YVV-26246-34317

4 vaccinations 9 coded responses 36 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 606 / IL
Registered: 2021-01-19

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-01-19
Registered in v-safe
2021-01-19
Dose 1 — Pfizer-BioNTech
2021-01-19
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness · Diarrhea

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-09
Dose 2 — Pfizer-BioNTech
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Fatigue, Headache, Pain — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I had chills, body aches, mild headache about 10 hrs after dose that lasted for about 48 hrs. Today I'm a bit fatigued.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-28
Dose 3 — Pfizer-BioNTech
2022-02-09
Survey response — 12 months, dose 2
MedDRA: Vertigo — 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

Free text: Had vertigo about 1 week after my booster injection. Had to have medication. Not sure if it was related to the booster.

MedDRA releases: 2024-11 · check-in free text available
2022-02-09
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-11
Call 1 — Could Not Reach Participant
2022-02-16
Call 2 — Could Not Reach Participant
2022-04-24
Dose 4 — Pfizer-BioNTech
2022-04-25
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-04-26
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · 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
Survey response — days 1–6 daily, dose 4
MedDRA: Urinary tract disorder — Feeling: Fair

Free text: Feels like maybe UTI starting.

MedDRA releases: 2024-11 · check-in free text available
2022-04-30
Survey response — days 1–6 daily, dose 4
MedDRA: Urinary tract infection — Feeling: Fair

Free text: UTI symptoms, not related to booster?

MedDRA releases: 2024-11 · check-in free text available
2022-05-01
Survey response — day 7, dose 4
MedDRA: Urinary tract disorder — Feeling: Good

Free text: Still mild UTI symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-05-08
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-15
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-22
Survey response — day 28, dose 4
MedDRA: Fatigue, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activities

Free text: Fatigue, bit of sore thoart. Had negative PCR covid test yesterday

MedDRA releases: 2024-11 · check-in free text available
2022-05-29
Survey response — day 35, dose 4
MedDRA: Atrial fibrillation — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Hospitalization

Free text: Atrial fibrillation

MedDRA releases: 2024-11 · check-in free text available
2022-05-29
Report sent to call center — day 35, 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 · Hospitalization · 1 call case(s)
2022-05-31
Call 3 — Left Voicemail
2022-05-31
Call 1 — Left Voicemail
2022-06-05
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-26
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-25
Survey response — 6 months, dose 4
MedDRA: Asthenia, Malaise, Metapneumovirus infection, Skin laceration, Suture insertion, Syncope — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Got a virus. Human metpneuminia virus. Got weak and fainted in the bathroom. Got a Gash on my forhead, needed stitches. Been feeling sick for about 11 days. Just starting to feel better.

MedDRA releases: 2024-11 · check-in free text available
2022-10-25
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-10-26
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-26
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-26
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-24
Survey response — 12 months, dose 4
MedDRA: Mitral valve replacement — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

MedDRA releases: 2024-11
2023-04-24
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

Hospitalization · 1 call case(s)
2023-04-25
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	2021-01-19	Pfizer-BioNTech
2	2021-02-09	Pfizer-BioNTech
3	2021-10-28	Pfizer-BioNTech	No
4	2022-04-24	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-02-09	Successful 2022-10-26	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-29	Successful 2022-10-26	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-25	Successful 2022-10-26	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-24	Successful 2023-04-25	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): I had chills, body aches, mild headache about 10 hrs after dose that lasted for about 48 hrs. Today I'm a bit fatigued.

Release 11 — 12 months, dose 2

2022-02-09

Symptoms: Had vertigo about 1 week after my booster injection. Had to have medication. Not sure if it was related to the booster.

Release 11 — days 1–6 daily, dose 4

2022-04-29

Systemic reaction (other): Feels like maybe UTI starting.

2022-04-30

Systemic reaction (other): UTI symptoms, not related to booster?

Release 11 — day 7, dose 4

2022-05-01

Systemic reaction (other): Still mild UTI symptoms

Release 11 — day 28, dose 4

2022-05-22

Symptoms: Fatigue, bit of sore thoart. Had negative PCR covid test yesterday

Release 11 — day 35, dose 4

2022-05-29

Symptoms: Atrial fibrillation

Release 12 — 6 months, dose 4

2022-10-25

Symptoms: Got a virus. Human metpneuminia virus. Got weak and fainted in the bathroom. Got a Gash on my forhead, needed stitches. Been feeling sick for about 11 days. Just starting to feel better.

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	Asthenia	·	·	✓
SD	Atrial fibrillation	·	·	✓
SD	Fatigue	·	·	✓
SD	Malaise	·	·	✓
SD	Metapneumovirus infection	·	·	✓
SD	Mitral valve replacement	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Skin laceration	·	·	✓
SD	Suture insertion	·	·	✓
SD	Syncope	·	·	✓
SD	Vertigo	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Urinary tract disorder	·	·	✓
SRO	Urinary tract infection	·	·	✓

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