Z75-27410-71125

4 vaccinations 11 coded responses 32 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 294 / SC
Registered: 2021-03-23

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

2021-03-22
Dose 1 — Pfizer-BioNTech
2021-03-23
Registered in v-safe
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good

Free text: Arm is a bit sore but not awful

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Fever · Headache, Fatigue or tiredness

Free text: All this may be seasonal allergies I get in spring

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-29
Survey response — day 7, dose 1
MedDRA: Lymphadenopathy — Feeling: Good · Site: Swelling

Free text: Swollen lymph nodes in the underarm and clavicle

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-12
Dose 2 — Pfizer-BioNTech
2021-04-12
Survey response — day 0, dose 2
MedDRA: Malaise, Pre-existing disease — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness

Free text: Was a bit sick before the shot I think

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen lymph nodes same side as shot. Good immune system ???

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-21
Dose 3 — Pfizer-BioNTech
2021-07-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-11
Survey response — 6 months, dose 2
MedDRA: COVID-19, Fatigue, Nephrolithiasis, Office visit, Pyelonephritis, Pyrexia, Urinary tract infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I got COVID-19 DELTA VARIANT. Currently have a kidney stone have a UTI pyelonephritis. Being worked up for kidney FAILURE came on in past 3-4 months. Severe fatigue. Fevers off and on. · Healthcare visit (other): Internal medicine doctor. My usual doc.

MedDRA releases: 2024-11 · check-in free text available
2021-10-11
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)
2021-11-17
Call 3 — Could Not Reach Participant
2021-11-22
Call X — Could Not Reach Participant
2022-04-12
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-10-15
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-10-21
Survey response — days 1–6 daily, dose 4
MedDRA: Arthralgia, Injection site pain — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Joint pain is severe. Injection site is sore still

MedDRA releases: 2024-11 · check-in free text available
2022-10-22
Health check-in — day 7, dose 4
Feeling: Good · Headache

Adult check-in
2022-10-29
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-05
Survey response — day 21, dose 4
MedDRA: Conjunctivitis, Cough, Malaise, Nasal discharge discolouration, Nasopharyngitis — Feeling: Fair

Free text: Cold symptoms green discharge in nose Conjunctivitis Malaise Cough

MedDRA releases: 2024-11 · check-in free text available
2022-11-12
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-21
Survey response — day 35, dose 4
MedDRA: Nasopharyngitis, Respiratory tract infection — Feeling: Good

Free text: Cold like symptoms. Respiratory infection.

MedDRA releases: 2024-11 · check-in free text available
2023-01-14
Survey response — 3 months, dose 4
MedDRA: Influenza virus test negative, Malaise, SARS-CoV-2 test negative, Upper respiratory tract infection — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-01-14
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-16
Call 1 — Left Voicemail
2023-01-16
Call 1 — Left Voicemail
2023-04-17
Survey response — 6 months, dose 4
MedDRA: Fatigue, Respiratory tract congestion, Upper respiratory tract infection, Wheezing — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-17
Report sent to call center — 6 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-04-18
Call 2 — Could Not Reach Participant
2023-04-18
Call 2 — Could Not Reach Participant
2023-04-18
Call 1 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-22	Pfizer-BioNTech
2	2021-04-12	Pfizer-BioNTech
3	2021-06-21	Pfizer-BioNTech	No
4	2022-10-15	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-10-11	Unsuccessful
2023-01-14	Unsuccessful
2023-04-17	Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-23

Systemic reaction (other): Arm is a bit sore but not awful

2021-03-24

Systemic reaction (other): All this may be seasonal allergies I get in spring

Release 6 — day 7, dose 1

2021-03-29

Systemic reaction (other): Swollen lymph nodes in the underarm and clavicle

Release 7 — day 0, dose 2

2021-04-12

Systemic reaction (other): Was a bit sick before the shot I think

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Swollen lymph nodes same side as shot. Good immune system ???

Release 10 — 6 months, dose 2

2021-10-11

Symptoms: I got COVID-19 DELTA VARIANT. Currently have a kidney stone have a UTI pyelonephritis. Being worked up for kidney FAILURE came on in past 3-4 months. Severe fatigue. Fevers off and on.

Healthcare visit (other): Internal medicine doctor. My usual doc.

Release 12 — days 1–6 daily, dose 4

2022-10-21

Systemic reaction (other): Joint pain is severe. Injection site is sore still

Release 12 — day 21, dose 4

2022-11-05

Symptoms: Cold symptoms green discharge in nose Conjunctivitis Malaise Cough

Release 12 — day 35, dose 4

2022-11-21

Symptoms: Cold like symptoms. Respiratory infection.

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	·	·	✓
SD	Conjunctivitis	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Influenza virus test negative	·	·	✓
SD	Malaise	·	·	✓
SD	Nasal discharge discolouration	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Nephrolithiasis	·	·	✓
SD	Pyelonephritis	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Respiratory tract infection	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Upper respiratory tract infection	·	·	✓
SD	Urinary tract infection	·	·	✓
SD	Wheezing	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Injection site pain	·	·	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Malaise	○	✓	○
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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