Z59-34405-58875

3 vaccinations 9 coded responses 21 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 801 / CO
Registered: 2020-12-23

Relationship: Self
Race: Multiracial
Ethnicity: Hispanic or Latino

Timeline

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

2020-12-23
Registered in v-safe
2020-12-23
Dose 1 — Pfizer-BioNTech
2020-12-23
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-26
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Site: Swelling · Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Sore throat, slight cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-27
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Cough, Ear pain, Oropharyngeal pain, Rash — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Forgot to report I Had a rash the day after the injection. Today I have sore throat, ear pain, and my cough is increasing and heaviness in my chest.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Health check-in — day 7, dose 1
Feeling: Good · Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-01-06
Survey response — day 14, dose 1
MedDRA: Abdominal discomfort, Fatigue — Feeling: Fair

Free text: Fatigue, unsettled GI tract

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Dose 2 — Pfizer-BioNTech
2021-01-13
Health check-in — day 0, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-17
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Diarrhea

Adult check-in
2021-01-20
Survey response — day 7, dose 2
MedDRA: Blepharospasm — Feeling: Good · Muscle or body aches, Nausea

Free text: R Eye twitching started on 1/14

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — day 14, dose 2
MedDRA: Blepharospasm — Feeling: Good

Free text: R eye twitching is persisting; started on 01/14, day after 2nd dose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-14
Survey response — 3 months, dose 2
MedDRA: Chest pain, Cough — Feeling: Good · Be unable to do your normal daily activities

Free text: Cough and achy chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-14
Survey response — 6 months, dose 2
MedDRA: Bronchitis, Sinusitis — 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: Bronchitis & sinusitis

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-14
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-21
Call 1 — Left Voicemail
2021-08-29
Dose 3 — Pfizer-BioNTech
2021-09-28
Survey response — day 28, dose 3
MedDRA: Ageusia, Anosmia, Rhinorrhoea — Feeling: Good

Free text: Loss of taste & smell; runny nose after 3rd dose

MedDRA releases: 2024-11 · check-in free text available
2021-10-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-09-02
Survey response — 12 months, dose 3
MedDRA: Paraesthesia — Feeling: Fair

Free text: Pins & needles in my 3 middle toes.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-23	Pfizer-BioNTech
2	2021-01-13	Pfizer-BioNTech
3	2021-08-29	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-17	priority 2/3
2021-07-14	Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-26

Systemic reaction (other): Sore throat, slight cough

2020-12-27

Systemic reaction (other): Forgot to report I Had a rash the day after the injection. Today I have sore throat, ear pain, and my cough is increasing and heaviness in my chest.

Release 1 — day 14, dose 1

2021-01-06

Symptoms: Fatigue, unsettled GI tract

Release 2 — day 7, dose 2

2021-01-20

Systemic reaction (other): R Eye twitching started on 1/14

Release 2 — day 14, dose 2

2021-01-27

Symptoms: R eye twitching is persisting; started on 01/14, day after 2nd dose.

Release 7 — 3 months, dose 2

2021-04-14

Symptoms: Cough and achy chest

Release 9 — 6 months, dose 2

2021-07-14

Symptoms: Bronchitis & sinusitis

Release 9 — day 28, dose 3

2021-09-28

Symptoms: Loss of taste & smell; runny nose after 3rd dose

Release 12 — 12 months, dose 3

2022-09-02

Symptoms: Pins & needles in my 3 middle toes.

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	Abdominal discomfort	✓	✓	✓
SD	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Blepharospasm	✓	✓	✓
SD	Bronchitis	✓	·	✓
SD	Chest pain	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Paraesthesia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sinusitis	✓	·	✓
SRO	Blepharospasm	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Rash	✓	✓	✓

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