Z8G-80888-21580

2 vaccinations 10 coded responses 19 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 930 / CA
Registered: 2021-04-10

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

2021-04-09
Dose 1 — Pfizer-BioNTech
2021-04-10
Registered in v-safe
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Bone pain — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: collar bone pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Headache, Fatigue or tiredness

Free text: Thyroid meds feel off all of the sudden.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — day 7, dose 1
MedDRA: Condition aggravated, Goitre, Pre-existing disease, Telemedicine — Feeling: Fair · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): I have Hashimoto Thyroiditis. After the 1st shot my thyroid meds feel like I need a significant increase in the dose of Armour Thyroid. My thyroid is swollen. · Healthcare visit (other): Met online with endocrinologist.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-30
Dose 2 — Pfizer-BioNTech
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Diplopia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: double vision

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Diplopia, Hyperhidrosis — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: sweating, double vision is gone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Sweating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Ocular hyperaemia, Self-medication — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Redness in my left eye, went away with a boric acid solution.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-07
Survey response — day 7, dose 2
MedDRA: Asthma — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Asthma

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 21, dose 2
Feeling: Good

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

Adult check-in
2021-06-05
Survey response — day 35, dose 2
MedDRA: Abdominal pain upper, Back pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain in my pancreas area and in my back,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-31
Survey response — 3 months, dose 2
MedDRA: Abdominal distension, Back pain, Burning sensation, Fatigue, Musculoskeletal chest pain, Painful respiration, Swelling — Feeling: Good · Be unable to work or attend school

Free text: I was having pain, swelling, and bloating just under right side ribs that radiated to my back and hurt to breath. I thought it was gallbladder.I got labs. I am getting a burning sensation in my left shin. I also feel very fatigued since the vaccine.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-31
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-02-28
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-09	Pfizer-BioNTech
2	2021-04-30	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-04-16	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-10

Systemic reaction (other): collar bone pain

2021-04-14

Systemic reaction (other): Thyroid meds feel off all of the sudden.

Release 7 — day 7, dose 1

2021-04-16

Systemic reaction (other): I have Hashimoto Thyroiditis. After the 1st shot my thyroid meds feel like I need a significant increase in the dose of Armour Thyroid. My thyroid is swollen.

Healthcare visit (other): Met online with endocrinologist.

Release 8 — days 1–6 daily, dose 2

2021-05-01

Systemic reaction (other): double vision

2021-05-02

Systemic reaction (other): sweating, double vision is gone

2021-05-04

Systemic reaction (other): Sweating

2021-05-05

Systemic reaction (other): Redness in my left eye, went away with a boric acid solution.

Release 8 — day 7, dose 2

2021-05-07

Systemic reaction (other): Asthma

Release 8 — day 35, dose 2

2021-06-05

Symptoms: Pain in my pancreas area and in my back,

Release 9 — 3 months, dose 2

2021-07-31

Symptoms: I was having pain, swelling, and bloating just under right side ribs that radiated to my back and hurt to breath. I thought it was gallbladder.I got labs. I am getting a burning sensation in my left shin. I also feel very fatigued since the vaccine. cut off by CDC

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	Telemedicine	✓	✓	✓
SD	Abdominal distension	✓	·	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Burning sensation	✓	·	✓
SD	Fatigue	✓	·	✓
SD	Musculoskeletal chest pain	✓	·	✓
SD	Painful respiration	✓	·	✓
SD	Swelling	✓	·	✓
SRO	Asthma	✓	✓	✓
SRO	Bone pain	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Diplopia	✓	✓	✓
SRO	Goitre	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Ocular hyperaemia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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