Z6H-25978-08104

4 vaccinations 15 coded responses 32 check-ins 15 free-text entries 8 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 009 / PR
Registered: 2020-12-15

Relationship: Self
Race: Black or African American
Ethnicity: Hispanic or Latino

Timeline

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

2020-12-15
Registered in v-safe
2020-12-15
Dose 1 — Pfizer-BioNTech
2020-12-15
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Fever · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2020-12-16
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-17
Survey response — days 1–6 daily, dose 1
MedDRA: Vaccination site erythema, Vaccination site swelling — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The area where I received the vaccine swelled and turned red

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-17
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-17
Call 1 — Left Voicemail
2020-12-18
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain, Heart rate increased, Oropharyngeal pain, Tongue eruption — Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Sore throat and ear. I got a rash on my tongue. I also had a very fast pulse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-18
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-19
Survey response — days 1–6 daily, dose 1
MedDRA: Balance disorder, Dizziness, Ear pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I have felt a bit dizzy, and unbalanced but I can associate it with the earache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-19
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-20
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My fingers hurt.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-20
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-23
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2020-12-23
Call 2 — Left Voicemail
2020-12-31
Call 3 — Left Voicemail
2021-01-04
Dose 2 — Pfizer-BioNTech
2021-01-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-01-07
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

no matching call case
2021-01-09
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Thirst — Feeling: Fair · Site: Pain · Joint pains, Abdominal pain · Be unable to do your normal daily activities

Free text: Chest pain and very thirsty, want to drink water

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-10
Survey response — days 1–6 daily, dose 2
MedDRA: Thirst — Feeling: Fair · Site: Pain · Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Free text: Much desire to drink water

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-10
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-12
Survey response — day 7, dose 2
MedDRA: Skin warm — Feeling: Fair · Site: Pain · Abdominal pain · Be unable to do your normal daily activities

Free text: I have not had a fever but on the top of the ears I have had them super hot and on the bottom of the foot to the knee.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Report sent to call center — day 7, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-18
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-01-25
Survey response — day 21, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have had a sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — day 28, dose 2
MedDRA: Arthralgia, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Joint pain and fatigue when walking

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — day 35, dose 2
MedDRA: Chest pain, Headache, Hypoaesthesia — Feeling: Fair · Be unable to do your normal daily activities

Free text: This week I had a lot of headache and chest pain. Additional numbness in the hands and legs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-05
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-09-28
Dose 3 — Pfizer-BioNTech
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Fatigue or tiredness, Vomiting · Be unable to do your normal daily activities

Adult check-in
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Ocular hyperaemia, Rash, Swelling — Feeling: Fair · Site: Pain, Itching · Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: red eye rashes and swelling

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Health check-in — day 7, dose 3
Feeling: Fair · Site: Itching · Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-10-12
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-10-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-04
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-09
Survey response — day 42, dose 3
MedDRA: Eye irritation, Eye swelling, Headache — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: He tenido mucho dolor de cabeza. Ademas, he desarrollado irritaciÃ³n, hinchazÃ³n de los ojos.

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Survey response — 3 months, dose 3
MedDRA: Abdominal pain, Abdominal pain upper, Dizziness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Dolor de estÃ³mago y abdominal constantemente y una ves que otra mareos

MedDRA releases: 2024-11 · check-in free text available
2022-04-01
Survey response — 6 months, dose 3
MedDRA: Eye pain, Fatigue, Headache, Heavy menstrual bleeding, Skin disorder — Feeling: Good · Be unable to do your normal daily activities

Free text: Me fatigo con regularidad, he tenido periodos largos de 10 o 12 dÃas. Rasgos en la piel y dolor de vista y cabeza todo el tiempo.

MedDRA releases: 2024-11 · check-in free text available
2022-09-16
Dose 4 — Pfizer-BioNTech
2022-09-17
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Itching · Headache, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-09-21
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Redness, Itching · Headache, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2022-10-05
Survey response — day 14, dose 4
MedDRA: Abdominal pain, Heavy menstrual bleeding, Menstrual disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Dolor abdominal fuerte y cambios en mi menstruaci?n desde la ltima vacuna Bivalente eh estado en menstruacion todo el mes.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-15	Pfizer-BioNTech
2	2021-01-04	Pfizer-BioNTech
3	2021-09-28	Pfizer-BioNTech	No
4	2022-09-16	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2020-12-16	Unsuccessful
2020-12-17	Unsuccessful
2020-12-18	priority 2/3
2020-12-19	Unsuccessful
2020-12-20	Unsuccessful
2021-01-09	priority 2/3
2021-01-10	priority 2/3
2021-01-12	priority 2/3

1 report(s) with no call case — see the timeline.

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-17

Systemic reaction (other): The area where I received the vaccine swelled and turned red

2020-12-18

Systemic reaction (other): Sore throat and ear. I got a rash on my tongue. I also had a very fast pulse

2020-12-19

Systemic reaction (other): I have felt a bit dizzy, and unbalanced but I can associate it with the earache.

2020-12-20

Systemic reaction (other): My fingers hurt.

Release 1 — days 1–6 daily, dose 2

2021-01-09

Systemic reaction (other): Chest pain and very thirsty, want to drink water

2021-01-10

Systemic reaction (other): Much desire to drink water

Release 1 — day 7, dose 2

2021-01-12

Systemic reaction (other): I have not had a fever but on the top of the ears I have had them super hot and on the bottom of the foot to the knee.

Release 2 — day 21, dose 2

2021-01-25

Symptoms: I have had a sore throat

Release 3 — day 28, dose 2

2021-02-01

Symptoms: Joint pain and fatigue when walking

Release 3 — day 35, dose 2

2021-02-10

Symptoms: This week I had a lot of headache and chest pain. Additional numbness in the hands and legs.

Release 10 — days 1–6 daily, dose 3

2021-10-04

Systemic reaction (other): red eye rashes and swelling

Release 10 — day 42, dose 3

2021-11-09

Symptoms: He tenido mucho dolor de cabeza. Ademas, he desarrollado irritaciÃ³n, hinchazÃ³n de los ojos.

Release 10 — 3 months, dose 3

2021-12-30

Symptoms: Dolor de estÃ³mago y abdominal constantemente y una ves que otra mareos

Release 11 — 6 months, dose 3

2022-04-01

Symptoms: Me fatigo con regularidad, he tenido periodos largos de 10 o 12 dÃas. Rasgos en la piel y dolor de vista y cabeza todo el tiempo.

Release 12 — day 14, dose 4

2022-10-05

Symptoms: Dolor abdominal fuerte y cambios en mi menstruaci?n desde la ltima vacuna Bivalente eh estado en menstruacion todo el mes.

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 pain	·	·	✓
SD	Abdominal pain upper	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Eye irritation	·	·	✓
SD	Eye pain	·	·	✓
SD	Eye swelling	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heavy menstrual bleeding	·	·	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Menstrual disorder	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Skin disorder	·	·	✓
SRO	Balance disorder	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Erythema	○	○	○
SRO	Heart rate increased	✓	✓	✓
SRO	Ocular hyperaemia	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Rash	·	·	✓
SRO	Skin warm	✓	✓	✓
SRO	Swelling	·	·	✓
SRO	Thirst	✓	✓	✓
SRO	Tongue eruption	✓	✓	✓
SRO	Vaccination site erythema	✓	✓	✓
SRO	Vaccination site swelling	✓	✓	✓

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