Z2B-14519-01792

3 vaccinations 8 coded responses 32 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 633 / MO
Registered: 2021-05-30

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

2021-05-30
Registered in v-safe
2021-05-30
Dose 1 — Pfizer-BioNTech
2021-05-30
Health check-in — day 0, dose 1
Feeling: Poor · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-02
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-06-04
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Headache · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-06-05
Survey response — days 1–6 daily, dose 1
MedDRA: Migraine — Feeling: Poor · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: it's a massive migraine been going up and down for awhile

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-06
Health check-in — day 7, dose 1
Feeling: Poor · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-06-13
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-06-20
Dose 2 — Pfizer-BioNTech
2021-06-20
Survey response — day 0, dose 2
MedDRA: Migraine — Feeling: Poor · Site: Pain · Headache · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: dealing with migraine from weather issue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-21
Survey response — days 1–6 daily, dose 2
MedDRA: Migraine — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: I have chronic migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-06-24
Survey response — days 1–6 daily, dose 2
MedDRA: Arthritis, Migraine — Feeling: Fair · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: just migraine and arthritis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-26
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: migraine and arthritis probably the cause

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-27
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-07-04
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-07-11
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-07-20
Survey response — day 28, dose 2
MedDRA: Cough, Migraine, Pre-existing disease, Upper-airway cough syndrome — Feeling: Fair · Be unable to do your normal daily activities

Free text: Migraine issue...normal issue for me just extra bad....slight cough from post nasal drip....due to alletgies

MedDRA releases: 2024-11 · check-in free text available
2021-07-25
Survey response — day 35, dose 2
MedDRA: Fatigue, Pain, Throat irritation — Feeling: Poor · Be unable to do your normal daily activities

Free text: Tired, achy, scratchy throat but no pain --note had botox treatment for migraine &these are common side effects

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-01
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-09-20
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-12-19
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-01-22
Dose 3 — Pfizer-BioNTech
2022-01-23
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-01-24
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · 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

Adult check-in
2022-01-24
Report sent to call center — days 1–6 daily, 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-25
Call 1 — Could Not Reach Participant
2022-01-26
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-01-27
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-01-28
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-01-28
Call 2 — Could Not Reach Participant
2022-01-29
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-02-05
Health check-in — day 14, dose 3
Feeling: Poor

Adult check-in
2022-02-12
Survey response — day 21, dose 3
MedDRA: Abdominal pain upper, Chills, Fatigue, Myalgia, Nausea, Oropharyngeal pain, Pain, Paranasal sinus hypersecretion, Sinus headache — Feeling: Poor · 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 sinus drainage, chills, sore throat sinus headache body and muscle aches, stomach ache, nausea, major fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-02-12
Report sent to call center — day 21, 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-19
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-02-26
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-02-28
Call successful
Participant prefers to complete VAERS report online
2022-03-07
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-04-23
Health check-in — 3 months, dose 3
Feeling: Poor

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-30	Pfizer-BioNTech
2	2021-06-20	Pfizer-BioNTech	No
3	2022-01-22	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-01-24	Successful	Participant prefers to complete VAERS report online
2022-02-12	Successful 2022-02-28	Participant prefers to complete VAERS report online

Free text

Release 8 — days 1–6 daily, dose 1

2021-06-05

Systemic reaction (other): it's a massive migraine been going up and down for awhile

Release 9 — day 0, dose 2

2021-06-20

Systemic reaction (other): dealing with migraine from weather issue

Release 9 — days 1–6 daily, dose 2

2021-06-21

Systemic reaction (other): I have chronic migraine

2021-06-24

Systemic reaction (other): just migraine and arthritis

2021-06-26

Systemic reaction (other): migraine and arthritis probably the cause

Release 9 — day 28, dose 2

2021-07-20

Symptoms: Migraine issue...normal issue for me just extra bad....slight cough from post nasal drip....due to alletgies

Release 9 — day 35, dose 2

2021-07-25

Symptoms: Tired, achy, scratchy throat but no pain --note had botox treatment for migraine &these are common side effects

Release 11 — day 21, dose 3

2022-02-12

Symptoms: Severe sinus drainage, chills, sore throat sinus headache body and muscle aches, stomach ache, nausea, major fatigue

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	Abdominal pain upper	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	✓	·	✓
SD	Migraine	·	·	✓
SD	Myalgia	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	·	✓
SD	Paranasal sinus hypersecretion	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Sinus headache	·	·	✓
SD	Throat irritation	✓	·	✓
SD	Upper-airway cough syndrome	·	·	✓
SRO	Arthritis	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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