Z87-11643-88889

4 vaccinations 7 coded responses 31 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 984 / WA
Registered: 2021-03-06

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

2021-03-06
Registered in v-safe
2021-03-06
Dose 1 — Pfizer-BioNTech
2021-03-06
Health check-in — day 0, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Taste disorder — Feeling: Good · Site: Pain

Free text: My taste is off and Im tasting a cinnamon flavor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Colitis ulcerative, Pre-existing disease — Feeling: Good · Abdominal pain

Free text: My ulcerative colitis, which was in remission for several months, is now active again again. Might very well be completely unrelated to the vaccine, but reporting it anyway to be sure my symptom reports are as complete and thorough as possible.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-25
Dose 2 — Pfizer-BioNTech
2021-03-25
Survey response — day 0, dose 2
MedDRA: Heart rate increased — Feeling: Fair

Free text: Fast heartbeat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 2
MedDRA: Colitis, Pre-existing disease — Feeling: Fair

Free text: This second shot kicked my ulcerative colitis up again, similarly to the first shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-26
Survey response — 3 months, dose 2
MedDRA: Cardiac disorder, Emergency care — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Weird heart issue that required emergency room visit and subsequent cardiology treatment and testing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-26
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-01
Call 1 — Left Voicemail
2021-09-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-22
Dose 3 — Pfizer-BioNTech
2022-03-25
Survey response — 12 months, dose 2
MedDRA: Colitis ulcerative, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Ulcerative colitis flare

MedDRA releases: 2024-11 · check-in free text available
2022-03-25
Report sent to call center — 12 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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-03-28
Call 1 — Left Voicemail
2022-10-01
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-10-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-08
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-17
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-22
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-29
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-07
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-12
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-31
Survey response — 3 months, dose 4
MedDRA: Chest pain, Cough, Fatigue, Lower respiratory tract infection — Feeling: Good

Free text: Chest cold; bad coughing, chest/lungs burning, and fatigue; this only lasted for about 5 days and happened right after holiday gathering

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-06	Pfizer-BioNTech
2	2021-03-25	Pfizer-BioNTech
3	2021-12-22	Pfizer-BioNTech	No
4	2022-10-01	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-06-26	Unsuccessful
2022-03-25	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-07

Systemic reaction (other): My taste is off and Im tasting a cinnamon flavor

2021-03-08

Systemic reaction (other): My ulcerative colitis, which was in remission for several months, is now active again again. Might very well be completely unrelated to the vaccine, but reporting it anyway to be sure my symptom reports are as complete and thorough as possible.

Release 6 — day 0, dose 2

2021-03-25

Systemic reaction (other): Fast heartbeat

Release 6 — days 1–6 daily, dose 2

2021-03-26

Systemic reaction (other): This second shot kicked my ulcerative colitis up again, similarly to the first shot.

Release 9 — 3 months, dose 2

2021-06-26

Symptoms: Weird heart issue that required emergency room visit and subsequent cardiology treatment and testing

Release 11 — 12 months, dose 2

2022-03-25

Symptoms: Ulcerative colitis flare

Release 12 — 3 months, dose 4

2022-12-31

Symptoms: Chest cold; bad coughing, chest/lungs burning, and fatigue; this only lasted for about 5 days and happened right after holiday gathering

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	Cardiac disorder	✓	✓	✓
SD	Chest pain	·	·	✓
SD	Colitis ulcerative	·	·	✓
SD	Cough	·	·	✓
SD	Emergency care	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Lower respiratory tract infection	·	·	✓
SD	Pre-existing disease	·	·	✓
SRO	Colitis	✓	✓	✓
SRO	Colitis ulcerative	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Taste disorder	✓	✓	✓

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