ZH9-37711-00192

3 vaccinations 5 coded responses 30 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 388 / MS
Registered: 2021-02-08

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

2021-01-14
Dose 1 — Pfizer-BioNTech
2021-02-08
Registered in v-safe
2021-02-08
Dose 2 — Pfizer-BioNTech
2021-02-08
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Nausea

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

Adult check-in
2021-02-15
Survey response — day 7, dose 2
MedDRA: Sinus congestion — Feeling: Good · Headache

Free text: Sinus congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — day 14, dose 2
MedDRA: Nasal congestion, Pre-existing disease, Pruritus, Rhinorrhoea, Sinus congestion — Feeling: Good

Free text: Sinus congestion/allergies: itchy, stuffy now with runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — day 21, dose 2
MedDRA: Cough, Dysphonia, Medical counselling, Oropharyngeal pain, Peritonsillar abscess, Pyrexia, Respiratory tract congestion — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Sudden onset of hoarseness, sore throat with a few pus pockets on tonsils, head congestion, cough and low grade fever of 100.5 on 2/24/21 · Healthcare visit (other): My husband is a physician & he advised me to refill a prescription for amoxicillin that I had on hand.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-10
Survey response — 3 months, dose 2
MedDRA: Nasal congestion, Rhinorrhoea, Throat irritation — Feeling: Good

Free text: Slight cold like symptoms: scratchy throat, runny nose, nasal congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-17
Call 1 — Left Voicemail
2021-09-21
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-21
Dose 3 — Pfizer-BioNTech
2021-11-21
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-11-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-28
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-05
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-12
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-19
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-26
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-02
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-20
Survey response — 3 months, dose 3
MedDRA: SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school

Free text: Tested positive for coronavirus

MedDRA releases: 2024-11 · check-in free text available
2022-05-22
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Pfizer-BioNTech
2	2021-02-08	Pfizer-BioNTech
3	2021-11-21	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-01	Successful 2021-09-21	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 4 — day 7, dose 2

2021-02-15

Systemic reaction (other): Sinus congestion

Release 4 — day 14, dose 2

2021-02-22

Symptoms: Sinus congestion/allergies: itchy, stuffy now with runny nose

Release 4 — day 21, dose 2

2021-03-01

Symptoms: Sudden onset of hoarseness, sore throat with a few pus pockets on tonsils, head congestion, cough and low grade fever of 100.5 on 2/24/21

Healthcare visit (other): My husband is a physician & he advised me to refill a prescription for amoxicillin that I had on hand.

Release 8 — 3 months, dose 2

2021-05-10

Symptoms: Slight cold like symptoms: scratchy throat, runny nose, nasal congestion

Release 11 — 3 months, dose 3

2022-02-20

Symptoms: Tested positive for coronavirus

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	Medical counselling	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dysphonia	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Peritonsillar abscess	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sinus congestion	✓	✓	✓
SD	Throat irritation	✓	✓	✓
SRO	Sinus congestion	✓	✓	✓

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