Z2A-27091-44356

2 vaccinations 9 coded responses 25 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 481 / MI
Registered: 2021-04-01

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

2021-04-01
Registered in v-safe
2021-04-01
Dose 1 — Pfizer-BioNTech
2021-04-01
Survey response — day 0, dose 1
MedDRA: Lymphadenopathy, Thirst — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Im more thirsty than usual. Glands swollen on back of neck.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: COVID-19, Lymphadenopathy — Feeling: Poor · Headache, Muscle or body aches, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: My glands are swollen. I was hospitalized with COVID a year ago, so I think thats why I had a bad reaction. I feel like I have COVID again but on a much smaller scale. A little afraid for the 2nd dose.

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

Free text: I feel like I felt when I had Covid but on a lesser scale. Back ache being one of them and now fever

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

Free text: Swollen glands in back of neck, arm pits and where legs meet torso. Better today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Free text: I think its because I have fibromyalgia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-08
Survey response — day 7, dose 1
MedDRA: Anxiety, Depression, Fatigue, Myalgia — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The muscle aches and fatigue may be from fibromyalgia. What I really notice is that I was feeling super good before the vaccine and now after I feel a lot of anxiety and depression. I feel like I felt after being hospitalized with Covid last year.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-22
Dose 2 — Pfizer-BioNTech
2021-04-22
Survey response — day 0, dose 2
MedDRA: Tremor — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: A little shaky

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Abdominal pain

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-29
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-27
Survey response — day 35, dose 2
MedDRA: Diverticulitis, Pyrexia — Feeling: Good · 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: Probable Diverticulitis and a fever of 102.5

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
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)
2021-06-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-22
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-24
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-27
Call 1 — Could Not Reach Participant
2022-05-04
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Pfizer-BioNTech
2	2021-04-22	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-05-27	Unsuccessful

Free text

Release 6 — day 0, dose 1

2021-04-01

Systemic reaction (other): Im more thirsty than usual. Glands swollen on back of neck.

Release 6 — days 1–6 daily, dose 1

2021-04-02

Systemic reaction (other): My glands are swollen. I was hospitalized with COVID a year ago, so I think thats why I had a bad reaction. I feel like I have COVID again but on a much smaller scale. A little afraid for the 2nd dose.

2021-04-03

Systemic reaction (other): I feel like I felt when I had Covid but on a lesser scale. Back ache being one of them and now fever

2021-04-04

Systemic reaction (other): Swollen glands in back of neck, arm pits and where legs meet torso. Better today.

2021-04-05

Systemic reaction (other): Swollen lymph nodes

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): I think its because I have fibromyalgia

Release 7 — day 7, dose 1

2021-04-08

Systemic reaction (other): The muscle aches and fatigue may be from fibromyalgia. What I really notice is that I was feeling super good before the vaccine and now after I feel a lot of anxiety and depression. I feel like I felt after being hospitalized with Covid last year.

Release 7 — day 0, dose 2

2021-04-22

Systemic reaction (other): A little shaky

Release 8 — day 35, dose 2

2021-05-27

Symptoms: Probable Diverticulitis and a fever of 102.5

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
SD	Diverticulitis	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	COVID-19	✓	✓	✓
SRO	Depression	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Thirst	✓	✓	✓
SRO	Tremor	✓	✓	✓

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