Z9B-29639-29819

2 vaccinations 6 coded responses 24 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 704 / LA
Registered: 2021-02-26

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

2021-02-26
Registered in v-safe
2021-02-26
Dose 1 — Pfizer-BioNTech
2021-02-26
Survey response — day 0, dose 1
MedDRA: Malaise, Pre-existing disease — Feeling: Fair · Headache, Fatigue or tiredness

Free text: I wasn't feeling well before i received my injection. Like allergies or a head cold. So my symptoms could be from that and not the injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Headache, Hospitalisation, Hypertension — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Im currently in the Hospital over night for observation, im having high blood pressure and headache and chest pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-28
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Headache, Hospitalisation, Hypertension — Feeling: Poor · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: I was in the Hospital ladt night for high blood pressure and headache and tightness in chest. My heart is ok. Was feeling bad before the injection. I don't think the two are related. Was released and sent home.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: My blood pressure has been very low. It started before I received my shot..

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My blood pressure is low but it was like that before i received my injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-17
Dose 2 — Pfizer-BioNTech
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — day 7, dose 2
Feeling: Fair · Headache

Adult check-in
2021-03-31
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-08
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-14
Call 1 — Could Not Reach Participant
2021-09-16
Survey response — 6 months, dose 2
MedDRA: Malaise, SARS-CoV-2 test negative — 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 · Outpatient clinic or urgent care clinic visit

Free text: August 9, 2021 got really sick. My daughter and I both had all of the symptoms of covid. She tested positive and i tested negative. Both sick, both fully vaccinated. Both are fine now.

MedDRA releases: 2024-11 · check-in free text available
2021-09-16
Report sent to call center — 6 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

1 call case(s)
2021-09-17
Call 2 — Left Voicemail
2021-09-17
Call 1 — Left Voicemail
2022-03-17
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Pfizer-BioNTech
2	2021-03-17	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-02-27	Unsuccessful
2021-02-28	Unsuccessful
2021-09-16	Unsuccessful

Free text

Release 4 — day 0, dose 1

2021-02-26

Systemic reaction (other): I wasn't feeling well before i received my injection. Like allergies or a head cold. So my symptoms could be from that and not the injection.

Release 4 — days 1–6 daily, dose 1

2021-02-27

Systemic reaction (other): Im currently in the Hospital over night for observation, im having high blood pressure and headache and chest pain.

2021-02-28

Systemic reaction (other): I was in the Hospital ladt night for high blood pressure and headache and tightness in chest. My heart is ok. Was feeling bad before the injection. I don't think the two are related. Was released and sent home.

2021-03-03

Systemic reaction (other): My blood pressure has been very low. It started before I received my shot..

Release 5 — days 1–6 daily, dose 1

2021-03-04

Systemic reaction (other): My blood pressure is low but it was like that before i received my injection.

Release 9 — 6 months, dose 2

2021-09-16

Symptoms: August 9, 2021 got really sick. My daughter and I both had all of the symptoms of covid. She tested positive and i tested negative. Both sick, both fully vaccinated. Both are fine now.

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	Malaise	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hospitalisation	✓	✓	✓
SRO	Hypertension	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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