Z56-57185-21330

4 vaccinations 7 coded responses 21 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 617 / IL
Registered: 2021-04-21

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

2021-03-31
Dose 1 — Pfizer-BioNTech
2021-04-21
Registered in v-safe
2021-04-21
Dose 2 — Pfizer-BioNTech
2021-04-21
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Paranasal sinus discomfort, Respiratory tract congestion — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Sinus pressure headache, some congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Nodule, Rash, Rash erythematous — Feeling: Good · Site: Itching · Fever · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Small red bumps on back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Fever · Rash, not including the immediate area around the injection site

Free text: Minimal on back and is reduced

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fever · Rash, not including the immediate area around the injection site

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fever · None

Adult check-in
2021-04-28
Health check-in — day 7, dose 2
Feeling: Good · Fever · Fatigue or tiredness

Adult check-in
2021-05-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-19
Survey response — day 28, dose 2
MedDRA: Oesophagitis, Pharyngeal swelling — Feeling: Good · Be unable to do your normal daily activities

Free text: Inflamed throat and esophagus for 2-3 days, possibly from a food sauce irritation.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-21
Survey response — 3 months, dose 2
MedDRA: Office visit, Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Rash on sides and heel of feet and palms of both hands. · Healthcare visit (other): PA Dr. at primary practice

MedDRA releases: 2024-11 · check-in free text available
2021-07-21
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-27
Call 2 — Could Not Reach Participant
2021-07-30
Call 3 — Could Not Reach Participant
2021-10-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-03
Dose 3 — Pfizer-BioNTech
2022-04-01
Dose 4 — Pfizer-BioNTech
2022-04-21
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-25
Survey response — day 21, dose 4
MedDRA: Office visit, Oropharyngeal pain, Pyrexia, Rash, Sinus congestion — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: New-Sinus congestion, low fevers, sore throat. Continued rash on foot but lesser. · Healthcare visit (other): Primary care doctor

MedDRA releases: 2024-11 · check-in free text available
2022-04-25
Report sent to call center — day 21, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-26
Call 1 — Left Voicemail
2022-04-29
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-06
Survey response — day 35, dose 4
MedDRA: Office visit, Sinus congestion, Toothache — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Mild sinus congestion, teeth pain, no fever · Healthcare visit (other): Dentist

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Report sent to call center — day 35, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-09
Call 1 — Left Voicemail
2022-05-09
Call 2 — Left Voicemail
2022-05-09
Call 1 — Left Voicemail
2022-05-13
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-01
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-01
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Pfizer-BioNTech
2	2021-04-21	Pfizer-BioNTech
3	2021-11-03	Pfizer-BioNTech	No
4	2022-04-01	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-07-21	Unsuccessful
2022-04-25	Unsuccessful
2022-05-06	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-22

Systemic reaction (other): Sinus pressure headache, some congestion

2021-04-24

Systemic reaction (other): Small red bumps on back

2021-04-25

Systemic reaction (other): Minimal on back and is reduced

Release 8 — day 28, dose 2

2021-05-19

Symptoms: Inflamed throat and esophagus for 2-3 days, possibly from a food sauce irritation.

Release 9 — 3 months, dose 2

2021-07-21

Symptoms: Rash on sides and heel of feet and palms of both hands.

Healthcare visit (other): PA Dr. at primary practice

Release 11 — day 21, dose 4

2022-04-25

Symptoms: New-Sinus congestion, low fevers, sore throat. Continued rash on foot but lesser.

Healthcare visit (other): Primary care doctor

Release 11 — day 35, dose 4

2022-05-06

Symptoms: Mild sinus congestion, teeth pain, no fever

Healthcare visit (other): Dentist

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	Oesophagitis	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pharyngeal swelling	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Rash	·	·	✓
SD	Sinus congestion	·	·	✓
SD	Toothache	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Nodule	✓	✓	○
SRO	Paranasal sinus discomfort	✓	✓	✓
SRO	Rash	·	·	✓
SRO	Rash erythematous	·	·	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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