Z3X-20868-01862

3 vaccinations 7 coded responses 40 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 221 / VA
Registered: 2021-02-21

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

2021-02-21
Registered in v-safe
2021-02-21
Dose 1 — Pfizer-BioNTech
2021-02-21
Health check-in — day 0, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-22
Survey response — days 1–6 daily, dose 1
MedDRA: Medical counselling — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to work, Get care from a doctor or other healthcare professional

Free text: Phone call

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-27
Survey response — days 1–6 daily, dose 1
MedDRA: Hyperhidrosis — Feeling: Good · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sweating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-14
Dose 2 — Pfizer-BioNTech
2021-03-14
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tiredness, Abdominal pain · Be unable to work

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-21
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-28
Survey response — day 14, dose 2
MedDRA: Unevaluable event — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Swallowed pills and they got stuck in my esophagus. Dissolved after several hours.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Report sent to call center — day 14, 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)
2021-04-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-25
Survey response — day 42, dose 2
MedDRA: Lacrimation increased, Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: Fair

Free text: Congestion, runny nose, sneezing, watery eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-02
Call 1 — Left Voicemail
2021-09-13
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-02
Dose 3 — Pfizer-BioNTech
2021-10-02
Health check-in — day 0, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Possible dehydration

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-09
Health check-in — day 7, dose 3
Feeling: Good · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-16
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-23
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-10-30
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-06
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-13
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-01
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-02
Survey response — 6 months, dose 3
MedDRA: Fatigue, Office visit, Weight increased — 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

Free text: Symptoms: Fatigue, weight gain · Healthcare visit (other): Regular doctors appointment

MedDRA releases: 2024-11 · check-in free text available
2022-04-02
Report sent to call center — 6 months, 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

1 call case(s)
2022-04-04
Call 1 — Left Voicemail
2022-04-05
Call successful
Does not wish to fill out VAERS report
2022-10-02
Survey response — 12 months, dose 3
MedDRA: Fatigue, Hypersensitivity — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Fatigue, allergic reaction

MedDRA releases: 2024-11 · check-in free text available
2022-10-02
Report sent to call center — 12 months, 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

Emergency room or emergency department visit · 1 call case(s)
2022-10-04
Call 1 — Requested Callback
2022-10-06
Call 2 — Left Voicemail
2022-10-06
Callback requested for
07:00PM ET

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-21	Pfizer-BioNTech
2	2021-03-14	Pfizer-BioNTech
3	2021-10-02	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-02-22	Successful	Does not wish to fill out VAERS report
2021-03-28	Successful	Does not wish to fill out VAERS report
2022-04-02	Successful 2022-04-05	Does not wish to fill out VAERS report
2022-10-02	Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-22

Healthcare visit (other): Phone call

2021-02-27

Systemic reaction (other): Sweating

Release 6 — day 14, dose 2

2021-03-28

Symptoms: Swallowed pills and they got stuck in my esophagus. Dissolved after several hours.

Release 7 — day 42, dose 2

2021-04-25

Symptoms: Congestion, runny nose, sneezing, watery eyes

Release 9 — days 1–6 daily, dose 3

2021-10-03

Systemic reaction (other): Possible dehydration

Release 11 — 6 months, dose 3

2022-04-02

Symptoms: Fatigue, weight gain

Healthcare visit (other): Regular doctors appointment

Release 12 — 12 months, dose 3

2022-10-02

Symptoms: Fatigue, allergic reaction

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	Medical counselling	✓	✓	✓
HCVO	Office visit	·	·	✓
SD	Fatigue	·	·	✓
SD	Hypersensitivity	·	·	✓
SD	Lacrimation increased	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sneezing	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SD	Weight increased	·	·	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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