YQP-30545-39521

3 vaccinations 5 coded responses 30 check-ins 5 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 206 / MD
Registered: 2020-12-22

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

2020-12-22
Registered in v-safe
2020-12-22
Dose 1 — Pfizer-BioNTech
2020-12-22
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2020-12-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2020-12-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Fatigue or tiredness

Adult check-in
2020-12-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2020-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2020-12-28
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Oropharyngeal pain, Pain — Feeling: Poor · Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: I think I have a viral illness today. Sore throat achy tired , unrelated to vaccine ?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-28
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2020-12-29
Survey response — day 7, dose 1
MedDRA: Office visit, SARS-CoV-2 test negative — Feeling: Poor · Fatigue or tiredness, Nausea · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Seen today at urgent care. Viral illness COVID negative. I believe I have a viral ? Illness unrelated to COVID vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-29
Report sent to call center — day 7, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-06
Survey response — day 14, dose 1
MedDRA: Dyspnoea, Fatigue — Feeling: Poor · Be unable to work, 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: Sob co fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-10
Dose 2 — Pfizer-BioNTech
2021-01-14
Call 1 — Left Voicemail
2021-01-20
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2021-01-24
Survey response — day 14, dose 2
MedDRA: Fatigue, Pain — Feeling: Fair

Free text: Fatigue achy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-11
Survey response — 3 months, dose 2
MedDRA: Chest pain, Dyspnoea, Emergency care, Office visit, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Sob cp. seen at (b)(6) hospital feb 24. Pulmonologist says I have post Covid syndrome. That when I was sick dec 27 -mid jan I likely had covid. Urgent care only did rapid covid which was negative. Since seeing pulmonologist use advair/albuterol · Healthcare visit (other): MD office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-10
Call 1 — Left Voicemail
2021-07-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-29
Dose 3 — Pfizer-BioNTech
2021-09-29
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Fever · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school

Adult check-in
2021-10-06
Health check-in — day 7, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

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

Adult check-in
2021-10-20
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-29
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-30
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-22	Pfizer-BioNTech
2	2021-01-10	Pfizer-BioNTech
3	2021-09-29	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2020-12-28	Unsuccessful
2020-12-29	Unsuccessful
2021-01-06	Unsuccessful
2021-04-11	Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-28

Systemic reaction (other): I think I have a viral illness today. Sore throat achy tired , unrelated to vaccine ?

Release 1 — day 7, dose 1

2020-12-29

Systemic reaction (other): Seen today at urgent care. Viral illness COVID negative. I believe I have a viral ? Illness unrelated to COVID vaccine

Release 1 — day 14, dose 1

2021-01-06

Symptoms: Sob co fatigue

Release 2 — day 14, dose 2

2021-01-24

Symptoms: Fatigue achy

Release 7 — 3 months, dose 2

2021-04-11

Symptoms: Sob cp. seen at (b)(6) hospital feb 24. Pulmonologist says I have post Covid syndrome. That when I was sick dec 27 -mid jan I likely had covid. Urgent care only did rapid covid which was negative. Since seeing pulmonologist use advair/albuterol

Healthcare visit (other): MD office visit

redacted (b)(6)

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	Chest pain	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Pain	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Medical observation	○	○	○
SRO	Office visit	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	SARS-CoV-2 test negative	✓	✓	✓

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