YYN-99260-21852

4 vaccinations 6 coded responses 26 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 331 / FL
Registered: 2021-01-08

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
2021-01-08
Registered in v-safe
2021-01-08
Dose 2 — Pfizer-BioNTech
2021-01-08
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-01-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-08
Dose 3 — Pfizer-BioNTech
2022-01-08
Survey response — 12 months, dose 2
MedDRA: Nasal congestion, Nasopharyngitis, Oropharyngeal pain, Sneezing — Feeling: Good

Free text: A Mild cold assoc with a slight sore throat, nasal congestion and sneezing. This lasted approx 3-4 days back in Early December

MedDRA releases: 2024-11 · check-in free text available
2022-06-24
Dose 4 — Pfizer-BioNTech
2022-06-25
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Good · Site: Pain

Free text:

MedDRA releases: 2024-11 · check-in free text available
2022-06-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-06-27
Survey response — days 1–6 daily, dose 4
MedDRA: Nasal congestion, Oropharyngeal pain, Sputum discoloured — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches

Free text: Feel I may have a sore throat as well. Greenish mucous when blowing nose.

MedDRA releases: 2024-11 · check-in free text available
2022-06-28
Survey response — days 1–6 daily, dose 4
MedDRA: Influenza virus test negative, Office visit, SARS-CoV-2 test, SARS-CoV-2 test positive, Streptococcal infection — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · 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

Free text: Systemic reaction (other): I did a home Covid test on Monday and tested presumptive positive. I went to a clinic this morning and had a Covid pcr test down. I also had a flu and Streep test. Flu was Neg and strep was slightly positive. APRN prescribed z pack. · Healthcare visit (other): Saw the nurse practitioner at (b)(6) clinic (part of (b)(6)). A Covid pcr test was done and a flu and strep test also done. Flu was beg. Strep was positive

MedDRA releases: 2024-11 · check-in free text available
2022-06-28
Report sent to call center — days 1–6 daily, dose 4
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 · 1 call case(s)
2022-06-29
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-06-29
Call 1 — Left Voicemail
2022-06-30
Survey response — days 1–6 daily, dose 4
MedDRA: Cough, Hyperhidrosis, Pyrexia — Feeling: Fair · Fever · Muscle or body aches · Be unable to work or attend school

Free text: Sweating probably due to low grade fever. Symptoms improved today. Have a very tight cough

MedDRA releases: 2024-11 · check-in free text available
2022-06-30
Call successful
Does not wish to fill out VAERS report
2022-07-02
Survey response — day 7, dose 4
MedDRA: Productive cough — Feeling: Fair · Fever · Fatigue or tiredness · Be unable to work or attend school

Free text: Tight cough producing thick phlegm

MedDRA releases: 2024-11 · check-in free text available
2022-07-08
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-07-29
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-08-07
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-09-25
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-12-23
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-06-24
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-18	Pfizer-BioNTech
2	2021-01-08	Pfizer-BioNTech
3	2021-09-08	Pfizer-BioNTech	No
4	2022-06-24	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-06-28	Successful 2022-06-30	Does not wish to fill out VAERS report

Free text

Release 10 — 12 months, dose 2

2022-01-08

Symptoms: A Mild cold assoc with a slight sore throat, nasal congestion and sneezing. This lasted approx 3-4 days back in Early December

Release 12 — days 1–6 daily, dose 4

2022-06-25

2022-06-27

Systemic reaction (other): Feel I may have a sore throat as well. Greenish mucous when blowing nose.

2022-06-28

Systemic reaction (other): I did a home Covid test on Monday and tested presumptive positive. I went to a clinic this morning and had a Covid pcr test down. I also had a flu and Streep test. Flu was Neg and strep was slightly positive. APRN prescribed z pack.

Healthcare visit (other): Saw the nurse practitioner at (b)(6) clinic (part of (b)(6)). A Covid pcr test was done and a flu and strep test also done. Flu was beg. Strep was positive

redacted (b)(6)

2022-06-30

Systemic reaction (other): Sweating probably due to low grade fever. Symptoms improved today. Have a very tight cough

Release 12 — day 7, dose 4

2022-07-02

Systemic reaction (other): Tight cough producing thick phlegm

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	Influenza virus test negative	·	·	✓
HCVO	Office visit	·	·	✓
HCVO	SARS-CoV-2 test	·	·	✓
HCVO	Streptococcal infection	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Sneezing	·	·	✓
SRO	Cough	·	·	✓
SRO	Hyperhidrosis	·	·	✓
SRO	Influenza virus test negative	·	·	✓
SRO	Nasal congestion	·	·	✓
SRO	No adverse event	·	·	✓
SRO	Office visit	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Productive cough	·	·	✓
SRO	Pyrexia	·	·	✓
SRO	SARS-CoV-2 test	·	·	✓
SRO	SARS-CoV-2 test positive	·	·	✓
SRO	Sputum discoloured	·	·	✓
SRO	Streptococcal infection	·	·	✓

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