Z4B-18843-99675

4 vaccinations 8 coded responses 23 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 974 / OR
Registered: 2021-04-16

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

2021-03-31
Dose 1 — Pfizer-BioNTech
2021-04-16
Registered in v-safe
2021-04-16
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-28
Dose 2 — Pfizer-BioNTech
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Feeling hot, Rash — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Face/neck/chest were red, and I felt warm. But, my temp wasn't even up to 98.6. I've had very fine rashes, similar to this, in the past. Usually, contact dermotitis.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Poor · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My pain isn't due to the shot. I have chronic pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — day 7, dose 2
MedDRA: Adverse reaction, Pain, Pre-existing disease — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The symptoms I checked are due to my chronic pain condition. As to the vaccination, I'm pretty much OK from it, now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-20
Health check-in — day 21, dose 2
Feeling: Poor

Adult check-in
2021-05-26
Survey response — day 28, dose 2
MedDRA: Emotional disorder, Mental disorder — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Mostly emotional/mental. I don't think anything from the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Health check-in — day 35, dose 2
Feeling: Poor

Adult check-in
2021-06-09
Survey response — day 42, dose 2
MedDRA: Migraine, Sinusitis — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Fighting off sinus infection/migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-28
Survey response — 3 months, dose 2
MedDRA: Asthenia, Cough, Dyspnoea, Headache, Lymphadenopathy, Malaise, Oropharyngeal pain, Throat irritation — Feeling: Poor · Be unable to do your normal daily activities

Free text: Sore throat, headaches, swollen glands generally feel run down, no energy. Coughing started night felt sick.Used Albuteral, to catch my breath, But, tickle in throat, intermittently, hacking, cough.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-29
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-01-06
Dose 3 — Pfizer-BioNTech
2022-11-09
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-11-12
Survey response — days 1–6 daily, dose 4
MedDRA: Diarrhoea, Dyspnoea, Unevaluable event — Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Diarrhea, every time peed (LOT, going up Celexa, which can cause the extra, and urgent peeing). Much liquid stools. Trouble breathing, last night once, night before, twice. Used inhaler each time, was fine after inhaler used.

MedDRA releases: 2024-11 · check-in free text available
2022-11-14
Survey response — days 1–6 daily, dose 4
MedDRA: Chest discomfort, Diarrhoea, Lung disorder, Unevaluable event — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Had to use inhaler again today. Felt lungs getting tight/gluey. · Healthcare visit (other): Telehealth appt scheduled for tomorrow am. About needing inhaler and continuing diarrhea. .

MedDRA releases: 2024-11 · check-in free text available
2022-11-14
Report sent to call center — days 1–6 daily, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-11-15
Call 1 — Left Voicemail
2022-11-18
Health check-in — day 7, dose 4
Feeling: Fair · None

Adult check-in
2022-11-24
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-11-30
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-12-07
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-12-14
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-12-21
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2023-02-08
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-05-10
Health check-in — 6 months, dose 4
Feeling: Poor

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Pfizer-BioNTech
2	2021-04-28	Pfizer-BioNTech
3	2022-01-06	Pfizer-BioNTech	No
4	2022-11-09	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2022-11-14	Unsuccessful

Free text

Release 8 — days 1–6 daily, dose 2

2021-04-30

Systemic reaction (other): Face/neck/chest were red, and I felt warm. But, my temp wasn't even up to 98.6. I've had very fine rashes, similar to this, in the past. Usually, contact dermotitis.

2021-05-03

Systemic reaction (other): My pain isn't due to the shot. I have chronic pain.

Release 8 — day 7, dose 2

2021-05-05

Systemic reaction (other): The symptoms I checked are due to my chronic pain condition. As to the vaccination, I'm pretty much OK from it, now.

Release 8 — day 28, dose 2

2021-05-26

Symptoms: Mostly emotional/mental. I don't think anything from the vaccine.

Release 8 — day 42, dose 2

2021-06-09

Symptoms: Fighting off sinus infection/migraine

Release 9 — 3 months, dose 2

2021-07-28

Symptoms: Sore throat, headaches, swollen glands generally feel run down, no energy. Coughing started night felt sick.Used Albuteral, to catch my breath, But, tickle in throat, intermittently, hacking, cough.

Release 12 — days 1–6 daily, dose 4

2022-11-12

Systemic reaction (other): Diarrhea, every time peed (LOT, going up Celexa, which can cause the extra, and urgent peeing). Much liquid stools. Trouble breathing, last night once, night before, twice. Used inhaler each time, was fine after inhaler used.

2022-11-14

Systemic reaction (other): Had to use inhaler again today. Felt lungs getting tight/gluey.

Healthcare visit (other): Telehealth appt scheduled for tomorrow am. About needing inhaler and continuing diarrhea. .

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	Diarrhoea	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Asthenia	✓	·	✓
SD	Cough	✓	·	✓
SD	Dyspnoea	✓	·	✓
SD	Emotional disorder	✓	✓	✓
SD	Headache	✓	·	✓
SD	Lymphadenopathy	✓	·	✓
SD	Malaise	✓	·	✓
SD	Mental disorder	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Sinusitis	✓	✓	✓
SD	Throat irritation	✓	·	✓
SRO	Adverse reaction	·	·	✓
SRO	Chest discomfort	·	·	✓
SRO	Diarrhoea	·	·	✓
SRO	Dyspnoea	·	·	✓
SRO	Erythema	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Lung disorder	·	·	✓
SRO	Pain	✓	✓	○
SRO	Pre-existing disease	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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