3ZM-11574-54202

1 vaccination 6 coded responses 8 check-ins 6 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 383 / TN
Registered: 2021-01-24

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-06
Dose 1 — Pfizer-BioNTech
2021-01-24
Registered in v-safe
2021-01-24
Survey response — day 14, dose 1
MedDRA: Asthenia, Dizziness, Emergency care, Mobility decreased, Office visit, Posture abnormal — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Jan8th around 12:30pm I almost passed out with extreme weaknesses & inabilty to move or even hold head up. Was taken to Local Urgent care who referred me to ER

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-27
Survey response — day 21, dose 1
MedDRA: Axillary pain, Breast pain, Breast tenderness, Ear pain, Neck pain, Pain, Pain in jaw, Tenderness, Unevaluable event — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Left neck, area behind ear, left lower jaw, armpit & left-anterior side of breast very tender & sore. · Healthcare visit (other): Dr appointment scheduled for Monday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Report sent to call center — day 21, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-03
Survey response — day 28, dose 1
MedDRA: Dizziness, Dyspnoea — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Shortness of breath & lightheadedness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Report sent to call center — day 28, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-11
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-02-17
Survey response — day 42, dose 1
MedDRA: Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Worse left sided pain today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — 3 months, dose 1
MedDRA: Chest pain, Dyspnoea, Musculoskeletal pain, Neck pain, Palpitations — Feeling: Fair · Be unable to do your normal daily activities

Free text: Intermittent stabbing pain atleast once a wk, around Left chest, clavicular area, left side of neck & left scapulo-thoracic area. Intermittent DOE with SOB, however relieved with rest or if i stop taking during the episode. Intermittent palpitation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Call 1 — Left Voicemail
2021-07-07
Survey response — 6 months, dose 1
MedDRA: Dyspnoea, Fatigue, Headache — Feeling: Poor · 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: SOB, DOE, fatigue, headache, left sided chest pressure & pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-07
Report sent to call center — 6 months, dose 1
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)
2021-07-09
Call successful
Completed over the phone
2022-01-11
Health check-in — 12 months, dose 1
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Pfizer-BioNTech

Call center

4 call center cases

4 successful

VAERS report filed, before or during a call: 4

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-24

Symptoms: Jan8th around 12:30pm I almost passed out with extreme weaknesses & inabilty to move or even hold head up. Was taken to Local Urgent care who referred me to ER

Release 2 — day 21, dose 1

2021-01-27

Symptoms: Left neck, area behind ear, left lower jaw, armpit & left-anterior side of breast very tender & sore.

Healthcare visit (other): Dr appointment scheduled for Monday.

Release 3 — day 28, dose 1

2021-02-03

Symptoms: Shortness of breath & lightheadedness

Release 4 — day 42, dose 1

2021-02-17

Symptoms: Worse left sided pain today

Release 7 — 3 months, dose 1

2021-04-07

Symptoms: Intermittent stabbing pain atleast once a wk, around Left chest, clavicular area, left side of neck & left scapulo-thoracic area. Intermittent DOE with SOB, however relieved with rest or if i stop taking during the episode. Intermittent palpitation cut off by CDC

Release 9 — 6 months, dose 1

2021-07-07

Symptoms: SOB, DOE, fatigue, headache, left sided chest pressure & pain

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	Unevaluable event	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Axillary pain	✓	·	✓
SD	Breast pain	✓	·	✓
SD	Breast tenderness	✓	·	✓
SD	Chest pain	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Ear pain	✓	·	✓
SD	Emergency care	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Mobility decreased	✓	✓	✓
SD	Musculoskeletal pain	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in jaw	✓	·	✓
SD	Palpitations	✓	✓	✓
SD	Posture abnormal	✓	✓	✓
SD	Tenderness	✓	✓	✓

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