YNM-73151-25292

4 vaccinations 13 coded responses 38 check-ins 13 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 190 / PA
Registered: 2021-03-11

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

2021-03-11
Registered in v-safe
2021-03-11
Dose 1 — Pfizer-BioNTech
2021-03-11
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good · Headache

Free text: A little lightheaded off and on earlier in the day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: No, happily

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-08
Dose 2 — Pfizer-BioNTech
2021-04-08
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: Just got vaccinated ten minutes ago

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

Free text: Very mild fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Nausea — Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea

Free text: Not today, but yesterday evening: Nausea for about a half hour, fatigue fir a few hours, the better by about midnight

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Nausea

Adult check-in
2021-04-11
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Fatigue or tiredness

Free text: Yesterday evening, between about 6-11 pm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Survey response — day 14, dose 2
MedDRA: Nausea — Feeling: Good

Free text: Off and on nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-28
Dose 3 — Moderna
2022-04-10
Survey response — 12 months, dose 2
MedDRA: COVID-19, Medical counselling — 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

Free text: Symptoms: I had Covid in mud-January · Healthcare visit (other): Just phoned my physician

MedDRA releases: 2024-11 · check-in free text available
2022-04-10
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2022-04-11
Call 1 — Left Voicemail
2022-04-22
Dose 4 — Moderna
2022-04-25
Survey response — days 1–6 daily, dose 4
MedDRA: Fatigue, Pain, Pyrexia — Feeling: Good

Free text: On 4/22 I felt a little tired, on 4/23 I felt a bit achy, somewhat feverish, tired. This went away by about 5 pm.

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Good

Free text: None

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-29
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-06
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-13
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-20
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-27
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-03
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-22
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-23
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-22
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Pfizer-BioNTech
2	2021-04-08	Pfizer-BioNTech
3	2021-10-28	Moderna	No
4	2022-04-22	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-04-10	Successful 2021-04-11	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 5 — day 0, dose 1

2021-03-11

Systemic reaction (other): No

Release 5 — days 1–6 daily, dose 1

2021-03-12

Systemic reaction (other): A little lightheaded off and on earlier in the day

2021-03-14

Systemic reaction (other): No, happily

2021-03-16

Systemic reaction (other): No

Release 7 — day 0, dose 2

2021-04-08

Systemic reaction (other): Just got vaccinated ten minutes ago

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): Very mild fatigue

2021-04-10

Systemic reaction (other): Not today, but yesterday evening: Nausea for about a half hour, fatigue fir a few hours, the better by about midnight

2021-04-12

Systemic reaction (other): Yesterday evening, between about 6-11 pm

2021-04-13

Systemic reaction (other): No

Release 7 — day 14, dose 2

2021-04-22

Symptoms: Off and on nausea

Release 11 — 12 months, dose 2

2022-04-10

Symptoms: I had Covid in mud-January

Healthcare visit (other): Just phoned my physician

Release 11 — days 1–6 daily, dose 4

2022-04-25

Systemic reaction (other): On 4/22 I felt a little tired, on 4/23 I felt a bit achy, somewhat feverish, tired. This went away by about 5 pm.

2022-04-26

Systemic reaction (other): None

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	Medical counselling	·	·	✓
SD	COVID-19	·	·	✓
SD	Nausea	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain	·	·	✓
SRO	Pyrexia	·	·	✓
SRO	Unevaluable event	✓	✓	✓

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