouth sores

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Stomatitis — Feeling: Fair

Free text: Sore throat, mouth sores

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Stomatitis — Feeling: Good · Fatigue or tiredness

Free text: Mouth sores, sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Abdominal pain

Adult check-in
2021-03-31
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-21
Survey response — day 28, dose 1
MedDRA: Chest pain — Feeling: Poor

Free text: Today, chest pain on the right side.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Dose 2 — Pfizer-BioNTech
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia — Feeling: Fair

Free text: Tingling in arms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia — Feeling: Fair · Headache

Free text: Tingling in arms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-14
Survey response — day 21, dose 2
MedDRA: Headache, Oropharyngeal pain — Feeling: Fair

Free text: Headache, sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-28
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-23
Survey response — 3 months, dose 2
MedDRA: Abdominal pain upper — Feeling: Fair · Be unable to do your normal daily activities

Free text: Stomach pains

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-19
Dose 3 — Pfizer-BioNTech
2021-11-21
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Swollen lymph node

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-26
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-04
Survey response — day 14, dose 3
MedDRA: Axillary pain, Chest pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Cheat pain and pain under left arm

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Report sent to call center — day 14, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-07
Call successful
Participant prefers to complete VAERS report online
2021-12-10
Survey response — day 21, dose 3
MedDRA: Herpes zoster, Office visit — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional

Free text: Symptoms: Shingles · Healthcare visit (other): Physician office visit

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Report sent to call center — day 21, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-13
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-12-18
Survey response — day 28, dose 3
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-01-03
Survey response — day 42, dose 3
MedDRA: Headache, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Congestion, headache

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Report sent to call center — day 42, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-04
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-02-18
Survey response — 3 months, dose 3
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school

Free text: Covid

MedDRA releases: 2024-11 · check-in free text available
2022-11-19
Survey response — 12 months, dose 3
MedDRA: Localised infection — Feeling: Good · 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: Infection in spine

MedDRA releases: 2024-11 · check-in free text available
2022-11-19
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-21
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Pfizer-BioNTech
2	2021-04-23	Pfizer-BioNTech
3	2021-11-19	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-12-04	Successful 2021-12-07	Participant prefers to complete VAERS report online
2021-12-10	Successful 2021-12-13	Reported to VAERS voluntarily prior to GDIT contact
2022-01-03	Successful 2022-01-04	Reported to VAERS voluntarily prior to GDIT contact
2022-11-19	Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-26

Systemic reaction (other): Sore throat, mouth sores

2021-03-27

Systemic reaction (other): Sore throat, mouth sores

2021-03-28

Systemic reaction (other): Mouth sores, sore throat

Release 7 — day 28, dose 1

2021-04-21

Symptoms: Today, chest pain on the right side.

Release 8 — days 1–6 daily, dose 2

2021-04-28

Systemic reaction (other): Tingling in arms

2021-04-29

Systemic reaction (other): Tingling in arms

Release 8 — day 21, dose 2

2021-05-14

Symptoms: Headache, sore throat

Release 9 — 3 months, dose 2

2021-07-23

Symptoms: Stomach pains

Release 10 — days 1–6 daily, dose 3

2021-11-21

Systemic reaction (other): Swollen lymph node

2021-11-22

Systemic reaction (other): Swollen lymph nodes

Release 10 — day 14, dose 3

2021-12-04

Symptoms: Cheat pain and pain under left arm

Release 10 — day 21, dose 3

2021-12-10

Symptoms: Shingles

Healthcare visit (other): Physician office visit

Release 10 — day 28, dose 3

2021-12-18

Symptoms: Sore throat

Release 10 — day 42, dose 3

2022-01-03

Symptoms: Congestion, headache

Release 11 — 3 months, dose 3

2022-02-18

Symptoms: Covid

Release 12 — 12 months, dose 3

2022-11-19

Symptoms: Infection in spine

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	Office visit	·	·	✓
SD	Abdominal pain upper	✓	·	✓
SD	Axillary pain	·	·	✓
SD	Chest pain	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Headache	✓	✓	✓
SD	Herpes zoster	·	·	✓
SD	Localised infection	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Stomatitis	✓	✓	✓

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