ZY6-13815-01028

5 vaccinations 7 coded responses 44 check-ins 5 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 010 / MA
Registered: 2021-05-18

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

2021-04-28
Dose 1 — Pfizer-BioNTech
2021-05-18
Registered in v-safe
2021-05-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-19
Dose 2 — Pfizer-BioNTech
2021-05-19
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-05-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-26
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-02
Survey response — day 14, dose 2
MedDRA: Productive cough, SARS-CoV-2 test — Feeling: Good

Free text: A bit of a phlegmy cough. I sent in a COVID test yesterday and will have the results tomorrow, but I doubt this is COVID.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Survey response — day 21, dose 2
MedDRA: Cough — Feeling: Good

Free text: A cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-18
Survey response — 3 months, dose 2
MedDRA: Fatigue, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities

Free text: I've been REALLY tired, but I'm testing negative for COVID, so it might just be work stress.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-17
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-27
Dose 3 — Moderna
2021-11-28
Survey response — days 1–6 daily, dose 3
MedDRA: Decreased appetite — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Loss of appetite

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-04
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-11
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-01
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-26
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-28
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-06-02
Dose 4 — Pfizer-BioNTech
2022-10-14
Dose 5 — Pfizer-BioNTech
2022-10-14
Health check-in — day 0, dose 5
Feeling: Good · None

Adult check-in
2022-10-15
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2022-10-16
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Diarrhea

Adult check-in
2022-10-17
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-18
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-19
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-20
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-10-21
Survey response — day 7, dose 5
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-04
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-11
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-18
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-25
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-13
Survey response — 3 months, dose 5
MedDRA: COVID-19 — Feeling: Good · 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

MedDRA releases: 2024-11
2023-01-13
Report sent to call center — 3 months, dose 5
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-01-16
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-14
Survey response — 6 months, dose 5
MedDRA: Photosensitivity reaction — Feeling: Good

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-28	Pfizer-BioNTech
2	2021-05-19	Pfizer-BioNTech
3	2021-11-27	Moderna	No
4	2022-06-02	Pfizer-BioNTech	No
5	2022-10-14	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2023-01-13	Successful 2023-01-16	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 8 — day 14, dose 2

2021-06-02

Symptoms: A bit of a phlegmy cough. I sent in a COVID test yesterday and will have the results tomorrow, but I doubt this is COVID.

Release 9 — day 21, dose 2

2021-06-09

Symptoms: A cough

Release 9 — 3 months, dose 2

2021-08-18

Symptoms: I've been REALLY tired, but I'm testing negative for COVID, so it might just be work stress.

Release 10 — days 1–6 daily, dose 3

2021-11-28

Systemic reaction (other): Loss of appetite

Release 12 — day 7, dose 5

2022-10-21

Systemic reaction (other): Sore throat

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	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Fatigue	✓	·	✓
SD	Photosensitivity reaction	·	·	✓
SD	Productive cough	✓	✓	✓
SD	SARS-CoV-2 test	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	·	✓
SRO	Decreased appetite	·	·	✓
SRO	Oropharyngeal pain	·	·	✓

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