YZV-27333-32453

3 vaccinations 6 coded responses 37 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 021 / MA
Registered: 2021-03-09

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

2021-03-09
Registered in v-safe
2021-03-09
Dose 1 — Pfizer-BioNTech
2021-03-09
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-30
Survey response — day 21, dose 1
MedDRA: Chills, Diarrhoea — Feeling: Good · Be unable to do your normal daily activities

Free text: Diarrhea and chills last night for about 3 hours.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Dose 2 — Pfizer-BioNTech
2021-03-31
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Joint pains, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

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

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — day 14, dose 2
Feeling: Good

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

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

Adult check-in
2021-05-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-30
Survey response — 3 months, dose 2
MedDRA: Chest pain, Joint swelling — Feeling: Good

Free text: Swollen anklesOccasional pain under lower sternum

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-19
Dose 3 — Pfizer-BioNTech
2021-08-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities

Adult check-in
2021-08-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-08-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-08-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-08-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-08-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-08-26
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-09-02
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-09-09
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-09-18
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-09-23
Survey response — day 35, dose 3
MedDRA: Cough, Dizziness, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities

Free text: A new cough and dizziness. Neither lasted long, just a few days each (not at the same time). I had a COVID test with the cough and it was negative.

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-18
Survey response — 3 months, dose 3
MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activities

Free text: Hip pain, possibly piriformis muscle.

MedDRA releases: 2024-11 · check-in free text available
2022-02-17
Survey response — 6 months, dose 3
MedDRA: Diarrhoea, Dyspepsia, Physiotherapy, Tendonitis — Feeling: Good · Be unable to do your normal daily activities

Free text: I had bad heartburn and diarrhea that lasted 24 hours. I'm also going to PT for tendinitis in my right hip.

MedDRA releases: 2024-11 · check-in free text available
2022-08-19
Survey response — 12 months, dose 3
MedDRA: Arthralgia, Headache, Medical counselling, Myalgia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: More muscle and joint pain, headache · Healthcare visit (other): Phone check in with nurse

MedDRA releases: 2024-11 · check-in free text available
2022-08-19
Report sent to call center — 12 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-08-22
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Pfizer-BioNTech
2	2021-03-31	Pfizer-BioNTech
3	2021-08-19	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-08-19	Successful 2022-08-22	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 6 — day 21, dose 1

2021-03-30

Symptoms: Diarrhea and chills last night for about 3 hours.

Release 9 — 3 months, dose 2

2021-06-30

Symptoms: Swollen anklesOccasional pain under lower sternum

Release 9 — day 35, dose 3

2021-09-23

Symptoms: A new cough and dizziness. Neither lasted long, just a few days each (not at the same time). I had a COVID test with the cough and it was negative.

Release 10 — 3 months, dose 3

2021-11-18

Symptoms: Hip pain, possibly piriformis muscle.

Release 11 — 6 months, dose 3

2022-02-17

Symptoms: I had bad heartburn and diarrhea that lasted 24 hours. I'm also going to PT for tendinitis in my right hip.

Release 12 — 12 months, dose 3

2022-08-19

Symptoms: More muscle and joint pain, headache

Healthcare visit (other): Phone check in with nurse

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	Medical counselling	·	·	✓
SD	Arthralgia	·	·	✓
SD	Chest pain	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Cough	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Dyspepsia	·	·	✓
SD	Headache	·	·	✓
SD	Joint swelling	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Physiotherapy	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Tendonitis	·	·	✓

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