Z33-22751-64785

5 vaccinations 9 coded responses 26 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 280 / NC
Registered: 2020-12-27

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

2020-12-24
Dose 1 — Pfizer-BioNTech
2020-12-27
Registered in v-safe
2020-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-31
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-07
Survey response — day 14, dose 1
MedDRA: Ear discomfort — Feeling: Good

Free text: Feeling behind my ears kind of like when I had mumps years ago

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Dose 2 — Pfizer-BioNTech
2021-01-21
Survey response — day 7, dose 2
MedDRA: Dry mouth, Hot flush, Immediate post-injection reaction — Feeling: Good · Site: Pain

Free text: I could not get the check in to work recently. On the day I received the 2nd shot I had hot flashes 20-30 min after the injection along with a dry mouth. For several Days now I have had a few hot flashes and dry mouth.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — day 14, dose 2
MedDRA: Abnormal dreams, Tinnitus — Feeling: Good

Free text: Vivid dreams and ringing in ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-15
Survey response — 6 months, dose 2
MedDRA: Arthritis, Pre-existing disease — Feeling: Good · 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: Arthritis exacerbation pain

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-15
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)
2021-07-23
Call 3 — Left Voicemail
2021-08-16
Dose 3 — Pfizer-BioNTech
2021-09-29
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-16
Survey response — 3 months, dose 3
MedDRA: Fatigue, Pain — Feeling: Good

Free text: Tired and achy

MedDRA releases: 2024-11 · check-in free text available
2022-02-14
Survey response — 6 months, dose 3
MedDRA: Anxiety, Toothache, Unevaluable event — 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

Free text: Symptoms: Anxiety Tooth aches · Healthcare visit (other): Dental

MedDRA releases: 2024-11 · check-in free text available
2022-02-14
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 · 1 call case(s)
2022-02-15
Call 1 — Left Voicemail
2022-04-01
Dose 4 — Moderna
2022-04-14
Survey response — day 7, dose 4
MedDRA: Fatigue, Influenza like illness, Pain in extremity — Feeling: Good

Free text: The day of the vaccine I had very sore arm flulike symptoms and was very tired

MedDRA releases: 2024-11 · check-in free text available
2022-04-15
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-22
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-04-29
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-06
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-13
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-01
Survey response — 3 months, dose 4
MedDRA: Ligament rupture — Feeling: Good · 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: Torn ACL unrelated to covid

MedDRA releases: 2024-11 · check-in free text available
2022-07-01
Report sent to call center — 3 months, dose 4
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)
2022-07-06
Call 2 — Left Voicemail
2022-07-06
Call 3 — Left Voicemail
2022-07-06
Call 2 — Left Voicemail
2022-09-30
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-10-11
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2023-04-01
Survey response — 12 months, dose 4
MedDRA: Arthralgia, Arthritis, Asthenia, Pain in extremity, Parosmia, Pre-existing disease — 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

MedDRA releases: 2024-11
2023-04-01
Report sent to call center — 12 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-04-04
Call 1 — Left Voicemail
2023-04-04
Call 2 — Left Voicemail
2023-04-04
Call 1 — Left Voicemail
2023-04-04
Call 1 — Left Voicemail
2023-04-11
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-24	Pfizer-BioNTech
2	2021-01-14	Pfizer-BioNTech
3	2021-08-16	Pfizer-BioNTech	No
4	2022-04-01	Moderna	No
5	2022-10-11	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-07-15	Unsuccessful
2022-02-14	Unsuccessful
2022-07-01	Unsuccessful
2023-04-01	Unsuccessful

Free text

Release 1 — day 14, dose 1

2021-01-07

Symptoms: Feeling behind my ears kind of like when I had mumps years ago

Release 2 — day 7, dose 2

2021-01-21

Systemic reaction (other): I could not get the check in to work recently. On the day I received the 2nd shot I had hot flashes 20-30 min after the injection along with a dry mouth. For several Days now I have had a few hot flashes and dry mouth.

Release 2 — day 14, dose 2

2021-01-28

Symptoms: Vivid dreams and ringing in ears

Release 9 — 6 months, dose 2

2021-07-15

Symptoms: Arthritis exacerbation pain

Release 10 — 3 months, dose 3

2021-11-16

Symptoms: Tired and achy

Release 11 — 6 months, dose 3

2022-02-14

Symptoms: Anxiety Tooth aches

Healthcare visit (other): Dental

Release 11 — day 7, dose 4

2022-04-14

Systemic reaction (other): The day of the vaccine I had very sore arm flulike symptoms and was very tired

Release 12 — 3 months, dose 4

2022-07-01

Symptoms: Torn ACL unrelated to covid

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	Unevaluable event	·	·	✓
SD	Abnormal dreams	✓	✓	✓
SD	Anxiety	·	·	✓
SD	Arthralgia	·	·	✓
SD	Arthritis	✓	·	✓
SD	Asthenia	·	·	✓
SD	Ear discomfort	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Ligament rupture	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Parosmia	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Tinnitus	✓	✓	✓
SD	Toothache	·	·	✓
SRO	Dry mouth	✓	✓	✓
SRO	Fatigue	·	·	✓
SRO	Hot flush	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Influenza like illness	·	·	✓
SRO	Pain in extremity	·	·	✓

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