YKS-14269-80708

3 vaccinations 12 coded responses 26 check-ins 12 free-text entries 5 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 293 / SC
Registered: 2021-01-06

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2020-12-21
Dose 1 — Pfizer-BioNTech
2021-01-06
Registered in v-safe
2021-01-06
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-01-07
Dose 2 — Pfizer-BioNTech
2021-01-09
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Dyspepsia — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Indigestion, heart burn & chest pressure

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

1 call case(s)
2021-01-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-01-14
Survey response — day 7, dose 2
MedDRA: Eye pruritus — Feeling: Good

Free text: Itchy eyes everyday since vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Survey response — day 14, dose 2
MedDRA: Cough, Rhinorrhoea, Throat irritation — Feeling: Fair

Free text: Itchy throat, coughing and nasel drainage

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-04
Survey response — day 28, dose 2
MedDRA: Pain, Sneezing, Throat irritation — Feeling: Poor

Free text: Itchy throat, sneezing and bodyache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-02-18
Survey response — day 42, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — 3 months, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extremely tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-08
Survey response — 6 months, dose 2
MedDRA: Blood glucose increased, Depression, Fatigue, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Fatigue, elevated glucose and depression. · Healthcare visit (other): Make appointment

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-08
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)
2021-07-12
Call 1 — Left Voicemail
2021-07-14
Call successful
Does not wish to fill out VAERS report
2021-10-09
Dose 3 — Pfizer-BioNTech
2021-10-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling, Itching · None

Adult check-in
2021-10-12
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-10-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-10-14
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-10-16
Health check-in — day 7, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-10-23
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-10-31
Survey response — day 21, dose 3
MedDRA: Headache, Nasal congestion, Sinus disorder, Sneezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sinus stuffy nose , sneezing and mild headache off and on

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-13
Survey response — day 35, dose 3
MedDRA: Abdominal pain upper, Diarrhoea, Headache — Feeling: Poor · Be unable to do your normal daily activities

Free text: Headache , stomach ache and lose stools.

MedDRA releases: 2024-11 · check-in free text available
2021-11-21
Survey response — day 42, dose 3
MedDRA: Breast disorder, Mammogram abnormal, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Abnormal mammogram left breast only. Non cancerous changes. My last vaccination was in Left arm. · Healthcare visit (other): Ultrasound

MedDRA releases: 2024-11 · check-in free text available
2021-11-21
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-23
Call 1 — Left Voicemail
2021-11-28
Callback requested for
01:00PM ET
2021-11-29
Call successful
Completed over the phone
2022-01-08
Survey response — 3 months, dose 3
MedDRA: Cough, Epistaxis, Oropharyngeal pain, Paranasal sinus hypersecretion, Self-medication — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Sore throat,cough,sinus drainage and bloody mucus. · Healthcare visit (other): OTC mucus meds and home remedies

MedDRA releases: 2024-11 · check-in free text available
2022-01-08
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-11
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-09
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-10-09
Survey response — 12 months, dose 3
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I have had Covid again

MedDRA releases: 2024-11 · check-in free text available
2022-10-09
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-10
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-21	Pfizer-BioNTech
2	2021-01-07	Pfizer-BioNTech
3	2021-10-09	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-09	priority 2/3
2021-07-08	Successful 2021-07-14	Does not wish to fill out VAERS report
2021-11-21	Successful 2021-11-29	Completed over the phone
2022-01-08	Successful 2022-01-11	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-10-09	Successful 2022-10-10	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 1 — days 1–6 daily, dose 2

2021-01-09

Systemic reaction (other): Indigestion, heart burn & chest pressure

Release 2 — day 7, dose 2

2021-01-14

Systemic reaction (other): Itchy eyes everyday since vaccine

Release 2 — day 14, dose 2

2021-01-21

Symptoms: Itchy throat, coughing and nasel drainage

Release 3 — day 28, dose 2

2021-02-04

Symptoms: Itchy throat, sneezing and bodyache

Release 4 — day 42, dose 2

2021-02-18

Symptoms: Tired

Release 7 — 3 months, dose 2

2021-04-10

Symptoms: Extremely tired

Release 9 — 6 months, dose 2

2021-07-08

Symptoms: Fatigue, elevated glucose and depression.

Healthcare visit (other): Make appointment

Release 10 — day 21, dose 3

2021-10-31

Symptoms: Sinus stuffy nose , sneezing and mild headache off and on

Release 10 — day 35, dose 3

2021-11-13

Symptoms: Headache , stomach ache and lose stools.

Release 10 — day 42, dose 3

2021-11-21

Symptoms: Abnormal mammogram left breast only. Non cancerous changes. My last vaccination was in Left arm.

Healthcare visit (other): Ultrasound

Release 10 — 3 months, dose 3

2022-01-08

Symptoms: Sore throat,cough,sinus drainage and bloody mucus.

Healthcare visit (other): OTC mucus meds and home remedies

Release 12 — 12 months, dose 3

2022-10-09

Symptoms: I have had Covid again

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	Self-medication	·	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Abdominal pain upper	·	·	✓
SD	Blood glucose increased	✓	✓	✓
SD	Breast disorder	·	·	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Depression	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Epistaxis	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Mammogram abnormal	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Paranasal sinus hypersecretion	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sinus disorder	·	·	✓
SD	Sneezing	✓	✓	✓
SD	Throat irritation	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Eye pruritus	✓	✓	✓

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