YZZ-60352-13450

3 vaccinations 8 coded responses 26 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 775 / TX
Registered: 2021-01-23

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

2021-01-23
Registered in v-safe
2021-01-23
Dose 1 — Pfizer-BioNTech
2021-01-23
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness · Headache, Fatigue or tiredness

Adult check-in
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Pyrexia — Feeling: Good · Site: Pain, Redness · Fatigue or tiredness, Diarrhea

Free text: Fever of 100 degrees yesterday discovered after check in. Very tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Chest pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Fatigue or tiredness

Free text: Asthma

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Joint pains · Be unable to do your normal daily activities

Free text: Psoriatic arthritis, Osteoarthritis and Bursitis due to weather conditions

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-13
Dose 2 — Pfizer-BioNTech
2021-02-13
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-20
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-06
Survey response — day 21, dose 2
MedDRA: Dyspnoea, Office visit, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Asthma and shortness of breath requiring Prednisone and chest X-ray · Healthcare visit (other): Doctor visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
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)
2021-03-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-14
Survey response — 6 months, dose 2
MedDRA: Blood glucose increased, Office visit, Pneumothorax, Pre-existing disease, Pyrexia, SARS-CoV-2 test negative, Urinary tract infection — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Acute asthma. Lower lobes of both lungs collapsed. Steroids caused sugar to rise which in turn caused UTI. This is my ninth day of fever. Covid-19 test is negative. · Healthcare visit (other): Drs office

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-14
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-18
Dose 3 — Pfizer-BioNTech
2021-08-18
Call 1 — Left Voicemail
2021-09-30
Survey response — day 42, dose 3
MedDRA: Arthralgia, Office visit, Pre-existing disease, Psoriasis, Psoriatic arthropathy — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Psoriasis and Psoriatic Arthritis flare and hip pain · Healthcare visit (other): In house visit

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Report sent to call center — day 42, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-20
Survey response — 3 months, dose 3
MedDRA: Asthma, Office visit — Feeling: Fair · 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: Symptoms: Asthma requiring three rounds of steroid pills injections and steroid breathing treatments · Healthcare visit (other): Multiple doctors visits

MedDRA releases: 2024-11 · check-in free text available
2021-11-20
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-23
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-23	Pfizer-BioNTech
2	2021-02-13	Pfizer-BioNTech
3	2021-08-18	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-06	Unsuccessful
2021-08-14	Unsuccessful
2021-09-30	Unsuccessful
2021-11-20	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-26

Systemic reaction (other): Fever of 100 degrees yesterday discovered after check in. Very tired

2021-01-27

Systemic reaction (other): Chest pressure

2021-01-28

Systemic reaction (other): Asthma

Release 3 — days 1–6 daily, dose 1

2021-01-29

Systemic reaction (other): Psoriatic arthritis, Osteoarthritis and Bursitis due to weather conditions

Release 5 — day 21, dose 2

2021-03-06

Symptoms: Asthma and shortness of breath requiring Prednisone and chest X-ray

Healthcare visit (other): Doctor visit

Release 9 — 6 months, dose 2

2021-08-14

Symptoms: Acute asthma. Lower lobes of both lungs collapsed. Steroids caused sugar to rise which in turn caused UTI. This is my ninth day of fever. Covid-19 test is negative.

Healthcare visit (other): Drs office

Release 9 — day 42, dose 3

2021-09-30

Symptoms: Psoriasis and Psoriatic Arthritis flare and hip pain

Healthcare visit (other): In house visit

Release 10 — 3 months, dose 3

2021-11-20

Symptoms: Asthma requiring three rounds of steroid pills injections and steroid breathing treatments

Healthcare visit (other): Multiple doctors visits

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	Asthma	·	·	✓
SD	Blood glucose increased	✓	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Pneumothorax	✓	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Psoriasis	·	·	✓
SD	Psoriatic arthropathy	·	·	✓
SD	Pyrexia	✓	·	✓
SD	SARS-CoV-2 test negative	✓	·	✓
SD	Urinary tract infection	✓	·	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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