4FG-21208-48835

2 vaccinations 9 coded responses 14 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 330 / FL
Registered: 2021-03-08

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-02-22
Dose 1 — Pfizer-BioNTech
2021-03-08
Registered in v-safe
2021-03-08
Survey response — day 14, dose 1
MedDRA: Chills, Cough, Feeling hot, Malaise — Feeling: Poor · Be unable to do your normal daily activities

Free text: Malaise, chills, fatigue, dry cough. Feverish, but not real fever.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Dose 2 — Pfizer-BioNTech
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Myalgia — Feeling: Poor · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Today's symptoms like yesterday, but a bit worse. Increased muscle/join t pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Poor quality sleep — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Poor sleep & morning. Symptoms (mostly joint pains) began to improve by early afternoon.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still feeling tired / fatigued.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness

Free text: No fatigue. Just a little bit of tiredness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-24
Survey response — day 35, dose 2
MedDRA: Arthralgia, Chills, Fatigue, Herpes zoster, Influenza like illness, Myalgia, Office visit, Pruritus, Rash, Rash erythematous, Rash pruritic, Sneezing — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Sat (17) flu like symptoms, joints, muscle pain, chills, & fatigue returned. Plus sneezing & itching. No fever. This week all worsened. By Thu, a red, itchy rash appeared in the right side of my back. Yesterday, doctor told me I got Herpes Zoster. · Healthcare visit (other): My PCP office.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-26
Survey response — day 42, dose 2
MedDRA: Herpes zoster, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Last week I was diagnosed with Herpes Zoster. · Healthcare visit (other): My PCP Office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-14
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Fatigue, Influenza like illness, Myalgia, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: Often:- Flu like symptoms.-Joint, muscle pain.- Feeling tired. · Healthcare visit (other): Dr's office.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-14
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-21
Call 1 — Left Voicemail
2021-09-13
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-03-16
Survey response — 12 months, dose 2
MedDRA: Herpes zoster, Post herpetic neuralgia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Postherpetic neuralgia: a complucation of shingles.

MedDRA releases: 2024-11 · check-in free text available
2022-03-16
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-17
Call 1 — Could Not Reach Participant
2022-03-22
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-22	Pfizer-BioNTech
2	2021-03-15	Pfizer-BioNTech

Call center

4 call center cases

1 successful · 3 unsuccessful

See the call center timeline

Free text

Release 5 — day 14, dose 1

2021-03-08

Symptoms: Malaise, chills, fatigue, dry cough. Feverish, but not real fever.

Release 5 — days 1–6 daily, dose 2

2021-03-18

Systemic reaction (other): Today's symptoms like yesterday, but a bit worse. Increased muscle/join t pain.

2021-03-19

Systemic reaction (other): Poor sleep & morning. Symptoms (mostly joint pains) began to improve by early afternoon.

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): Still feeling tired / fatigued.

2021-03-21

Systemic reaction (other): No fatigue. Just a little bit of tiredness.

Release 7 — day 35, dose 2

2021-04-24

Symptoms: Sat (17) flu like symptoms, joints, muscle pain, chills, & fatigue returned. Plus sneezing & itching. No fever. This week all worsened. By Thu, a red, itchy rash appeared in the right side of my back. Yesterday, doctor told me I got Herpes Zoster. cut off by CDC

Healthcare visit (other): My PCP office.

Release 8 — day 42, dose 2

2021-04-26

Symptoms: Last week I was diagnosed with Herpes Zoster.

Healthcare visit (other): My PCP Office

Release 9 — 3 months, dose 2

2021-06-14

Symptoms: Often:- Flu like symptoms.-Joint, muscle pain.- Feeling tired.

Healthcare visit (other): Dr's office.

Release 11 — 12 months, dose 2

2022-03-16

Symptoms: Postherpetic neuralgia: a complucation of shingles.

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	Arthralgia	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling hot	✓	✓	✓
SD	Herpes zoster	✓	✓	✓
SD	Influenza like illness	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Post herpetic neuralgia	·	·	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash erythematous	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SD	Sneezing	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Poor quality sleep	✓	✓	✓

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