YYX-11770-34793

5 vaccinations 6 coded responses 64 check-ins 5 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 603 / IL
Registered: 2021-01-12

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

2021-01-12
Registered in v-safe
2021-01-12
Dose 1 — Pfizer-BioNTech
2021-01-12
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-02
Dose 2 — Pfizer-BioNTech
2021-02-02
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-09
Survey response — day 35, dose 2
MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: Good

Free text: Mild sore throat and a little congestion. I'm pretty sure it's allergies.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-03
Survey response — 6 months, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I had both of these conditions before the vaccine, so I doubt there's any connection. But I had very high TSH in June 2021, and my doctor boosted my levothyroxine dose. I also had a higher A1c percentage than usual, and my doctor adjusted my meds.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-03
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-12
Call 2 — Left Voicemail
2021-09-17
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-09-17
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-09-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-09-19
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · 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
2021-09-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-09-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-09-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-09-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-09-24
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-01
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-08
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-15
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-22
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-29
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-17
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-18
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-08
Dose 4 — Moderna
2022-04-09
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · 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
2022-04-10
Survey response — days 1–6 daily, dose 4
MedDRA: Heart rate increased — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: High heart rate even when resting--measured by Apple watch

MedDRA releases: 2024-11 · check-in free text available
2022-04-11
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-04-12
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-04-13
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-04-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-04-15
Health check-in — day 7, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-04-22
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-29
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-06
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-13
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-20
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-08
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-09
Dose 5 — Moderna
Co-administered: Flu
2022-09-09
Health check-in — day 0, dose 5
Feeling: Good · None

Adult check-in
2022-09-10
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain · Fever · 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
2022-09-11
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain, Redness · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-09-12
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-09-16
Health check-in — day 7, dose 5
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2022-09-23
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-09-30
Survey response — day 21, dose 5
MedDRA: Headache, Pre-existing disease, Respiratory tract congestion — Feeling: Fair

Free text: Congestion and mild headache--probably allergies.

MedDRA releases: 2024-11 · check-in free text available
2022-10-07
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-14
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-21
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-09
Survey response — 3 months, dose 5
MedDRA: Dry eye — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Dry eye (nothing to do with the vaccine)

MedDRA releases: 2024-11 · check-in free text available
2022-12-09
Report sent to call center — 3 months, dose 5
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-12
Call 3 — Left Voicemail
2022-12-12
Call 2 — Left Voicemail
2023-03-10
Survey response — 6 months, dose 5
MedDRA: Dry eye — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-03-10
Report sent to call center — 6 months, dose 5
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-03-14
Call 1 — Left Voicemail
2023-03-14
Call 1 — Left Voicemail
2023-03-14
Call 1 — Left Voicemail
2023-03-14
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-14
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-14
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	2021-01-12	Pfizer-BioNTech
2	2021-02-02	Pfizer-BioNTech
3	2021-09-17	Pfizer-BioNTech	Flu
4	2022-04-08	Moderna	No
5	2022-09-09	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-08-03	Successful 2023-03-14	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-09	Successful 2023-03-14	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-10	Successful 2023-03-14	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 5 — day 35, dose 2

2021-03-09

Symptoms: Mild sore throat and a little congestion. I'm pretty sure it's allergies.

Release 9 — 6 months, dose 2

2021-08-03

Symptoms: I had both of these conditions before the vaccine, so I doubt there's any connection. But I had very high TSH in June 2021, and my doctor boosted my levothyroxine dose. I also had a higher A1c percentage than usual, and my doctor adjusted my meds.

Release 11 — days 1–6 daily, dose 4

2022-04-10

Systemic reaction (other): High heart rate even when resting--measured by Apple watch

Release 12 — day 21, dose 5

2022-09-30

Symptoms: Congestion and mild headache--probably allergies.

Release 12 — 3 months, dose 5

2022-12-09

Symptoms: Dry eye (nothing to do with the vaccine)

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	Condition aggravated	✓	·	✓
SD	Dry eye	·	·	✓
SD	Headache	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pre-existing disease	✓	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SRO	Heart rate increased	·	·	✓

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