Z8J-12033-66641

2 vaccinations 11 coded responses 24 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 142 / NY
Registered: 2021-03-15

Relationship: Self
Race: N/A
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-14
Dose 1 — Pfizer-BioNTech
2021-03-15
Registered in v-safe
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Fair · Fever · Chills, Diarrhea, Abdominal pain

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Ear pain, Hyperhidrosis — Feeling: Fair · Site: Swelling · Fever · Chills, Fatigue or tiredness · Be unable to work

Free text: Sweating, brief ear pain off and on, cough yesterday and today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Good · Site: Swelling · Muscle or body aches

Free text: Less coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling, Itching · None

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-03-21
Survey response — day 7, dose 1
MedDRA: Adverse reaction — Feeling: Good · Site: Swelling · Chills, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Symptoms probably due to new supplements started today and food?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-04
Dose 2 — Pfizer-BioNTech
2021-04-04
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: No

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

Adult check-in
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain, Abdominal pain upper, Flatulence — Feeling: Good · Site: Swelling · Abdominal pain

Free text: Gas and stomach cramps, unknown cause but possible cause of abdominal pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · None

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-11
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-25
Survey response — day 21, dose 2
MedDRA: Anxiety, Aphasia, Confusional state, Impaired work ability — Feeling: Good

Free text: I had covid related memory issues. After vaccination I was feeling less anxious and less confusion, struggling for words. The confusion, struggling for words and anxiousness seem to have returned. I will probably see a Dr. Yes it is affecting my job.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — day 28, dose 2
MedDRA: Memory impairment, Pre-existing disease — Feeling: Good

Free text: My Covid related memory issues had improved after the vaccine. It has been declining again in the last 1 - 2 weeks. I work but it slows me down and is frustrating and concerning. You may only be concerned with physical health changes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-16
Survey response — day 42, dose 2
MedDRA: Respiratory disorder — Feeling: Good

Free text: Respiratory

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-04
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-03
Survey response — 6 months, dose 2
MedDRA: Dyspnoea, Pre-existing disease — Feeling: Good

Free text: There was a 2 to 3 week period in the last 2 months where I could not talk without running out of breath or have difficulty breathing. A friend who had covid previously complained of the same thing at the same time. My Dr said probably from covid.

MedDRA releases: 2024-11 · check-in free text available
2022-04-04
Survey response — 12 months, dose 2
MedDRA: Apnoea, Sleep apnoea syndrome — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Sleep apnea · Healthcare visit (other): Equipment to control apnea

MedDRA releases: 2024-11 · check-in free text available
2022-04-04
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-06
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-14	Pfizer-BioNTech
2	2021-04-04	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2022-04-04	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-15

Systemic reaction (other): Cough

2021-03-16

Systemic reaction (other): Sweating, brief ear pain off and on, cough yesterday and today

2021-03-17

Systemic reaction (other): Less coughing

Release 6 — day 7, dose 1

2021-03-21

Systemic reaction (other): Symptoms probably due to new supplements started today and food?

Release 6 — day 0, dose 2

2021-04-04

Systemic reaction (other): No

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Gas and stomach cramps, unknown cause but possible cause of abdominal pain

Release 7 — day 21, dose 2

2021-04-25

Symptoms: I had covid related memory issues. After vaccination I was feeling less anxious and less confusion, struggling for words. The confusion, struggling for words and anxiousness seem to have returned. I will probably see a Dr. Yes it is affecting my job. cut off by CDC

Release 8 — day 28, dose 2

2021-05-02

Symptoms: My Covid related memory issues had improved after the vaccine. It has been declining again in the last 1 - 2 weeks. I work but it slows me down and is frustrating and concerning. You may only be concerned with physical health changes.

Release 8 — day 42, dose 2

2021-05-16

Symptoms: Respiratory

Release 9 — 6 months, dose 2

2021-10-03

Symptoms: There was a 2 to 3 week period in the last 2 months where I could not talk without running out of breath or have difficulty breathing. A friend who had covid previously complained of the same thing at the same time. My Dr said probably from covid.

Release 11 — 12 months, dose 2

2022-04-04

Symptoms: Sleep apnea

Healthcare visit (other): Equipment to control apnea

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	Apnoea	·	·	✓
SD	Anxiety	✓	✓	✓
SD	Aphasia	✓	✓	✓
SD	Confusional state	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Impaired work ability	✓	✓	✓
SD	Memory impairment	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Respiratory disorder	✓	✓	✓
SD	Sleep apnoea syndrome	·	·	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Flatulence	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	No adverse event	✓	✓	✓

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