YNV-56670-26909

3 vaccinations 3 coded responses 35 check-ins 3 free-text entries 3 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 860 / AZ
Registered: 2020-12-15

Relationship: Self
Race: American Indian or Alaska Native
Ethnicity: Not Hispanic or Latino

Registered dependents

QM3-23241-40966 Child or adolescent in my care · Male · 2021-11-07

Timeline

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

2020-12-15
Registered in v-safe
2020-12-15
Dose 1 — Pfizer-BioNTech
2020-12-15
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2020-12-17
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2020-12-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2020-12-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2020-12-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2020-12-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2020-12-22
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2020-12-29
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-01-05
Dose 2 — Pfizer-BioNTech
2021-01-05
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-01-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-01-07
Report sent to call center — days 1–6 daily, dose 2
Be unable to work

no matching call case
2021-01-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-14
Health check-in — day 7, dose 2
Feeling: Fair · Headache

Adult check-in
2021-01-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-01-26
Health check-in — day 21, dose 2
Feeling: Good

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

Adult check-in
2021-02-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-06
Survey response — 6 months, dose 2
MedDRA: Oral herpes — 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: Flare ups of cold sores that are non stop.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-06
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)
2021-07-15
Call 1 — Left Voicemail
2021-10-12
Dose 3 — Pfizer-BioNTech
2021-10-15
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-16
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Redness · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-17
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-10-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-10-19
Survey response — day 7, dose 3
MedDRA: Eye pain, Eye swelling — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Eye pain and swelling

MedDRA releases: 2024-11 · check-in free text available
2021-10-19
Report sent to call center — day 7, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-20
Call 2 — Could Not Reach Participant
2021-10-26
Call 3 — Left Voicemail
2021-10-28
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-01
Call X — Could Not Reach Participant
2021-11-04
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-09
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-16
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-25
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-11
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-12
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-13
Survey response — 12 months, dose 3
MedDRA: COVID-19, Medical counselling, Migraine, Pre-existing disease — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: My provider informed me that my migraines have increased in frequency and she thinks its from covid.

MedDRA releases: 2024-11 · check-in free text available
2022-10-13
Report sent to call center — 12 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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-10-13
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-14
Call 2 — Left Voicemail
2022-10-14
Call 1 — Left Voicemail
2022-10-14
Call 1 — Left Voicemail
2022-10-14
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-14
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	2020-12-15	Pfizer-BioNTech
2	2021-01-05	Pfizer-BioNTech
3	2021-10-12	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-07-06	Successful 2022-10-14	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-10-19	Successful 2022-10-14	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-13	Successful 2022-10-13	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

1 report(s) with no call case — see the timeline.

Free text

Release 9 — 6 months, dose 2

2021-07-06

Symptoms: Flare ups of cold sores that are non stop.

Release 10 — day 7, dose 3

2021-10-19

Systemic reaction (other): Eye pain and swelling

Release 12 — 12 months, dose 3

2022-10-13

Symptoms: My provider informed me that my migraines have increased in frequency and she thinks its from covid.

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
SD	COVID-19	·	·	✓
SD	Medical counselling	·	·	✓
SD	Migraine	·	·	✓
SD	Oral herpes	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SRO	Eye pain	·	·	✓
SRO	Eye swelling	·	·	✓

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