Z36-10299-03552

5 vaccinations 19 coded responses 38 check-ins 19 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 799 / TX
Registered: 2020-12-21

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2020-12-21
Registered in v-safe
2020-12-21
Dose 1 — Pfizer-BioNTech
2020-12-21
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-26
Survey response — days 1–6 daily, dose 1
MedDRA: Nasopharyngitis — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Cold like symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-26
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-28
Survey response — day 7, dose 1
MedDRA: Headache — Feeling: Good · Headache

Free text: Slight headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-11
Dose 2 — Pfizer-BioNTech
2021-02-20
Survey response — day 35, dose 2
MedDRA: Arthralgia, Pain in extremity — Feeling: Good

Free text: Joint pain in my hands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — day 42, dose 2
MedDRA: Arthralgia — Feeling: Good

Free text: Joint pain in my hands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-28
Dose 3 — Pfizer-BioNTech
2021-09-28
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-09-29
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site pain — Feeling: Good · Site: Pain

Free text: Just sore where I received my 3rd vaccine

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Survey response — days 1–6 daily, dose 3
MedDRA: Adverse reaction, Self-medication — Feeling: Good · Site: Pain, Redness · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: I started to feel these symptoms yesterday once I got home from work 5:30. Took some theraflu & a magnesium pill to help me sleep. I woke up feeling a lot better this morning.

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Survey response — days 1–6 daily, dose 3
MedDRA: Nasopharyngitis — Feeling: Good · Site: Redness

Free text: I felt like I was catch a chest cold this morning. Took some vitamin c feel much better now.

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Chest pain, Decreased appetite, Lower respiratory tract infection — Feeling: Good

Free text: Loss of appetite & burning in my chest like a chest cold. But nothing extreme I can lead a normal day. I just took my allergy pill this morning.

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Chest discomfort, Cough, Respiratory tract congestion — Feeling: Good

Free text: I have a cough & a little tightness w/chest congestion. I took my allergy pill this morning. No other medication see how I do.

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Respiratory tract congestion — Feeling: Good

Free text: Cough & chest congestion mild

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Survey response — day 7, dose 3
MedDRA: Adverse reaction — Feeling: Good

Free text: Back to normal no more symptoms

MedDRA releases: 2024-11 · check-in free text available
2021-10-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-09
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-28
Survey response — 3 months, dose 3
MedDRA: Dyspnoea, Heart rate increased, Pulmonary pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Heart rate goes up from time to time out of no where. Shortness of breath lungs hurt.

MedDRA releases: 2024-11 · check-in free text available
2022-03-29
Survey response — 6 months, dose 3
MedDRA: COVID-19, Hypersensitivity, Impaired work ability, Pre-existing disease, Therapeutic response unexpected — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I got Covid back on Nov 2021 today I just have really bad allergies. Was out of work for a while. The vaccine had really helped me keep my allergies under control.

MedDRA releases: 2024-11 · check-in free text available
2022-03-29
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-30
Call 1 — Left Voicemail
2022-04-12
Dose 4 — Pfizer-BioNTech
2022-04-14
Survey response — days 1–6 daily, dose 4
MedDRA: Abdominal pain, Arthralgia, Chills, Headache, Malaise, Myalgia, Nausea, Pain, Self-medication — Feeling: Good

Free text: Today I'm feeling great but yesterday I was feeling terrible. I had chills, slight headache, bad joint pain, muscle & body aches, nausea, abdominal pain,. Woke up at 12:30 took Severe Tylenol cold & flu. Woke up this morning much better.

MedDRA releases: 2024-11 · check-in free text available
2022-04-15
Survey response — days 1–6 daily, dose 4
MedDRA: Malaise — Feeling: Good

Free text: I was only sick the next day all day. Then I was back to normal.

MedDRA releases: 2024-11 · check-in free text available
2022-04-16
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Good

Free text: N\A

MedDRA releases: 2024-11 · check-in free text available
2022-04-17
Survey response — days 1–6 daily, dose 4
MedDRA: Adverse reaction — Feeling: Good

Free text: Symptoms were only on the second day. Back to normal

MedDRA releases: 2024-11 · check-in free text available
2022-04-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-19
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-26
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-03
Survey response — day 21, dose 4
MedDRA: Asthma, COVID-19, Wheezing — Feeling: Good

Free text: After catching Covid in Nov 2021. I'm starting to develop asthma symptoms wheezing. Something I've never ever in my life had I experienced before. My 6 yr old niece as well. I'm hoping it's something temporary. I'm a running & walker to improve

MedDRA releases: 2024-11 · check-in free text available
2022-05-10
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-17
Survey response — day 35, dose 4
MedDRA: Chills, Malaise, Respiratory tract congestion, SARS-CoV-2 test negative, Sputum discoloured, Tonsillectomy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: I had a tonsillectomy done May 11. And May 12 I ended up with symptoms of chest congestion with green mucus. I had gotten a Covid test prior to the surgery. And came back negative. I got so sick I had to sleep sitting up because of this green mucus. · Healthcare visit (other): Also had chills for a week in half. I started antibiotics to clear everything up. Never got a 2nd Covid test. But I felt worse than I did in Nov 2021 when I actually tested positive for Covid.

