ZAJ-21895-38080

2 vaccinations 8 coded responses 22 check-ins 8 free-text entries 7 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 763 / TX
Registered: 2021-01-12

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

2021-01-10
Dose 1 — Pfizer-BioNTech
2021-01-12
Registered in v-safe
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-12
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-01-20
Survey response — day 7, dose 1
MedDRA: Office visit, Respiratory tract congestion, Wheezing — Feeling: Poor · Fatigue or tiredness · Be unable to work, 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: Systemic reaction (other): Congestion, wheezing in left lung , · Healthcare visit (other): Just went to walk in hours at my clinic

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-20
Report sent to call center — day 7, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-24
Survey response — day 14, dose 1
MedDRA: Aphonia, Chest discomfort, Cough, Dyspnoea, Headache — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Cough tightness in Chest, shortness of breathe , headache, I have lost my voice

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-31
Dose 2 — Pfizer-BioNTech
2021-01-31
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain · Headache, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Unevaluable event — Feeling: Poor · Fever · Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Shortness of breathe · Healthcare visit (other): Already had an appointment scheduled

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Fair

Free text: Shortness of breathe

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Diarrhea

Free text: Shortness of breathe

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness, Diarrhea

Adult check-in
2021-02-14
Survey response — day 14, dose 2
MedDRA: Aphonia, Chest pain, Cough, Dyspnoea, Headache, Hospitalisation — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Went to hospital for chest pain headache shortness of breathe excessive coughing no voice. Wasnt getting any better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Report sent to call center — day 14, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-22
Survey response — day 21, dose 2
MedDRA: Aphonia, Cough, Dyspnoea, Headache, Office visit, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Short of breathe, no voice ,headache, severe couch · Healthcare visit (other): Follow up with my doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-14
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-02
Survey response — 3 months, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, 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: Insurance wont pay for my breathing treatments, symptoms and health condition is same as last time yall asked me to report

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-11
Call 1 — Could Not Reach Participant
2021-05-17
Call 2 — Could Not Reach Participant
2021-08-01
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-01-31
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-10	Pfizer-BioNTech
2	2021-01-31	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-01-12	priority 2/3
2021-01-20	Unsuccessful
2021-01-24	Unsuccessful
2021-02-03	Unsuccessful
2021-02-14	Unsuccessful
2021-02-22	Unsuccessful
2021-05-02	Unsuccessful

Free text

Release 2 — day 7, dose 1

2021-01-20

Systemic reaction (other): Congestion, wheezing in left lung ,

Healthcare visit (other): Just went to walk in hours at my clinic

Release 2 — day 14, dose 1

2021-01-24

Symptoms: Cough tightness in Chest, shortness of breathe , headache, I have lost my voice

Release 3 — days 1–6 daily, dose 2

2021-02-03

Systemic reaction (other): Shortness of breathe

Healthcare visit (other): Already had an appointment scheduled

2021-02-05

Systemic reaction (other): Shortness of breathe

2021-02-06

Systemic reaction (other): Shortness of breathe

Release 4 — day 14, dose 2

2021-02-14

Symptoms: Went to hospital for chest pain headache shortness of breathe excessive coughing no voice. Wasnt getting any better

Release 4 — day 21, dose 2

2021-02-22

Symptoms: Short of breathe, no voice ,headache, severe couch

Healthcare visit (other): Follow up with my doctor

Release 8 — 3 months, dose 2

2021-05-02

Symptoms: Insurance wont pay for my breathing treatments, symptoms and health condition is same as last time yall asked me to report

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	Aphonia	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hospitalisation	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Wheezing	✓	✓	✓

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