ZAH-10630-31265

4 vaccinations 13 coded responses 39 check-ins 12 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 934 / CA
Registered: 2021-03-07

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-03-05
Dose 1 — Pfizer-BioNTech
2021-03-07
Registered in v-safe
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Kind of dizzy this Morning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-26
Dose 2 — Pfizer-BioNTech
2021-03-26
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Peripheral coldness — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Cold hands and feet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness

Free text: Tiredness when a go for a walk

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Joint pains

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Polymyalgia rheumatica, Pre-existing disease — Feeling: Fair · Headache, Joint pains · Be unable to do your normal daily activities

Free text: I have polymyalgia rheumatica possible flare up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-01
Survey response — day 35, dose 2
MedDRA: Arthralgia, Epistaxis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Allergies with nose bleedingJoint pain my mainly on my hands and arms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-25
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-24
Survey response — 6 months, dose 2
MedDRA: Epistaxis, Hypersensitivity, Pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Frequent allergies with nose bleeding body achesI am not attributing these symptoms to my Pfizer immunization.

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Dose 3 — Pfizer-BioNTech
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Peripheral coldness — Feeling: Poor · Site: Pain · Joint pains · Be unable to do your normal daily activities

Free text: Cold feet

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-08
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-17
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-22
Survey response — day 21, dose 3
MedDRA: Arrhythmia, Arthralgia, Condition aggravated, Epistaxis, Myalgia, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Allergies, nosebleeds, joint a muscular pain some exacerbation on my chronic cardiac symptoms and some arrhythmia. I do not think These is related to my Pfizer booster shot · Healthcare visit (other): Cardiology appointment

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-25
Call 1 — Left Voicemail
2021-10-29
Survey response — day 28, dose 3
MedDRA: Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have heart disease my symptoms are related to my chronic heart condition.

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-01-02
Survey response — 3 months, dose 3
MedDRA: Arrhythmia, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Arrhythmias · Healthcare visit (other): Zyo Patch Monitor, MRI of the heart

MedDRA releases: 2024-11 · check-in free text available
2022-01-02
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-04
Call 1 — Left Voicemail
2022-04-06
Dose 4 — Pfizer-BioNTech
2022-04-15
Health check-in — day 7, dose 4
Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2022-04-22
Survey response — day 14, dose 4
MedDRA: Back pain, Headache, Sneezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: Back pain headaches sneezing

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-07
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-11
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-18
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-07
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-05
Survey response — 6 months, dose 4
MedDRA: Adverse reaction, Arthralgia, Fatigue — Feeling: Poor · Be unable to do your normal daily activities

Free text: Fatigue, severe allergy symptoms, joint pain

MedDRA releases: 2024-11 · check-in free text available
2023-04-06
Survey response — 12 months, dose 4
MedDRA: Arthralgia, Myalgia — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Pfizer-BioNTech
2	2021-03-26	Pfizer-BioNTech
3	2021-10-01	Pfizer-BioNTech	No
4	2022-04-06	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-10-22	Unsuccessful
2022-01-02	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-08

Systemic reaction (other): Kind of dizzy this Morning

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): Cold hands and feet

2021-03-28

Systemic reaction (other): Tiredness when a go for a walk

2021-04-01

Systemic reaction (other): I have polymyalgia rheumatica possible flare up

Release 8 — day 35, dose 2

2021-05-01

Symptoms: Allergies with nose bleedingJoint pain my mainly on my hands and arms

Release 9 — 6 months, dose 2

2021-09-24

Symptoms: Frequent allergies with nose bleeding body achesI am not attributing these symptoms to my Pfizer immunization.

Release 9 — days 1–6 daily, dose 3

2021-10-02

Systemic reaction (other): Cold feet

Release 10 — day 21, dose 3

2021-10-22

Symptoms: Allergies, nosebleeds, joint a muscular pain some exacerbation on my chronic cardiac symptoms and some arrhythmia. I do not think These is related to my Pfizer booster shot

Healthcare visit (other): Cardiology appointment

Release 10 — day 28, dose 3

2021-10-29

Symptoms: I have heart disease my symptoms are related to my chronic heart condition.

Release 10 — 3 months, dose 3

2022-01-02

Symptoms: Arrhythmias

Healthcare visit (other): Zyo Patch Monitor, MRI of the heart

Release 11 — day 14, dose 4

2022-04-22

Symptoms: Back pain headaches sneezing

Release 12 — 6 months, dose 4

2022-10-05

Symptoms: Fatigue, severe allergy symptoms, joint pain

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	Unevaluable event	·	·	✓
SD	Adverse reaction	·	·	✓
SD	Arrhythmia	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Epistaxis	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Hypersensitivity	·	·	✓
SD	Myalgia	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Sneezing	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Peripheral coldness	✓	✓	✓
SRO	Polymyalgia rheumatica	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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