Z6D-33930-89928

5 vaccinations 9 coded responses 37 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 296 / SC
Registered: 2021-05-11

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-05-06
Dose 1 — Pfizer-BioNTech
2021-05-11
Registered in v-safe
2021-05-11
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-20
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-05-27
Dose 2 — Pfizer-BioNTech
2021-05-27
Survey response — day 0, dose 2
MedDRA: Hypoaesthesia oral — Feeling: Fair

Free text: Lip went numb after injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-02
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-06-03
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-06-10
Survey response — day 14, dose 2
MedDRA: Blood blister — Feeling: Poor

Free text: Huge blood blister formed inside my cheek. Never had that before.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-19
Survey response — day 21, dose 2
MedDRA: Pruritus, Rash — Feeling: Fair

Free text: Have had very itchy skin for a couple of weeks and today I noticed Im developing a rash.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-26
Survey response — day 28, dose 2
MedDRA: Pain in extremity, Peripheral swelling, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: The joints of my left hand are swollen and painful. Since thats never happened before, I dont know if its related to the vaccination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-01
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-07-08
Survey response — day 42, dose 2
MedDRA: Headache, Oropharyngeal pain, Pain, Pyrexia, Tongue blistering — Feeling: Poor · 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: Fever, body aches, headache, sore throat, large blister on tongue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-08
Report sent to call center — day 42, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-13
Call 2 — Left Voicemail
2021-08-28
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-11-24
Dose 3 — Pfizer-BioNTech
2021-11-25
Survey response — 6 months, dose 2
MedDRA: Diarrhoea, Nausea, Office visit, Vomiting — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Nausea, diarrhea, vomiting. · Healthcare visit (other): Been to 2 doctors, had blood work, and CT scan.

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2022-01-13
Call 1 — Left Voicemail
2022-05-09
Dose 4 — Pfizer-BioNTech
2022-05-24
Survey response — day 14, dose 4
MedDRA: Arthralgia, Neck pain, Office visit, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Terrible arm, shoulder, and neck pain. · Healthcare visit (other): Chiropractor but doesn't seem to be working.

MedDRA releases: 2024-11 · check-in free text available
2022-05-24
Report sent to call center — day 14, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-25
Call 1 — Left Voicemail
2022-05-25
Call 2 — Left Voicemail
2022-05-25
Call 1 — Left Voicemail
2022-06-06
Health check-in — day 28, dose 4
Feeling: Poor

Adult check-in
2022-06-13
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-06-20
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-08-10
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-10-08
Dose 5 — Pfizer-BioNTech
2022-10-09
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-10
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-10-11
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-10-12
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-13
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-15
Health check-in — day 7, dose 5
Feeling: Fair · Site: Redness, Itching · Fatigue or tiredness

Adult check-in
2022-10-22
Survey response — day 14, dose 5
MedDRA: Nausea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Nausea

MedDRA releases: 2024-11 · check-in free text available
2022-10-30
Survey response — day 21, dose 5
MedDRA: Bone pain, Pain in extremity, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Pain is back in my arm and I have severe pain in my arm bones. I have made an appt with my dr. · Healthcare visit (other): I have made an appt with my dr.

MedDRA releases: 2024-11 · check-in free text available
2022-10-30
Report sent to call center — day 21, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-31
Call 3 — Left Voicemail
2022-10-31
Call 3 — Left Voicemail
2022-10-31
Call 2 — Left Voicemail
2022-10-31
Call 1 — Left Voicemail
2022-11-07
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-11-13
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-19
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2023-01-07
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-10
Health check-in — 6 months, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-06	Pfizer-BioNTech
2	2021-05-27	Pfizer-BioNTech
3	2021-11-24	Pfizer-BioNTech	No
4	2022-05-09	Pfizer-BioNTech	No
5	2022-10-08	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-07-08	Unsuccessful
2021-11-25	Unsuccessful
2022-05-24	Unsuccessful
2022-10-30	Unsuccessful

Free text

Release 8 — day 0, dose 2

2021-05-27

Systemic reaction (other): Lip went numb after injection

Release 9 — day 14, dose 2

2021-06-10

Symptoms: Huge blood blister formed inside my cheek. Never had that before.

Release 9 — day 21, dose 2

2021-06-19

Symptoms: Have had very itchy skin for a couple of weeks and today I noticed Im developing a rash.

Release 9 — day 28, dose 2

2021-06-26

Symptoms: The joints of my left hand are swollen and painful. Since thats never happened before, I dont know if its related to the vaccination.

Release 9 — day 42, dose 2

2021-07-08

Symptoms: Fever, body aches, headache, sore throat, large blister on tongue.

Release 10 — 6 months, dose 2

2021-11-25

Symptoms: Nausea, diarrhea, vomiting.

Healthcare visit (other): Been to 2 doctors, had blood work, and CT scan.

Release 11 — day 14, dose 4

2022-05-24

Symptoms: Terrible arm, shoulder, and neck pain.

Healthcare visit (other): Chiropractor but doesn't seem to be working.

Release 12 — day 14, dose 5

2022-10-22

Symptoms: Nausea

Release 12 — day 21, dose 5

2022-10-30

Symptoms: Pain is back in my arm and I have severe pain in my arm bones. I have made an appt with my dr.

Healthcare visit (other): I have made an appt with my dr.

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	Office visit	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Arthralgia	·	·	✓
SD	Blood blister	✓	✓	✓
SD	Bone pain	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Headache	✓	✓	✓
SD	Nausea	·	·	✓
SD	Neck pain	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Tongue blistering	✓	✓	✓
SD	Vomiting	·	·	✓
SRO	Hypoaesthesia oral	✓	✓	✓

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