Z9N-27196-38021

3 vaccinations 11 coded responses 25 check-ins 11 free-text entries 5 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 857 / AZ
Registered: 2021-02-27

Relationship: Self
Race: Other
Ethnicity: 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
Survey response — day 0, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Headache

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

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

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

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain, Oropharyngeal pain — Feeling: Fair · Headache

Free text: Sore throat, ear ache, probably unrelated

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 · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-13
Survey response — day 14, dose 1
MedDRA: Headache, Paraesthesia, Visual impairment — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Tingling/pins and needles sensation in right arm and right leg, and occasionally other body parts. Vision seems off, headaches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-20
Dose 2 — Pfizer-BioNTech
2021-03-20
Survey response — day 0, dose 2
MedDRA: Paraesthesia, Specialist consultation — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): Tingling/pins and needles in right arm and leg · Healthcare visit (other): Neurologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Report sent to call center — day 0, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Pins and needles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Lingering pins and needles feelings

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia — Feeling: Fair

Free text: Tingling on right side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia — Feeling: Fair

Free text: Pins and needles feeling on right side

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: Feeling abnormal — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Right side still feels weird

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-27
Survey response — day 7, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Right side still feels weird

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-03
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-10
Health check-in — day 21, dose 2
Feeling: Fair

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: Fair

Adult check-in
2021-05-01
Survey response — day 42, dose 2
MedDRA: Office visit, Paraesthesia — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Tingling on right side extremities is back · Healthcare visit (other): Neurologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-21
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-18
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-11
Dose 3 — Pfizer-BioNTech
2021-12-09
Call successful
Participant prefers to complete VAERS report online
2021-12-09
Call successful
Participant prefers to complete VAERS report online
2021-12-09
Call successful
Participant prefers to complete VAERS report online
2021-12-09
Call successful
Participant prefers to complete VAERS report online
2021-12-09
Call successful
Participant prefers to complete VAERS report online
2022-03-20
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-05-14
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-27	Pfizer-BioNTech
2	2021-03-20	Pfizer-BioNTech
3	2021-11-11	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-13	Successful 2021-12-09	Participant prefers to complete VAERS report online
2021-03-20	Successful 2021-12-09	Participant prefers to complete VAERS report online
2021-03-26	Successful 2021-12-09	Participant prefers to complete VAERS report online
2021-03-27	Successful 2021-12-09	Participant prefers to complete VAERS report online
2021-05-01	Successful 2021-12-09	Participant prefers to complete VAERS report online

Free text

Release 4 — day 0, dose 1

2021-02-27

Systemic reaction (other): Sore throat

Release 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): Sore throat, ear ache, probably unrelated

Release 5 — day 14, dose 1

2021-03-13

Symptoms: Tingling/pins and needles sensation in right arm and right leg, and occasionally other body parts. Vision seems off, headaches.

Release 6 — day 0, dose 2

2021-03-20

Systemic reaction (other): Tingling/pins and needles in right arm and leg

Healthcare visit (other): Neurologist

Release 6 — days 1–6 daily, dose 2

2021-03-21

Systemic reaction (other): Pins and needles

2021-03-22

Systemic reaction (other): Lingering pins and needles feelings

2021-03-24

Systemic reaction (other): Tingling on right side

2021-03-25

Systemic reaction (other): Pins and needles feeling on right side

2021-03-26

Systemic reaction (other): Right side still feels weird

Release 6 — day 7, dose 2

2021-03-27

Systemic reaction (other): Right side still feels weird

Release 8 — day 42, dose 2

2021-05-01

Symptoms: Tingling on right side extremities is back

Healthcare visit (other): Neurologist

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	Office visit	✓	✓	✓
HCVO	Specialist consultation	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Visual impairment	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓

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