YL6-28433-94928

4 vaccinations 16 coded responses 47 check-ins 15 free-text entries 6 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 208 / MD
Registered: 2021-02-21

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

2021-02-21
Registered in v-safe
2021-02-21
Dose 1 — Pfizer-BioNTech
2021-02-21
Survey response — day 0, dose 1
MedDRA: Hypersensitivity, Immediate post-injection reaction, Medical observation, Pruritus — Feeling: Good · Site: Itching · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Had an itchy allergy type reaction 20 minutes after the vaccine. Was treated on location at (b)(6) (b)(6) Maryland · Healthcare visit (other): I was seen by the doctor at the vaccine location. (b)(6)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Report sent to call center — day 0, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Itching · Fever · Headache

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains

Adult check-in
2021-02-24
Survey response — days 1–6 daily, dose 1
MedDRA: Nausea — Feeling: Good · Site: Pain, Redness · Joint pains, Nausea, Diarrhea

Free text: Mila nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · Abdominal pain

Adult check-in
2021-03-01
Health check-in — day 7, dose 1
Feeling: Good · Site: Swelling · Joint pains

Adult check-in
2021-03-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-14
Dose 2 — Pfizer-BioNTech
2021-03-14
Survey response — day 0, dose 2
MedDRA: Pruritus — Feeling: Good · Site: Itching · Fatigue or tiredness

Free text: Itchy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Flushing — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Flushed face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · Headache

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Headache, Joint pains

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Headache, Joint pains, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-21
Survey response — day 7, dose 2
MedDRA: Hot flush — Feeling: Good

Free text: Slight hot flashes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — day 14, dose 2
Feeling: Good

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

Adult check-in
2021-04-11
Survey response — day 28, dose 2
MedDRA: Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Persistent diarrhea Friday night through Saturday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-25
Survey response — day 42, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: Pretty severe allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-10
Call 3 — Left Voicemail
2021-09-12
Survey response — 6 months, dose 2
MedDRA: Dizziness, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Thought I had been exposed to Covid. Was a little dizzy. But PCR was negative.

MedDRA releases: 2024-11 · check-in free text available
2021-09-12
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-14
Call 3 — Left Voicemail
2021-10-01
Dose 3 — Pfizer-BioNTech
2021-10-01
Health check-in — day 0, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-08
Survey response — day 7, dose 3
MedDRA: Dizziness, Palpitations — Feeling: Fair

Free text: Lightheaded, heart palpitations

MedDRA releases: 2024-11 · check-in free text available
2021-10-15
Survey response — day 14, dose 3
MedDRA: Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: Good

Free text: Unusual sneezing and runny nose, with some chest congestion.

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-29
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-07
Survey response — day 35, dose 3
MedDRA: Ear congestion, Nasopharyngitis, Rhinorrhoea — Feeling: Fair

Free text: Cold probably. Runny nose stuffed ears

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-31
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-01
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-08
Dose 4 — Pfizer-BioNTech
2022-04-15
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-22
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-29
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-08
Survey response — day 28, dose 4
MedDRA: Adverse reaction, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Rash on neck · Healthcare visit (other): Scheduled to go in tomorrow. Have a plied Cortizone cream but no change.

MedDRA releases: 2024-11 · check-in free text available
2022-05-08
Report sent to call center — day 28, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-10
Call 1 — Left Voicemail
2022-05-10
Call 1 — Left Voicemail
2022-05-10
Call 1 — Left Voicemail
2022-05-15
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-08
Survey response — 3 months, dose 4
MedDRA: Diarrhoea infectious, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Developed what appears to be travelers diarrhea in a trip to (b)(6). Seem to be getting over it. No indications of Covid. · Healthcare visit (other): Follow up with primary care

MedDRA releases: 2024-11 · check-in free text available
2022-07-08
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-11
Call 2 — Left Voicemail
2022-07-11
Call 2 — Left Voicemail
2022-07-11
Call 2 — Left Voicemail
2022-07-11
Call 1 — Left Voicemail
2022-07-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-09
Survey response — 6 months, dose 4
MedDRA: Office visit, Tremor — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Tremors around face and hands. But no stroke or tumor indicated in scan. · Healthcare visit (other): Neurologist and imaging

MedDRA releases: 2024-11 · check-in free text available
2022-10-09
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-10
Call 1 — Left Voicemail
2023-04-08
Survey response — 12 months, dose 4
MedDRA: Bronchitis, Lung disorder, Malaise, Palpitations — 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, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-04-08
Report sent to call center — 12 months, dose 4
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 · Emergency room or emergency department visit · 1 call case(s)
2023-04-10
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-21	Pfizer-BioNTech
2	2021-03-14	Pfizer-BioNTech
3	2021-10-01	Pfizer-BioNTech	No
4	2022-04-08	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-02-21	Successful 2022-07-19	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-09-12	Successful 2022-07-19	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-08	Successful 2022-07-19	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-08	Successful 2022-07-19	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-09	Unsuccessful
2023-04-08	Unsuccessful

Free text

Release 4 — day 0, dose 1

2021-02-21

Systemic reaction (other): Had an itchy allergy type reaction 20 minutes after the vaccine. Was treated on location at (b)(6) (b)(6) Maryland

Healthcare visit (other): I was seen by the doctor at the vaccine location. (b)(6)

redacted (b)(6)

Release 4 — days 1–6 daily, dose 1

2021-02-24

Systemic reaction (other): Mila nausea

2021-02-25

Systemic reaction (other): Dizziness

Release 5 — day 0, dose 2

2021-03-14

Systemic reaction (other): Itchy

Release 5 — days 1–6 daily, dose 2

2021-03-15

Systemic reaction (other): Flushed face

Release 6 — day 7, dose 2

2021-03-21

Systemic reaction (other): Slight hot flashes

Release 7 — day 28, dose 2

2021-04-11

Symptoms: Persistent diarrhea Friday night through Saturday.

Release 7 — day 42, dose 2

2021-04-25

Symptoms: Pretty severe allergies

Release 9 — 6 months, dose 2

2021-09-12

Symptoms: Thought I had been exposed to Covid. Was a little dizzy. But PCR was negative.

Release 10 — day 7, dose 3

2021-10-08

Systemic reaction (other): Lightheaded, heart palpitations

Release 10 — day 14, dose 3

2021-10-15

Symptoms: Unusual sneezing and runny nose, with some chest congestion.

Release 10 — day 35, dose 3

2021-11-07

Symptoms: Cold probably. Runny nose stuffed ears

Release 11 — day 28, dose 4

2022-05-08

Symptoms: Rash on neck

Healthcare visit (other): Scheduled to go in tomorrow. Have a plied Cortizone cream but no change.

Release 12 — 3 months, dose 4

2022-07-08

Symptoms: Developed what appears to be travelers diarrhea in a trip to (b)(6). Seem to be getting over it. No indications of Covid.

Healthcare visit (other): Follow up with primary care

redacted (b)(6)

Release 12 — 6 months, dose 4

2022-10-09

Symptoms: Tremors around face and hands. But no stroke or tumor indicated in scan.

Healthcare visit (other): Neurologist and imaging

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	Adverse reaction	·	·	✓
HCVO	Medical observation	✓	✓	✓
HCVO	Office visit	·	·	✓
SD	Bronchitis	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Diarrhoea infectious	·	·	✓
SD	Dizziness	·	·	✓
SD	Ear congestion	·	·	✓
SD	Lung disorder	·	·	✓
SD	Malaise	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Palpitations	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sneezing	·	·	✓
SD	Tremor	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Medical observation	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Palpitations	·	·	✓
SRO	Pruritus	✓	✓	✓

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