MedDRA releases: 2024-11 · check-in free text available
2022-05-17
Report sent to call center — day 35, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-18
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-18
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-24
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-12
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-11
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-10-21
Dose 5 — Pfizer-BioNTech
2023-04-23
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-21	Pfizer-BioNTech
2	2021-01-11	Pfizer-BioNTech
3	2021-09-28	Pfizer-BioNTech	No
4	2022-04-12	Pfizer-BioNTech	No
5	2022-10-21	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2020-12-26	priority 2/3
2022-03-29	Successful 2022-05-18	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-17	Successful 2022-05-18	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-26

Systemic reaction (other): Cold like symptoms

Release 1 — day 7, dose 1

2020-12-28

Systemic reaction (other): Slight headache

Release 4 — day 35, dose 2

2021-02-20

Symptoms: Joint pain in my hands

Release 4 — day 42, dose 2

2021-02-22

Symptoms: Joint pain in my hands

Release 9 — days 1–6 daily, dose 3

2021-09-29

Systemic reaction (other): Just sore where I received my 3rd vaccine

2021-09-30

Systemic reaction (other): I started to feel these symptoms yesterday once I got home from work 5:30. Took some theraflu & a magnesium pill to help me sleep. I woke up feeling a lot better this morning.

2021-10-01

Systemic reaction (other): I felt like I was catch a chest cold this morning. Took some vitamin c feel much better now.

2021-10-02

Systemic reaction (other): Loss of appetite & burning in my chest like a chest cold. But nothing extreme I can lead a normal day. I just took my allergy pill this morning.

2021-10-03

Systemic reaction (other): I have a cough & a little tightness w/chest congestion. I took my allergy pill this morning. No other medication see how I do.

2021-10-04

Systemic reaction (other): Cough & chest congestion mild

Release 10 — day 7, dose 3

2021-10-05

Systemic reaction (other): Back to normal no more symptoms

Release 10 — 3 months, dose 3

2021-12-28

Symptoms: Heart rate goes up from time to time out of no where. Shortness of breath lungs hurt.

Release 11 — 6 months, dose 3

2022-03-29

Symptoms: I got Covid back on Nov 2021 today I just have really bad allergies. Was out of work for a while. The vaccine had really helped me keep my allergies under control.

Release 11 — days 1–6 daily, dose 4

2022-04-14

Systemic reaction (other): Today I'm feeling great but yesterday I was feeling terrible. I had chills, slight headache, bad joint pain, muscle & body aches, nausea, abdominal pain,. Woke up at 12:30 took Severe Tylenol cold & flu. Woke up this morning much better.

2022-04-15

Systemic reaction (other): I was only sick the next day all day. Then I was back to normal.

2022-04-16

Systemic reaction (other): N\A

2022-04-17

Systemic reaction (other): Symptoms were only on the second day. Back to normal

Release 11 — day 21, dose 4

2022-05-03

Symptoms: After catching Covid in Nov 2021. I'm starting to develop asthma symptoms wheezing. Something I've never ever in my life had I experienced before. My 6 yr old niece as well. I'm hoping it's something temporary. I'm a running & walker to improve

Release 11 — day 35, dose 4

2022-05-17

Symptoms: I had a tonsillectomy done May 11. And May 12 I ended up with symptoms of chest congestion with green mucus. I had gotten a Covid test prior to the surgery. And came back negative. I got so sick I had to sleep sitting up because of this green mucus. cut off by CDC

Healthcare visit (other): Also had chills for a week in half. I started antibiotics to clear everything up. Never got a 2nd Covid test. But I felt worse than I did in Nov 2021 when I actually tested positive for 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	Chills	·	·	✓
HCVO	SARS-CoV-2 test negative	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Asthma	·	·	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Hypersensitivity	·	·	✓
SD	Impaired work ability	·	·	✓
SD	Malaise	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Pulmonary pain	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sputum discoloured	·	·	✓
SD	Therapeutic response unexpected	·	·	✓
SD	Tonsillectomy	·	·	✓
SD	Wheezing	·	·	✓
SRO	Abdominal pain	·	·	✓
SRO	Adverse reaction	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Chest discomfort	·	·	✓
SRO	Chest pain	·	·	✓
SRO	Chills	·	·	✓
SRO	Cough	·	·	✓
SRO	Decreased appetite	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pain	·	·	✓
SRO	Lower respiratory tract infection	·	·	✓
SRO	Malaise	·	·	✓
SRO	Myalgia	·	·	✓
SRO	Nasopharyngitis	✓	✓	✓
SRO	Nausea	·	·	✓
SRO	No adverse event	·	·	✓
SRO	Pain	·	·	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Self-medication	·	·	✓

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