Z72-18626-71215

2 vaccinations 6 coded responses 24 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 631 / MO
Registered: 2021-03-05

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

2021-03-04
Dose 1 — Pfizer-BioNTech
2021-03-05
Registered in v-safe
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Epistaxis, Hypervolaemia, Immediate post-injection reaction, Ophthalmic migraine — Feeling: Good · Site: Pain, Swelling · Chills, Headache

Free text: had a bad cough about 25 minutes after the vaccine lots of fluid felt like i was choking on the fluid. it went away. Then had ocular migraine. In middle of night had a nose bleed this was all on the day of injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills

Adult check-in
2021-03-11
Survey response — day 7, dose 1
MedDRA: Chills, Feeling cold — Feeling: Good · Chills

Free text: I have been cold and shiver its been since after 1st Vaccine. Strange for me Im in menopause so I have been hot and thats not the case other than that Im good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-26
Dose 2 — Pfizer-BioNTech
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased — Feeling: Good

Free text: elevated heart rate above 100 resting. Same as the day I go the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-09
Survey response — day 14, dose 2
MedDRA: Fatigue, Nasopharyngitis, Paranasal sinus discomfort, Productive cough — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: head cold cough phlegm sinus pressure and super fatigued

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Report sent to call center — day 14, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-16
Survey response — day 21, dose 2
MedDRA: Hypersensitivity — Feeling: Good

Free text: pretty sure just allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-07
Survey response — day 42, dose 2
MedDRA: Insomnia, Neck pain, Pain in extremity — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: body stiffness my arm neck and legs.hard time sleeping also anxiety

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-25
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-25
Call 1 — Left Voicemail
2022-03-28
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Pfizer-BioNTech
2	2021-03-26	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-04-09	Unsuccessful
2021-05-07	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): had a bad cough about 25 minutes after the vaccine lots of fluid felt like i was choking on the fluid. it went away. Then had ocular migraine. In middle of night had a nose bleed this was all on the day of injection

Release 5 — day 7, dose 1

2021-03-11

Systemic reaction (other): I have been cold and shiver its been since after 1st Vaccine. Strange for me Im in menopause so I have been hot and thats not the case other than that Im good

Release 6 — days 1–6 daily, dose 2

2021-03-29

Systemic reaction (other): elevated heart rate above 100 resting. Same as the day I go the vaccine

Release 7 — day 14, dose 2

2021-04-09

Symptoms: head cold cough phlegm sinus pressure and super fatigued

Release 7 — day 21, dose 2

2021-04-16

Symptoms: pretty sure just allergies

Release 8 — day 42, dose 2

2021-05-07

Symptoms: body stiffness my arm neck and legs.hard time sleeping also anxiety

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	Fatigue	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Paranasal sinus discomfort	✓	✓	✓
SD	Productive cough	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Epistaxis	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Hypervolaemia	✓	✓	✓
SRO	Immediate post-injection reaction	✓	·	✓
SRO	Ophthalmic migraine	✓	✓	✓

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