YZE-68398-00551

4 vaccinations 6 coded responses 31 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 773 / TX
Registered: 2021-01-24

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

2021-01-22
Dose 1 — Pfizer-BioNTech
2021-01-24
Registered in v-safe
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Extra congestion and cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — day 7, dose 1
MedDRA: Respiratory tract congestion, Sinus congestion — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: I have sinus and chest congestion but I don't believe it is associated with the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-12
Dose 2 — Pfizer-BioNTech
2021-02-12
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-02-18
Survey response — days 1–6 daily, dose 2
MedDRA: Oral herpes — Feeling: Good · Site: Pain, Redness, Itching

Free text: Getting a cold sore on the edge of my nose. Anytime I get a virus I get a cold sore on the edge of my nose. I believe this w is caused by the vaccine, but not sure. Not sick otherwise.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-02-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-14
Survey response — 3 months, dose 2
MedDRA: Condition aggravated, Impetigo, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I have a second fever blister in my right nostril. Since I very seldom get them, and this is the second one since I had the second dose of the vaccine, I believe it is connected. This one has turned into impetigo and now I am treating with Mupirocin.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-13
Survey response — 6 months, dose 2
MedDRA: Dyspnoea, Pre-existing disease — 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: I have COPD and Allergic Asthma. I am having a hard time breathing. Not Covid related as far as I know.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-13
Report sent to call center — 6 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

1 call case(s)
2021-08-18
Call 1 — Left Voicemail
2021-10-08
Dose 3 — Pfizer-BioNTech
2022-02-12
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-04-13
Dose 4 — Pfizer-BioNTech
2022-04-22
Health check-in — day 7, dose 4
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2022-04-28
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-04
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-11
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-18
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-25
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-13
Survey response — 3 months, dose 4
MedDRA: Tooth infection, Upper respiratory tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Infections from tooth and upper respiratory .

MedDRA releases: 2024-11 · check-in free text available
2022-07-13
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-14
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-14
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-14
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-12
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Pfizer-BioNTech
2	2021-02-12	Pfizer-BioNTech
3	2021-10-08	Pfizer-BioNTech	No
4	2022-04-13	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-14	Successful 2022-07-14	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-08-13	Successful 2022-07-14	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-13	Successful 2022-07-14	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-28

Systemic reaction (other): Extra congestion and cough

Release 3 — day 7, dose 1

2021-01-29

Systemic reaction (other): I have sinus and chest congestion but I don't believe it is associated with the vaccine.

Release 4 — days 1–6 daily, dose 2

2021-02-18

Systemic reaction (other): Getting a cold sore on the edge of my nose. Anytime I get a virus I get a cold sore on the edge of my nose. I believe this w is caused by the vaccine, but not sure. Not sick otherwise.

Release 8 — 3 months, dose 2

2021-05-14

Symptoms: I have a second fever blister in my right nostril. Since I very seldom get them, and this is the second one since I had the second dose of the vaccine, I believe it is connected. This one has turned into impetigo and now I am treating with Mupirocin. cut off by CDC

Release 9 — 6 months, dose 2

2021-08-13

Symptoms: I have COPD and Allergic Asthma. I am having a hard time breathing. Not Covid related as far as I know.

Release 12 — 3 months, dose 4

2022-07-13

Symptoms: Infections from tooth and upper respiratory .

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	Dyspnoea	✓	·	✓
SD	Impetigo	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Tooth infection	·	·	✓
SD	Upper respiratory tract infection	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Oral herpes	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Sinus congestion	✓	✓	✓

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