YZ7-33633-08811

5 vaccinations 9 coded responses 49 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 300 / GA
Registered: 2020-12-28

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

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

2020-12-28
Registered in v-safe
2020-12-28
Dose 1 — Pfizer-BioNTech
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2020-12-30
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Fair · Site: Pain

Free text: Cough but I developed a cough the day of the vaccine that progress during the day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

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

Adult check-in
2021-01-02
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good

Free text: Only a lingering cough that started the day before the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good

Free text: Cough that started the day before the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Good

Free text: Cough fromday before vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-15
Dose 2 — Pfizer-BioNTech
2021-01-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Rash, not including the immediate area around the injection site

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-19
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Site: Pain

Free text: Cough that was from before I got the vaccine and wont go away

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-01-29
Survey response — day 14, dose 2
MedDRA: Myalgia — Feeling: Fair

Free text: Soreness/ muscles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-12
Survey response — day 28, dose 2
MedDRA: Electric shock sensation, Fear — Feeling: Fair

Free text: A kind of electric not pain but a feeling in my right arm and just now close to my heart. Just scary

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-16
Survey response — 6 months, dose 2
MedDRA: Electric shock sensation, Headache, Palpitations — Feeling: Good · Be unable to do your normal daily activities

Free text: Felt like an electric shock on my neck, palpitation, headache

MedDRA releases: 2024-11 · check-in free text available
2021-09-29
Dose 3 — Pfizer-BioNTech
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Chills, Muscle or body aches

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-06
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-20
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-29
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-30
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-04
Dose 4 — Pfizer-BioNTech
2022-04-15
Health check-in — day 7, dose 4
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2022-04-18
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-25
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-02
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-09
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-16
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-04
Survey response — 3 months, dose 4
MedDRA: Pain in extremity — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Leg pain

MedDRA releases: 2024-11 · check-in free text available
2022-07-04
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-07-05
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-30
Dose 5 — Pfizer-BioNTech
2022-10-03
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2022-10-11
Health check-in — day 7, dose 5
Feeling: Good · Joint pains · Be unable to do your normal daily activities

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

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

Adult check-in
2022-10-28
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-04
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-11
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-30
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-31
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Pfizer-BioNTech
2	2021-01-15	Pfizer-BioNTech
3	2021-09-29	Pfizer-BioNTech	No
4	2022-04-04	Pfizer-BioNTech	No
5	2022-09-30	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-07-04	Successful 2022-07-05	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-30

Systemic reaction (other): Cough but I developed a cough the day of the vaccine that progress during the day

2021-01-02

Systemic reaction (other): Only a lingering cough that started the day before the vaccine

2021-01-03

Systemic reaction (other): Cough that started the day before the vaccine

Release 1 — day 7, dose 1

2021-01-04

Systemic reaction (other): Cough fromday before vaccine

Release 2 — days 1–6 daily, dose 2

2021-01-19

Systemic reaction (other): Cough that was from before I got the vaccine and wont go away

Release 3 — day 14, dose 2

2021-01-29

Symptoms: Soreness/ muscles

Release 4 — day 28, dose 2

2021-02-12

Symptoms: A kind of electric not pain but a feeling in my right arm and just now close to my heart. Just scary

Release 9 — 6 months, dose 2

2021-07-16

Symptoms: Felt like an electric shock on my neck, palpitation, headache

Release 12 — 3 months, dose 4

2022-07-04

Symptoms: Leg pain

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	Electric shock sensation	✓	✓	✓
SD	Fear	✓	✓	✓
SD	Headache	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Palpitations	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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