Z36-30186-59862

3 vaccinations 7 coded responses 20 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 913 / CA
Registered: 2021-04-05

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

2021-03-17
Dose 1 — Pfizer-BioNTech
2021-04-05
Registered in v-safe
2021-04-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-07
Dose 2 — Pfizer-BioNTech
2021-04-07
Health check-in — day 0, dose 2
Feeling: Poor · Fever · Headache, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Blood pressure fluctuation, Dyspnoea, Fatigue, Heart rate increased, Tremor — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I am so exhausted that when I went into the kitchen to make something to eat for dinner o had to go sit down. I am out of breath and my heart rate is 120 with pressure going up and down.It reminds me of when I was having radiation treatment.So I am concerned about my heart rate and being out of breath also shaky my hands.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-04-09
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-16
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-26
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-19
Survey response — day 42, dose 2
MedDRA: Fatigue, Sensory disturbance — 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: Tired, throat feels funny.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-07
Survey response — 3 months, dose 2
MedDRA: Fatigue, Headache, Swelling — 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: Swelling, fatigue, mild headaches off and on, when I have never had headaches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-07
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-14
Call 1 — Could Not Reach Participant
2021-07-14
Call 1 — Could Not Reach Participant
2021-07-19
Call 2 — Could Not Reach Participant
2021-10-04
Dose 3 — Pfizer-BioNTech
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · None

Adult check-in
2021-10-13
Survey response — day 7, dose 3
MedDRA: Fatigue, Headache, Pain — Feeling: Fair · Site: Pain, Swelling · Chills, Joint pains, Fatigue or tiredness

Free text: I have been more tired since the vaccine, low grade body ache. Had a headache mild most days since one day pretty bad and I don't get head aches

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-10-27
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-01
Survey response — day 28, dose 3
MedDRA: Arthralgia, Fatigue, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Body aches, more in joint pain. Fatigue.

MedDRA releases: 2024-11 · check-in free text available
2021-11-15
Survey response — day 42, dose 3
MedDRA: Asthenia, Blood pressure abnormal, Fatigue — Feeling: Poor · Be unable to do your normal daily activities

Free text: Weak, tired, unstable blood pressure.

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Survey response — 3 months, dose 3
MedDRA: Fatigue — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: More tired

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-04
Call 1 — Could Not Reach Participant
2022-01-07
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-06
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-04
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Pfizer-BioNTech
2	2021-04-07	Pfizer-BioNTech
3	2021-10-04	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-09	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-05-19	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-07-07	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-03	Successful 2022-01-07	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): I am so exhausted that when I went into the kitchen to make something to eat for dinner o had to go sit down. I am out of breath and my heart rate is 120 with pressure going up and down.It reminds me of when I was having radiation treatment.So I am concerned about my heart rate and being out of breath also shaky my hands.

Release 8 — day 42, dose 2

2021-05-19

Symptoms: Tired, throat feels funny.

Release 9 — 3 months, dose 2

2021-07-07

Symptoms: Swelling, fatigue, mild headaches off and on, when I have never had headaches.

Release 10 — day 7, dose 3

2021-10-13

Systemic reaction (other): I have been more tired since the vaccine, low grade body ache. Had a headache mild most days since one day pretty bad and I don't get head aches

Release 10 — day 28, dose 3

2021-11-01

Symptoms: Body aches, more in joint pain. Fatigue.

Release 10 — day 42, dose 3

2021-11-15

Symptoms: Weak, tired, unstable blood pressure.

Release 10 — 3 months, dose 3

2022-01-03

Symptoms: More tired

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	Arthralgia	·	·	✓
SD	Asthenia	·	·	✓
SD	Blood pressure abnormal	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Pain	·	·	✓
SD	Sensory disturbance	✓	✓	✓
SD	Swelling	✓	✓	✓
SRO	Blood pressure fluctuation	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	·	·	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Pain	·	·	✓
SRO	Tremor	✓	✓	✓

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