YX2-54278-95461

3 vaccinations 7 coded responses 30 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 189 / PA
Registered: 2021-04-07

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

2021-04-06
Dose 1 — Pfizer-BioNTech
2021-04-07
Registered in v-safe
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Joint noise, Neck pain — Feeling: Good · Joint pains, Muscle or body aches

Free text: neck and shoulder ache, clicking feeling when raising and lowering in upper arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site reaction — Feeling: Good

Free text: clicking feeling in muscle around injection site

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

Adult check-in
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Injection site pruritus, Pruritus, Rash — Feeling: Fair · Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site

Free text: mild headache, light rash with itching on left side of chin and a little on upper arm of injection site

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

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-29
Dose 2 — Pfizer-BioNTech
2021-04-29
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills, Fatigue or tiredness

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-06
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-27
Survey response — day 28, dose 2
MedDRA: Erythema, Hypertension, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: red spots on both lower legs blood pressure higher, above 160 · Healthcare visit (other): in office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-03
Survey response — day 35, dose 2
MedDRA: Cough, Respiratory tract congestion, Sinusitis — Feeling: Fair

Free text: congested loose cough, sinus infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-29
Survey response — 3 months, dose 2
MedDRA: Asthma, Bronchitis, Cough, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: First I had a lingering cough, then told was bronchitis, cough didn't subside after antibiotics and prescription cough med, returned to Dr. and finally told it is Asthma, put on 5 day prednisone, and 2 inhalers, Advair and albuterol, current. · Healthcare visit (other): in person doctor visits

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-29
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)
2021-08-09
Call 1 — Left Voicemail
2021-10-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-07
Dose 3 — Pfizer-BioNTech
2021-11-17
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-23
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-28
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-05
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-12
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-19
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-07
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-10
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-09
Survey response — 12 months, dose 3
MedDRA: COVID-19 — Feeling: Poor · Be unable to do your normal daily activities

Free text: I just tested positive for Covid. Got it from my son.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-06	Pfizer-BioNTech
2	2021-04-29	Pfizer-BioNTech
3	2021-11-07	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-27	Unsuccessful
2021-07-29	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-07

Systemic reaction (other): neck and shoulder ache, clicking feeling when raising and lowering in upper arm

2021-04-08

Systemic reaction (other): clicking feeling in muscle around injection site

2021-04-10

Systemic reaction (other): mild headache, light rash with itching on left side of chin and a little on upper arm of injection site

Release 8 — day 28, dose 2

2021-05-27

Symptoms: red spots on both lower legs blood pressure higher, above 160

Healthcare visit (other): in office visit

Release 8 — day 35, dose 2

2021-06-03

Symptoms: congested loose cough, sinus infection

Release 9 — 3 months, dose 2

2021-07-29

Symptoms: First I had a lingering cough, then told was bronchitis, cough didn't subside after antibiotics and prescription cough med, returned to Dr. and finally told it is Asthma, put on 5 day prednisone, and 2 inhalers, Advair and albuterol, current.

Healthcare visit (other): in person doctor visits

Release 12 — 12 months, dose 3

2022-11-09

Symptoms: I just tested positive for Covid. Got it from my son.

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	Asthma	✓	·	✓
SD	Bronchitis	✓	·	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Erythema	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Office visit	✓	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Injection site reaction	✓	✓	✓
SRO	Joint noise	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash	✓	✓	✓

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