YXC-15222-09829

2 vaccinations 10 coded responses 19 check-ins 10 free-text entries 7 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 631 / MO
Registered: 2020-12-19

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

2020-12-18
Dose 1 — Pfizer-BioNTech
2020-12-19
Registered in v-safe
2020-12-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2020-12-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

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

Adult check-in
2020-12-22
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease, Rhinorrhoea — Feeling: Good

Free text: Runny nose. More likely due to allergies.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-23
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea — Feeling: Good · Fatigue or tiredness

Free text: Runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-24
Survey response — days 1–6 daily, dose 1
MedDRA: Hypersensitivity, Rhinorrhoea — Feeling: Good · Fatigue or tiredness

Free text: Runny nose allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-25
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-06
Dose 2 — Pfizer-BioNTech
2021-01-08
Survey response — days 1–6 daily, dose 2
MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-09
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Rhinorrhoea — Feeling: Fair · Site: Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Runny nose/ low enery

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-13
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-01-21
Survey response — day 14, dose 2
MedDRA: Back pain, Chest pain — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Some pain in upper back Between shoulder blades. And pain in sternal area. Will be calling doctor today. Not sure if vaccine related or not.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-27
Survey response — day 21, dose 2
MedDRA: Abdominal pain upper, Back pain, Chest pain, Fatigue — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I have had some epi gastric pain and back pain. Sometimes substernal pain. Feeling fatigued as well.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-03
Survey response — day 28, dose 2
MedDRA: Back pain, Hypoaesthesia, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Some numbness in left thigh and pain in back · Healthcare visit (other): Appoint on friday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-03-26
Call successful
Does not wish to fill out VAERS report
2021-04-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-07
Survey response — 6 months, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-07
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-09
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-06
Survey response — 12 months, dose 2
MedDRA: COVID-19, Office visit — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: COVID-19 positive · Healthcare visit (other): Testing center

MedDRA releases: 2024-11 · check-in free text available
2022-01-06
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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-10
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-18	Pfizer-BioNTech
2	2021-01-06	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-01-08	Successful	Does not wish to fill out VAERS report
2021-01-09	Successful	Does not wish to fill out VAERS report
2021-01-21	Successful	Does not wish to fill out VAERS report
2021-01-27	Successful	Does not wish to fill out VAERS report
2021-02-03	Successful 2021-03-26	Does not wish to fill out VAERS report
2021-07-07	Successful 2021-07-09	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-06	Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-22

Systemic reaction (other): Runny nose. More likely due to allergies.

2020-12-23

Systemic reaction (other): Runny nose

2020-12-24

Systemic reaction (other): Runny nose allergies

Release 1 — days 1–6 daily, dose 2

2021-01-08

Systemic reaction (other): Runny nose

2021-01-09

Systemic reaction (other): Runny nose/ low enery

Release 2 — day 14, dose 2

2021-01-21

Symptoms: Some pain in upper back Between shoulder blades. And pain in sternal area. Will be calling doctor today. Not sure if vaccine related or not.

Release 2 — day 21, dose 2

2021-01-27

Symptoms: I have had some epi gastric pain and back pain. Sometimes substernal pain. Feeling fatigued as well.

Release 3 — day 28, dose 2

2021-02-03

Symptoms: Some numbness in left thigh and pain in back

Healthcare visit (other): Appoint on friday

Release 9 — 6 months, dose 2

2021-07-07

Symptoms: Swollen lymph nodes

Release 10 — 12 months, dose 2

2022-01-06

Symptoms: COVID-19 positive

Healthcare visit (other): Testing center

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	·	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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