Z4C-21654-51687

4 vaccinations 8 coded responses 36 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 763 / TX
Registered: 2021-04-12

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Registered dependents

GFM-98295-14183 Adult relative or friend · Male · 2021-09-07

Timeline

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

2021-03-26
Dose 1 — Pfizer-BioNTech
2021-04-12
Registered in v-safe
2021-04-12
Survey response — day 14, dose 1
MedDRA: Fatigue, Feeling abnormal, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Strong fatigue, brain fog, headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Dose 2 — Pfizer-BioNTech
2021-04-23
Survey response — day 7, dose 2
MedDRA: Chills, Pyrexia, Vomiting — Feeling: Fair · Fatigue or tiredness, Abdominal pain

Free text: Chills, fever, vomiting once after shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — day 14, dose 2
MedDRA: Anger, Injection site pain, Personality change — Feeling: Fair · Be unable to do your normal daily activities

Free text: Renewed pain at injection site. Personality changes -- angry outbursts.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — day 21, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — day 28, dose 2
MedDRA: Injection site pain, Pain — Feeling: Fair

Free text: Random throbbing pain at onjection site..

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Survey response — day 35, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Survey response — day 42, dose 2
MedDRA: Fatigue, Injection site pain — Feeling: Fair

Free text: Fatigue, arm pain in the injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-16
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-15
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-19
Dose 3 — Pfizer-BioNTech
2021-11-20
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-11-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · None

Adult check-in
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Rash, not including the immediate area around the injection site

Adult check-in
2021-11-26
Health check-in — day 7, dose 3
Feeling: Fair · Rash, not including the immediate area around the injection site

Adult check-in
2021-12-03
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-10
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-17
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-24
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-31
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-18
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-05-20
Survey response — 6 months, dose 3
MedDRA: Hypercalcaemia, Vitamin D increased — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Increasing hypercalcemia & high vitamin D 125. CT & PET scans have not found a cause. COVID vaccine is an hypothesis, but not confirmed. I will answer yes on the final question only because no other cause has been found yet.

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-23
Call 1 — Left Voicemail
2022-05-23
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-24
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-10-24
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2022-10-26
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-10-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · None

Adult check-in
2022-10-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Swelling · None

Adult check-in
2022-10-29
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Joint pains

Adult check-in
2022-10-31
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-11-09
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-11-14
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-23
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-28
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-05
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-25
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-04-26
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-26	Pfizer-BioNTech
2	2021-04-16	Pfizer-BioNTech
3	2021-11-19	Pfizer-BioNTech	No
4	2022-10-24	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2022-05-20	Successful 2022-05-23	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 7 — day 14, dose 1

2021-04-12

Symptoms: Strong fatigue, brain fog, headache

Release 7 — day 7, dose 2

2021-04-23

Systemic reaction (other): Chills, fever, vomiting once after shot

Release 8 — day 14, dose 2

2021-04-30

Symptoms: Renewed pain at injection site. Personality changes -- angry outbursts.

Release 8 — day 21, dose 2

2021-05-07

Symptoms: Sore throat

Release 8 — day 28, dose 2

2021-05-14

Symptoms: Random throbbing pain at onjection site..

Release 8 — day 35, dose 2

2021-05-21

Symptoms: Fatigue

Release 8 — day 42, dose 2

2021-05-28

Symptoms: Fatigue, arm pain in the injection site

Release 11 — 6 months, dose 3

2022-05-20

Symptoms: Increasing hypercalcemia & high vitamin D 125. CT & PET scans have not found a cause. COVID vaccine is an hypothesis, but not confirmed. I will answer yes on the final question only because no other cause has been found yet.

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	Anger	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypercalcaemia	·	·	✓
SD	Injection site pain	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Personality change	·	·	✓
SD	Vitamin D increased	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Vomiting	✓	✓	✓

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