Z4V-19601-13430

2 vaccinations 10 coded responses 21 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 184 / PA
Registered: 2021-03-31

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
Registered in v-safe
2021-03-31
Dose 1 — Pfizer-BioNTech
2021-03-31
Survey response — day 0, dose 1
MedDRA: Pre-existing disease — Feeling: Good

Free text: Please note that I got this first shot in my right thigh due to other conditions present in both arms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site joint pain — Feeling: Good · Site: Pain · Joint pains

Free text: Reminder: the shot was given in my thigh. Some mild pain at hip joints.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Fair · Headache · Be unable to do your normal daily activities

Free text: Dont know if headache is related due to time passed since the shot but thought it should be reported.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2021-04-14
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-21
Dose 2 — Pfizer-BioNTech
2021-04-21
Survey response — day 0, dose 2
MedDRA: Unevaluable event — Feeling: Good · Site: Pain

Free text: Please note that my injection site is in my thigh.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Impaired driving ability — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Wanted to seek care but too weak to drive.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Dysgeusia, Taste disorder — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Strange taste in my mouth; altered taste of food and drinks since Thursday. I would have reported this before but I was not aware that this is a potential side effect. Because once again my breakfast and coffee tasted so bad, I googled it and learned that it is a rare but possible reaction. Why isn't it listed here?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Appetite disorder, Dysgeusia — Feeling: Fair · Muscle or body aches

Free text: Food and drinks still taste very strange - metallic, bitter. This is having impact on my appetite.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — day 7, dose 2
MedDRA: Taste disorder — Feeling: Good · Fatigue or tiredness

Free text: Normal taste has still not returned.

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

Free text: Change in the taste of food (Bitter, bland) continues, especially with coffee and other liquids. Improving but still present. Some new periodic soreness/aches at injection site in the thigh.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — day 21, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: A change in a pre existing Neck/shoulder condition - Now experiencing tingling and numbness down right arm. Not sure if it could be associated with vaccine but wanted to report it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-04-04
Call successful
Does not wish to fill out VAERS report
2022-04-23
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Pfizer-BioNTech
2	2021-04-21	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-04-22	Successful 2022-04-04	Does not wish to fill out VAERS report

Free text

Release 6 — day 0, dose 1

2021-03-31

Systemic reaction (other): Please note that I got this first shot in my right thigh due to other conditions present in both arms.

Release 6 — days 1–6 daily, dose 1

2021-04-02

Systemic reaction (other): Reminder: the shot was given in my thigh. Some mild pain at hip joints.

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): Dont know if headache is related due to time passed since the shot but thought it should be reported.

Release 7 — day 0, dose 2

2021-04-21

Systemic reaction (other): Please note that my injection site is in my thigh.

Release 7 — days 1–6 daily, dose 2

2021-04-22

Healthcare visit (other): Wanted to seek care but too weak to drive.

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Strange taste in my mouth; altered taste of food and drinks since Thursday. I would have reported this before but I was not aware that this is a potential side effect. Because once again my breakfast and coffee tasted so bad, I googled it and learned that it is a rare but possible reaction. Why isn't it listed here?

2021-04-27

Systemic reaction (other): Food and drinks still taste very strange - metallic, bitter. This is having impact on my appetite.

Release 8 — day 7, dose 2

2021-04-28

Systemic reaction (other): Normal taste has still not returned.

Release 8 — day 14, dose 2

2021-05-05

Symptoms: Change in the taste of food (Bitter, bland) continues, especially with coffee and other liquids. Improving but still present. Some new periodic soreness/aches at injection site in the thigh.

Release 8 — day 21, dose 2

2021-05-13

Symptoms: A change in a pre existing Neck/shoulder condition - Now experiencing tingling and numbness down right arm. Not sure if it could be associated with vaccine but wanted to report it.

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	Asthenia	✓	✓	✓
HCVO	Impaired driving ability	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Dysgeusia	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Taste disorder	✓	✓	✓
SRO	Appetite disorder	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site joint pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Taste disorder	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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