YZK-16176-56811

4 vaccinations 11 coded responses 38 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 300 / GA
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

2021-01-23
Dose 1 — Pfizer-BioNTech
2021-01-24
Registered in v-safe
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness, Itching · Headache

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Nausea

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-06
Survey response — day 14, dose 1
MedDRA: Injection site erythema, Injection site swelling — Feeling: Good

Free text: Redness at injection site reappeared and was about the size of a baseball in area earlier this week. It lasted for slightly more than a day before disappearing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-16
Dose 2 — Pfizer-BioNTech
2021-02-16
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-02-23
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-17
Survey response — 6 months, dose 2
MedDRA: Cough, Fatigue, Office visit, Respiratory tract congestion, Sinusitis, Upper respiratory tract infection — Feeling: Fair · 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: Symptoms: Sinus infection/upper respiratory, congestion, cough, tiredness · Healthcare visit (other): In office visit with allergist/asthma NP

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-17
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-24
Call 1 — Left Voicemail
2021-08-25
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-06
Dose 3 — Pfizer-BioNTech
2022-02-16
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-10-07
Dose 4 — Pfizer-BioNTech
2022-10-07
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-10-08
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-09
Survey response — days 1–6 daily, dose 4
MedDRA: Breast tenderness — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Feeling of tenderness in left breast

MedDRA releases: 2024-11 · check-in free text available
2022-10-10
Survey response — days 1–6 daily, dose 4
MedDRA: Breast tenderness — Feeling: Good · Muscle or body aches

Free text: Tenderness in left breast is still present, although it has lessened in intensity

MedDRA releases: 2024-11 · check-in free text available
2022-10-11
Survey response — days 1–6 daily, dose 4
MedDRA: Breast pain, Breast tenderness — Feeling: Good · Muscle or body aches

Free text: Tenderness/soreness in left breast still present

MedDRA releases: 2024-11 · check-in free text available
2022-10-12
Survey response — days 1–6 daily, dose 4
MedDRA: Breast discomfort, Breast pain — Feeling: Fair · Muscle or body aches

Free text: Soreness/discomfort in left breast continues

MedDRA releases: 2024-11 · check-in free text available
2022-10-13
Survey response — days 1–6 daily, dose 4
MedDRA: Breast pain — Feeling: Fair · Muscle or body aches

Free text: Soreness in left breast still present

MedDRA releases: 2024-11 · check-in free text available
2022-10-14
Survey response — day 7, dose 4
MedDRA: Breast tenderness — Feeling: Good · Muscle or body aches

Free text: Tenderness in left breast has eased a little.

MedDRA releases: 2024-11 · check-in free text available
2022-10-21
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-28
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-04
Survey response — day 28, dose 4
MedDRA: Asthenia, Asthma, Cough, Office visit, Oropharyngeal pain, Pyrexia — 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 · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Cough, sore throat & lo grade fever, started 10/30..negative test. Impacted by asthma. After breathing treatment & cortisone shot on 11/01, symptoms lessened. Still building back strength. · Healthcare visit (other): Urgent care for test; visit with Asthma dr

MedDRA releases: 2024-11 · check-in free text available
2022-11-04
Report sent to call center — day 28, 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)
2022-11-07
Call 2 — Left Voicemail
2022-11-20
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-06
Survey response — 3 months, dose 4
MedDRA: Headache, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-01-06
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-09
Call 1 — Left Voicemail
2023-01-09
Call 1 — Left Voicemail
2023-01-09
Call successful
Participant prefers to complete VAERS report online
2023-01-09
Call successful
Participant prefers to complete VAERS report online
2023-04-07
Survey response — 6 months, dose 4
MedDRA: Fatigue, Oropharyngeal pain, Sinus congestion — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-23	Pfizer-BioNTech
2	2021-02-16	Pfizer-BioNTech
3	2021-11-06	Pfizer-BioNTech	No
4	2022-10-07	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-08-17	Successful 2021-08-25	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-11-04	Successful 2023-01-09	Participant prefers to complete VAERS report online
2023-01-06	Successful 2023-01-09	Participant prefers to complete VAERS report online

Free text

Release 3 — day 14, dose 1

2021-02-06

Symptoms: Redness at injection site reappeared and was about the size of a baseball in area earlier this week. It lasted for slightly more than a day before disappearing.

Release 9 — 6 months, dose 2

2021-08-17

Symptoms: Sinus infection/upper respiratory, congestion, cough, tiredness

Healthcare visit (other): In office visit with allergist/asthma NP

Release 12 — days 1–6 daily, dose 4

2022-10-09

Systemic reaction (other): Feeling of tenderness in left breast

2022-10-10

Systemic reaction (other): Tenderness in left breast is still present, although it has lessened in intensity

2022-10-11

Systemic reaction (other): Tenderness/soreness in left breast still present

2022-10-12

Systemic reaction (other): Soreness/discomfort in left breast continues

2022-10-13

Systemic reaction (other): Soreness in left breast still present

Release 12 — day 7, dose 4

2022-10-14

Systemic reaction (other): Tenderness in left breast has eased a little.

Release 12 — day 28, dose 4

2022-11-04

Symptoms: Cough, sore throat & lo grade fever, started 10/30..negative test. Impacted by asthma. After breathing treatment & cortisone shot on 11/01, symptoms lessened. Still building back strength.

Healthcare visit (other): Urgent care for test; visit with Asthma dr

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	✓	·	✓
SD	Asthenia	·	·	✓
SD	Asthma	·	·	✓
SD	Cough	✓	·	✓
SD	Fatigue	✓	·	✓
SD	Headache	·	·	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	✓	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Sinusitis	✓	·	✓
SD	Upper respiratory tract infection	✓	·	✓
SRO	Breast discomfort	·	·	✓
SRO	Breast pain	·	·	✓
SRO	Breast tenderness	·	·	✓

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