GZB-33583-46682

4 vaccinations 9 coded responses 43 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 786 / TX
Registered: 2021-06-15

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

Registered dependents

KG9-18417-43139 Child or adolescent in my care · Male · 2022-06-21

EDX-28282-03536 Child or adolescent in my care · Male · 2022-07-05

Timeline

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

2021-05-25
Dose 1 — Pfizer-BioNTech
2021-06-15
Registered in v-safe
2021-06-15
Dose 2 — Pfizer-BioNTech
2021-06-15
Health check-in — day 0, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-06-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-06-19
Survey response — days 1–6 daily, dose 2
MedDRA: Alopecia — Feeling: Good · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Unusual hair loss

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-06-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains

Adult check-in
2021-06-22
Health check-in — day 7, dose 2
Feeling: Good · Headache, Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-06-29
Survey response — day 14, dose 2
MedDRA: Alopecia, Arthralgia — Feeling: Good · Be unable to do your normal daily activities

Free text: Worsening hair loss. Continuing moderate joint pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-06
Survey response — day 21, dose 2
MedDRA: Alopecia, Arthralgia, Joint stiffness, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Worsened severe joint pain, new moderate joint stiffness, continued severe hair loss · Healthcare visit (other): PCP office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-06
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-13
Survey response — day 28, dose 2
MedDRA: Alopecia, Arthralgia, Joint stiffness, Weight increased — Feeling: Good · Be unable to do your normal daily activities

Free text: Worsened moderate weight gain, continued severe hair loss. Joint pain has improved and is mostly back down to the mild level that began after my first shot. Joint stiffness has resolved.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-14
Call successful
Completed over the phone
2021-07-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-27
Survey response — day 42, dose 2
MedDRA: Arthralgia, Arthritis, Joint stiffness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Joint pain is back up to a moderate some days. One finger joint is back to being inflamed and stiff.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-16
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-12-14
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-31
Dose 3 — Pfizer-BioNTech
2022-01-01
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2024-11 · check-in free text available
2022-01-02
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-01-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-01-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2022-01-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2022-01-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2022-01-07
Health check-in — day 7, dose 3
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2022-01-14
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-21
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-28
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-04
Survey response — day 35, dose 3
MedDRA: Intervertebral disc protrusion, Office visit — 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

Free text: Symptoms: Slipped disc in back. This is undoubtedly unrelated to the vaccine, but I'm reporting it for the sake of accurate control group comparison. · Healthcare visit (other): Chiropractor

MedDRA releases: 2024-11 · check-in free text available
2022-02-04
Report sent to call center — day 35, dose 3
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)
2022-02-11
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-23
Call 1 — Left Voicemail
2022-04-01
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-01
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-06
Dose 4 — Pfizer-BioNTech
2022-09-06
Health check-in — day 0, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-09-07
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-09-08
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-09-09
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-09-10
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-09-11
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-09-12
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-09-20
Survey response — day 14, dose 4
MedDRA: Abortion spontaneous — 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: Miscarriage

MedDRA releases: 2024-11 · check-in free text available
2022-09-20
Report sent to call center — day 14, 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)
2022-09-21
Call successful
Does not wish to fill out VAERS report
2022-09-21
Call successful
Does not wish to fill out VAERS report
2022-09-27
Survey response — day 21, dose 4
MedDRA: Malaise — 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

Free text: Covid symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-09-27
Report sent to call center — day 21, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-09-29
Call 1 — Left Voicemail
2022-09-29
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-04
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-10-11
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-18
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-08
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-07
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-25	Pfizer-BioNTech
2	2021-06-15	Pfizer-BioNTech
3	2021-12-31	Pfizer-BioNTech	No
4	2022-09-06	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-07-06	Successful 2021-07-14	Completed over the phone
2022-02-04	Successful 2022-09-21	Does not wish to fill out VAERS report
2022-09-20	Successful 2022-09-21	Does not wish to fill out VAERS report
2022-09-27	Successful 2022-09-29	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 9 — days 1–6 daily, dose 2

2021-06-19

Systemic reaction (other): Unusual hair loss

Release 9 — day 14, dose 2

2021-06-29

Symptoms: Worsening hair loss. Continuing moderate joint pain.

Release 9 — day 21, dose 2

2021-07-06

Symptoms: Worsened severe joint pain, new moderate joint stiffness, continued severe hair loss

Healthcare visit (other): PCP office

Release 9 — day 28, dose 2

2021-07-13

Symptoms: Worsened moderate weight gain, continued severe hair loss. Joint pain has improved and is mostly back down to the mild level that began after my first shot. Joint stiffness has resolved.

Release 9 — day 42, dose 2

2021-07-27

Symptoms: Joint pain is back up to a moderate some days. One finger joint is back to being inflamed and stiff.

Release 10 — days 1–6 daily, dose 3

2022-01-01

Systemic reaction (other): Dizziness

Release 11 — day 35, dose 3

2022-02-04

Symptoms: Slipped disc in back. This is undoubtedly unrelated to the vaccine, but I'm reporting it for the sake of accurate control group comparison.

Healthcare visit (other): Chiropractor

Release 12 — day 14, dose 4

2022-09-20

Symptoms: Miscarriage

Release 12 — day 21, dose 4

2022-09-27

Symptoms: Covid symptoms

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	Abortion spontaneous	·	·	✓
SD	Alopecia	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Arthritis	✓	·	✓
SD	Intervertebral disc protrusion	·	·	✓
SD	Joint stiffness	✓	✓	✓
SD	Malaise	·	·	✓
SD	Weight increased	✓	✓	✓
SRO	Alopecia	✓	✓	✓
SRO	Dizziness	·	·	✓

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