Z4Z-74503-65098

3 vaccinations 10 coded responses 16 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 946 / CA
Registered: 2021-06-16

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

2021-06-16
Registered in v-safe
2021-06-16
Dose 1 — Pfizer-BioNTech
2021-06-16
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Swelling · 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

Adult check-in
2021-06-17
Survey response — days 1–6 daily, dose 1
MedDRA: Lip swelling, Nasal discomfort, Oral discomfort, Pharyngeal swelling, Swollen tongue — Feeling: Good · Site: Pain, Swelling · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Slight fullness of lips (+mouth/nostrils!). Wed rt aft dose: had slight swelling in lips, tongue, throat. It was relatively less than prior rxns to other medications, but same thing. I did take quercetin prior to vaccine, only. No breathing problems.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Dizziness, Feeling abnormal — Feeling: Fair · Site: Pain, Swelling · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still, daily since vac: weak, strange feeling, lightheaded. No fever but temp higher than usu: 97.9 vs 97.2.Yesterday: I actually felt fair for the smiley, not at all normal self! (But I (I think wrongly) I answered good- as improved since Wed )

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-19
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Spinal pain — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The day after vaccine I felt (moderate) pain right along a large segment of spine (and breifly also in lower back) - both never before experienced (an no other triggers). Seemed gone the next day- but I feel it again today! Though much more slight.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-21
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Dyspnoea, Fatigue — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Strangely winded from stairs; unusually weak/tired and unusually out of it. (even walking in house feels strange.) No idea why; if still related to vaccine. Only other poss. cause (only 6h sleep) doesnt usu cause this.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-23
Survey response — day 7, dose 1
MedDRA: Asthenia, Fatigue, Gait disturbance, Spinal pain, Urticaria — Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: *New last night: multiple hives discovered last night; 1 on prior day. Most on torso, some arm. Yesterday and Monday, had pain along spine. (Since vaccine; never prior.) =Slight today. (Mon super/strangely weak/fatigued, and hard to walk straight.)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-01
Survey response — day 14, dose 1
MedDRA: Fatigue, Injection site swelling, Urticaria — Feeling: Fair · Be unable to do your normal daily activities

Free text: New hives on torso- but dont remember if 1st noticed just after last report, or just prior, or if reported this already. Hives either just after last, or second to last report. Still much more fatigued than normal +very slight swelling inj site, t

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-07
Dose 2 — Pfizer-BioNTech
2021-07-08
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Gait disturbance — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: (All below moderate selections are the severe end of moderate. Chills were only severe early a.m.; then mild to moderate rest of day.) Extremeley slow. Hard to even sit up, or walk. Napped throughout most day. Only eating fruit and drinks, mostly.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-09
Survey response — days 1–6 daily, dose 2
MedDRA: Bedridden, Decreased appetite, Dizziness, Hypersomnia, Nausea — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Note for below section: nausea (and lightheadedness) severe when stand/walk; otherwise mild-moderate (but also no appetite, for more than fruit/water/juice, for second day) ; bedridden 2nd day as result (slept most of first).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-11
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Injection site discolouration, Injection site rash, Pyrexia — Feeling: Good · Site: Pain, Swelling · Fever · Headache

Free text: In case I cant go back: Fri night discovered new significant rash/discoloration around injection site. Headache severe all FRI. Symptoms/fever improved Sat. Today: not sure if Fever or not- but normal temp is always 97, never 98, as it is today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-21
Survey response — day 14, dose 2
MedDRA: Condition aggravated, Pre-existing disease, Unevaluable event — Feeling: Good · 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: Symptoms: Ive been having pressure in chest/short breath -possibly after both vac doses; Ive had some issues with this in past year- but it returned, definite increase/more noticeable in past week or 2 (+aft 1st dose). Possibly/or in part costrochondriti · Healthcare visit (other): ECG Stress test ordered.

MedDRA releases: 2024-11 · check-in free text available
2021-07-21
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-27
Call 1 — Left Voicemail
2021-07-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-08-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-08-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-08-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-10-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-02-25
Dose 3 — Pfizer-BioNTech

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-16	Pfizer-BioNTech
2	2021-07-07	Pfizer-BioNTech	No
3	2022-02-25	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-07-21	Unsuccessful

Free text

Release 9 — days 1–6 daily, dose 1

2021-06-17

Systemic reaction (other): Slight fullness of lips (+mouth/nostrils!). Wed rt aft dose: had slight swelling in lips, tongue, throat. It was relatively less than prior rxns to other medications, but same thing. I did take quercetin prior to vaccine, only. No breathing problems. cut off by CDC

2021-06-18

Systemic reaction (other): Still, daily since vac: weak, strange feeling, lightheaded. No fever but temp higher than usu: 97.9 vs 97.2.Yesterday: I actually felt fair for the smiley, not at all normal self! (But I (I think wrongly) I answered good- as improved since Wed )

2021-06-19

Systemic reaction (other): The day after vaccine I felt (moderate) pain right along a large segment of spine (and breifly also in lower back) - both never before experienced (an no other triggers). Seemed gone the next day- but I feel it again today! Though much more slight. cut off by CDC

2021-06-21

Systemic reaction (other): Strangely winded from stairs; unusually weak/tired and unusually out of it. (even walking in house feels strange.) No idea why; if still related to vaccine. Only other poss. cause (only 6h sleep) doesnt usu cause this.

Release 9 — day 7, dose 1

2021-06-23

Systemic reaction (other): *New last night: multiple hives discovered last night; 1 on prior day. Most on torso, some arm. Yesterday and Monday, had pain along spine. (Since vaccine; never prior.) =Slight today. (Mon super/strangely weak/fatigued, and hard to walk straight.) cut off by CDC

Release 9 — day 14, dose 1

2021-07-01

Symptoms: New hives on torso- but dont remember if 1st noticed just after last report, or just prior, or if reported this already. Hives either just after last, or second to last report. Still much more fatigued than normal +very slight swelling inj site, t

Release 9 — days 1–6 daily, dose 2

2021-07-08

Systemic reaction (other): (All below moderate selections are the severe end of moderate. Chills were only severe early a.m.; then mild to moderate rest of day.) Extremeley slow. Hard to even sit up, or walk. Napped throughout most day. Only eating fruit and drinks, mostly.

2021-07-09

Systemic reaction (other): Note for below section: nausea (and lightheadedness) severe when stand/walk; otherwise mild-moderate (but also no appetite, for more than fruit/water/juice, for second day) ; bedridden 2nd day as result (slept most of first).

2021-07-11

Systemic reaction (other): In case I cant go back: Fri night discovered new significant rash/discoloration around injection site. Headache severe all FRI. Symptoms/fever improved Sat. Today: not sure if Fever or not- but normal temp is always 97, never 98, as it is today.

Release 9 — day 14, dose 2

2021-07-21

Symptoms: Ive been having pressure in chest/short breath -possibly after both vac doses; Ive had some issues with this in past year- but it returned, definite increase/more noticeable in past week or 2 (+aft 1st dose). Possibly/or in part costrochondriti

Healthcare visit (other): ECG Stress test ordered.

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	Unevaluable event	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Urticaria	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Bedridden	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Gait disturbance	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hypersomnia	✓	✓	✓
SRO	Injection site discolouration	✓	✓	✓
SRO	Injection site rash	✓	✓	✓
SRO	Lip swelling	✓	✓	✓
SRO	Nasal discomfort	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Oral discomfort	✓	✓	✓
SRO	Pharyngeal swelling	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Spinal pain	✓	✓	✓
SRO	Swollen tongue	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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