Z8D-98523-35915

3 vaccinations 9 coded responses 37 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 782 / TX
Registered: 2021-02-27

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

2021-02-27
Registered in v-safe
2021-02-27
Dose 1 — Pfizer-BioNTech
2021-02-27
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Swelling · Chills

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 1
MedDRA: SARS-CoV-2 antibody test positive — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Early severe/icu covid pos antibodies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Had severe covid 2020 and pos antibodies 11/2020

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Site: Swelling, Itching · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Prior early severe covid pos antibodies 11/2020

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: Post-acute COVID-19 syndrome, SARS-CoV-2 antibody test positive — Feeling: Fair · Site: Itching · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Long hauler severe covid pos antibodies 11/2020

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Hyperhidrosis — Feeling: Fair · Site: Itching · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — day 7, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-13
Survey response — day 14, dose 1
MedDRA: Skin exfoliation, Vaccination site pruritus — Feeling: Fair

Free text: Around Day 8-10 had quarter size itchy, peeling circle at vaccine site. Interestingly same but smaller itchy, peeling circle at same time approx. 2 inches above at childhood Rubella immunization site. Itchy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Dose 2 — Pfizer-BioNTech
2021-03-20
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis, Lymph node pain — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sweating and tender lymphnodes right side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-03-27
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness · Fatigue or tiredness

Adult check-in
2021-04-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-19
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-21
Dose 3 — Pfizer-BioNTech
2021-08-21
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-08-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Diarrhea

Adult check-in
2021-08-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-08-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-08-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-08-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-08-28
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-09-04
Survey response — day 14, dose 3
MedDRA: Cough, Dysgeusia, Fatigue, Headache, Laboratory test abnormal, Nasal congestion, Nausea, Pre-existing disease, Rhinorrhoea, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Symptoms began on 9/1/2021 with runny nose (I have allergies so like that). By 9/3/2021 progressed to stuffy nose, cough, headache, fatigue, nausea and everything tasting wrong so tested and was positive on 9/3/2021. · Healthcare visit (other): Special clinic for Monoclonal Antibodies on 9/4/2021 (casirivimab and imdevimab)

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-04
Report sent to call center — day 14, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-09
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-09-11
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-09-18
Survey response — day 28, dose 3
MedDRA: Paranasal sinus hypersecretion, Respiratory tract congestion, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Sinus infection w/ drainage creating chest congestion.

MedDRA releases: 2024-11 · check-in free text available
2021-09-18
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-21
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-09-25
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-02
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-20
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-02-19
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-27	Pfizer-BioNTech
2	2021-03-20	Pfizer-BioNTech
3	2021-08-21	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-09-04	Successful 2021-09-09	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-09-18	Successful 2021-09-21	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-28

Systemic reaction (other): Early severe/icu covid pos antibodies

2021-03-01

Systemic reaction (other): Had severe covid 2020 and pos antibodies 11/2020

2021-03-02

Systemic reaction (other): Prior early severe covid pos antibodies 11/2020

2021-03-03

Systemic reaction (other): Long hauler severe covid pos antibodies 11/2020

Release 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): Sweats

Release 5 — day 14, dose 1

2021-03-13

Symptoms: Around Day 8-10 had quarter size itchy, peeling circle at vaccine site. Interestingly same but smaller itchy, peeling circle at same time approx. 2 inches above at childhood Rubella immunization site. Itchy.

Release 6 — days 1–6 daily, dose 2

2021-03-22

Systemic reaction (other): Sweating and tender lymphnodes right side

Release 9 — day 14, dose 3

2021-09-04

Symptoms: Symptoms began on 9/1/2021 with runny nose (I have allergies so like that). By 9/3/2021 progressed to stuffy nose, cough, headache, fatigue, nausea and everything tasting wrong so tested and was positive on 9/3/2021.

Healthcare visit (other): Special clinic for Monoclonal Antibodies on 9/4/2021 (casirivimab and imdevimab)

Release 9 — day 28, dose 3

2021-09-18

Symptoms: Sinus infection w/ drainage creating chest congestion.

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	Unevaluable event	✓	·	✓
SD	Cough	✓	·	✓
SD	Dysgeusia	✓	·	✓
SD	Fatigue	✓	·	✓
SD	Headache	✓	·	✓
SD	Laboratory test abnormal	✓	·	✓
SD	Nasal congestion	✓	·	✓
SD	Nausea	✓	·	✓
SD	Paranasal sinus hypersecretion	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	✓	·	✓
SD	Sinusitis	·	·	✓
SD	Skin exfoliation	✓	✓	✓
SD	Vaccination site pruritus	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Post-acute COVID-19 syndrome	✓	✓	✓
SRO	SARS-CoV-2 antibody test positive	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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