5LZ-28842-56772

5 vaccinations 18 coded responses 47 check-ins 18 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 925 / CA
Registered: 2021-01-13

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-13
Registered in v-safe
2021-01-13
Dose 1 — Pfizer-BioNTech
2021-01-13
Survey response — day 0, dose 1
MedDRA: Malaise, Nausea — Feeling: Good

Free text: feeling like I took some medicine, slight feeling of of nausea and not feeling well

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Feeling cold — Feeling: Fair · Site: Pain · Chills, Joint pains, Abdominal pain

Free text: colder than usual, cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Diarrhea

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Survey response — day 7, dose 1
MedDRA: Cough — Feeling: Good

Free text: cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — day 14, dose 1
MedDRA: Cough — Feeling: Good

Free text: cough continues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Dose 2 — Pfizer-BioNTech
2021-01-29
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-01
Survey response — days 1–6 daily, dose 2
MedDRA: Ear discomfort, Ear pain — Feeling: Good · Site: Pain · Muscle or body aches

Free text: sore left ear inside not in canal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-05
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-21
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-07
Survey response — day 35, dose 2
MedDRA: Neck pain, Oropharyngeal pain — Feeling: Fair

Free text: sore throat, achey neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — day 42, dose 2
MedDRA: Fatigue — Feeling: Good

Free text: Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — 3 months, dose 2
MedDRA: Dizziness, Fatigue, Headache, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive — Feeling: Good · 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: I tested positive for Covid-19. I was dizzy, had a headache, sore throat and slight fever and was very very fatigued.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Report sent to call center — 3 months, dose 2
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)
2021-07-30
Survey response — 6 months, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Fatigue

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-12-08
Dose 3 — Pfizer-BioNTech
2022-01-30
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-13
Dose 4 — Pfizer-BioNTech
2022-04-13
Call 1 — Left Voicemail
2022-04-19
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2022-04-20
Health check-in — day 7, dose 4
Feeling: Fair · Fever · Chills, Diarrhea, Rash, not including the immediate area around the injection site

Adult check-in
2022-04-27
Survey response — day 14, dose 4
MedDRA: Diarrhoea, Fatigue — Feeling: Fair

Free text: Still extremely tired and having loose stools.

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-11
Survey response — day 28, dose 4
MedDRA: Fatigue, Feeling of body temperature change, Headache — Feeling: Fair

Free text: Hot and cold spells, tiredness, headache

MedDRA releases: 2024-11 · check-in free text available
2022-05-18
Survey response — day 35, dose 4
MedDRA: Dizziness, Headache, Nausea — Feeling: Fair · 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: Severe headache, dizziness, nausea

MedDRA releases: 2024-11 · check-in free text available
2022-05-18
Report sent to call center — day 35, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-25
Survey response — day 42, dose 4
MedDRA: Back pain, Dizziness, Headache, Vision blurred — Feeling: Fair · 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: Headaches, dizziness, blurred vision, backaches

MedDRA releases: 2024-11 · check-in free text available
2022-05-25
Report sent to call center — day 42, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-26
Call successful
Participant prefers to complete VAERS report online
2022-07-15
Survey response — 3 months, dose 4
MedDRA: Fatigue — Feeling: Fair

Free text: Extreme tiredness

MedDRA releases: 2024-11 · check-in free text available
2022-09-27
Dose 5 — Pfizer-BioNTech
2022-09-27
Health check-in — day 0, dose 5
Feeling: Good · None

Adult check-in
2022-09-28
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-09-29
Survey response — days 1–6 daily, dose 5
MedDRA: Cough — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Cough

MedDRA releases: 2024-11 · check-in free text available
2022-09-30
Survey response — days 1–6 daily, dose 5
MedDRA: Dizziness, Ear discomfort — Feeling: Poor · Muscle or body aches · Be unable to do your normal daily activities

Free text: Dizziness, pressure in ears

MedDRA releases: 2024-11 · check-in free text available
2022-10-01
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Chills, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-10-02
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-10-03
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-10-04
Health check-in — day 7, dose 5
Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-10-11
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-18
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-25
Survey response — day 28, dose 5
MedDRA: Dizziness, Physiotherapy — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Constant dizziness · Healthcare visit (other): Physical therapy

MedDRA releases: 2024-11 · check-in free text available
2022-10-25
Report sent to call center — day 28, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-27
Call successful
Does not wish to fill out VAERS report
2022-11-01
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-11-09
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2022-12-27
Survey response — 3 months, dose 5
MedDRA: Chest pain — Feeling: Fair

Free text: Pain in chest, maybe lungs

MedDRA releases: 2024-11 · check-in free text available
2023-03-29
Health check-in — 6 months, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Pfizer-BioNTech
2	2021-01-29	Pfizer-BioNTech
3	2021-12-08	Pfizer-BioNTech	No
4	2022-04-13	Pfizer-BioNTech	No
5	2022-09-27	Pfizer-BioNTech	No

Call center

4 call center cases

4 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-13

Systemic reaction (other): feeling like I took some medicine, slight feeling of of nausea and not feeling well

Release 2 — days 1–6 daily, dose 1

2021-01-14

Systemic reaction (other): colder than usual, cough

Release 2 — day 7, dose 1

2021-01-22

Systemic reaction (other): cough

Release 2 — day 14, dose 1

2021-01-27

Symptoms: cough continues

Release 3 — days 1–6 daily, dose 2

2021-02-01

Systemic reaction (other): sore left ear inside not in canal

Release 5 — day 35, dose 2

2021-03-07

Symptoms: sore throat, achey neck

Release 5 — day 42, dose 2

2021-03-13

Symptoms: Fatigue

Release 8 — 3 months, dose 2

2021-04-30

Symptoms: I tested positive for Covid-19. I was dizzy, had a headache, sore throat and slight fever and was very very fatigued.

Release 9 — 6 months, dose 2

2021-07-30

Symptoms: Fatigue

Release 11 — day 14, dose 4

2022-04-27

Symptoms: Still extremely tired and having loose stools.

Release 11 — day 28, dose 4

2022-05-11

Symptoms: Hot and cold spells, tiredness, headache

Release 11 — day 35, dose 4

2022-05-18

Symptoms: Severe headache, dizziness, nausea

Release 11 — day 42, dose 4

2022-05-25

Symptoms: Headaches, dizziness, blurred vision, backaches

Release 12 — 3 months, dose 4

2022-07-15

Symptoms: Extreme tiredness

Release 12 — days 1–6 daily, dose 5

2022-09-29

Systemic reaction (other): Cough

2022-09-30

Systemic reaction (other): Dizziness, pressure in ears

Release 12 — day 28, dose 5

2022-10-25

Symptoms: Constant dizziness

Healthcare visit (other): Physical therapy

Release 12 — 3 months, dose 5

2022-12-27

Symptoms: Pain in chest, maybe lungs

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	Physiotherapy	·	·	✓
SD	Back pain	·	·	✓
SD	Chest pain	·	·	✓
SD	Cough	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling of body temperature change	·	·	✓
SD	Headache	✓	✓	✓
SD	Nausea	·	·	✓
SD	Neck pain	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	SARS-CoV-2 test positive	✓	✓	✓
SD	Vision blurred	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	·	·	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Nausea	✓	✓	✓

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