Z2K-11071-73027

3 vaccinations 8 coded responses 33 check-ins 8 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 110 / NY
Registered: 2021-02-11

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

2021-02-10
Dose 1 — Pfizer-BioNTech
2021-02-11
Registered in v-safe
2021-02-11
Survey response — days 1–6 daily, dose 1
MedDRA: Chills — Feeling: Good

Free text: Yesterday in the PM after the vaccination I had the chills but today Im fine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

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

Adult check-in
2021-02-17
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-03
Dose 2 — Pfizer-BioNTech
2021-03-03
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain

Free text: Slightly dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms, Pelizaeus-Merzbacher disease, Sleep disorder — Feeling: Poor · Site: Pain · Muscle or body aches · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): Severe painful spasms of my adductor muscles woke me & kept me up · Healthcare visit (other): PMD

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: Slightly sore throat, likely sinus related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-03-10
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-02
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-03
Survey response — 6 months, dose 2
MedDRA: Crying, Dysstasia, Hemiparesis, Office visit, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Woke up one nite w/ severe leg pain, crying, could not stand at allImproved over time but left w right side significantly weaker · Healthcare visit (other): Pmd

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-03
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)
2021-09-08
Call 1 — Left Voicemail
2021-09-27
Dose 3 — Pfizer-BioNTech
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness · Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-10-04
Health check-in — day 7, dose 3
Feeling: Fair · Joint pains · Be unable to do your normal daily activities

Adult check-in
2021-10-11
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-10-18
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-10-25
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-01
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-11-08
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-12-27
Survey response — 3 months, dose 3
MedDRA: Back pain, Gait inability, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Terrible back pain Cannot ambulate · Healthcare visit (other): Searching now

MedDRA releases: 2024-11 · check-in free text available
2021-12-27
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

1 call case(s)
2021-12-28
Call 1 — Left Voicemail
2022-03-28
Survey response — 6 months, dose 3
MedDRA: Spinal laminectomy — 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, Outpatient clinic or urgent care clinic visit, Hospitalization

Free text: Underwent laminectomy on 3/22 at (b)(6)

MedDRA releases: 2024-11 · check-in free text available
2022-03-28
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
2022-03-30
Call successful
Participant prefers to complete VAERS report online
2022-03-30
Call successful
Participant prefers to complete VAERS report online
2022-03-30
Call successful
Participant prefers to complete VAERS report online
2022-03-30
Call successful
Participant prefers to complete VAERS report online
2022-10-03
Survey response — 12 months, dose 3
MedDRA: Spinal laminectomy — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Post op bilateral laminectomy

MedDRA releases: 2024-11 · check-in free text available
2022-10-03
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

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-10-04
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-10	Pfizer-BioNTech
2	2021-03-03	Pfizer-BioNTech
3	2021-09-27	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-04	Successful 2022-03-30	Participant prefers to complete VAERS report online
2021-09-03	Successful 2022-03-30	Participant prefers to complete VAERS report online
2021-12-27	Successful 2022-03-30	Participant prefers to complete VAERS report online
2022-03-28	Successful 2022-03-30	Participant prefers to complete VAERS report online
2022-10-03	Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-11

Systemic reaction (other): Yesterday in the PM after the vaccination I had the chills but today Im fine

Release 5 — day 0, dose 2

2021-03-03

Systemic reaction (other): Slightly dizzy

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): Severe painful spasms of my adductor muscles woke me & kept me up

Healthcare visit (other): PMD

2021-03-08

Systemic reaction (other): Slightly sore throat, likely sinus related

Release 9 — 6 months, dose 2

2021-09-03

Symptoms: Woke up one nite w/ severe leg pain, crying, could not stand at allImproved over time but left w right side significantly weaker

Healthcare visit (other): Pmd

Release 10 — 3 months, dose 3

2021-12-27

Symptoms: Terrible back pain Cannot ambulate

Healthcare visit (other): Searching now

Release 11 — 6 months, dose 3

2022-03-28

Symptoms: Underwent laminectomy on 3/22 at (b)(6)

redacted (b)(6)

Release 12 — 12 months, dose 3

2022-10-03

Symptoms: Post op bilateral laminectomy

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	✓	·	✓
HCVO	Pelizaeus-Merzbacher disease	✓	✓	✓
HCVO	Unevaluable event	·	·	✓
SD	Back pain	·	·	✓
SD	Crying	✓	·	✓
SD	Dysstasia	✓	·	✓
SD	Gait inability	·	·	✓
SD	Hemiparesis	✓	·	✓
SD	Pain in extremity	✓	·	✓
SD	Spinal laminectomy	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓

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