ZAK-29581-03810

2 vaccinations 9 coded responses 21 check-ins 9 free-text entries 15 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 880 / NM
Registered: 2020-12-18

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

2020-12-18
Registered in v-safe
2020-12-18
Dose 1 — Pfizer-BioNTech
2020-12-18
Health check-in — day 0, dose 1
Feeling: Fair · Headache, Nausea

Adult check-in
2020-12-19
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2020-12-19
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2020-12-20
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Nausea

Adult check-in
2020-12-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Nausea

Adult check-in
2020-12-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-01
Survey response — day 14, dose 1
MedDRA: Abdominal pain upper, Headache, Nausea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Headaches, nausea/stomach pain has returned

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-07
Dose 2 — Pfizer-BioNTech
2021-01-08
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Headache, Syncope — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Headache, syncope, weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-01-10
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-11
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, 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 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-13
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-14
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-01-14
Report sent to call center — day 7, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-21
Survey response — day 14, dose 2
MedDRA: Rash — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I have developed a rash/almost abscess on my forehead. Very painful, feels like how people describe shingles. Been using hot packs, steroids and on a 10 day antibiotic regimen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-28
Survey response — day 21, dose 2
MedDRA: Herpes zoster — Feeling: Poor · Be unable to work

Free text: Been diagnosed with shingles and it is in my eye.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — day 28, dose 2
MedDRA: Herpes zoster — Feeling: Fair · Be unable to work, 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: Shingles in my eye

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Report sent to call center — day 28, 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)
2021-02-11
Survey response — day 35, dose 2
MedDRA: Herpes zoster, Medical observation — Feeling: Fair · Be unable to work, 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: Symptoms: Shingles have returned and on a second round of anti-virals. Acyclovir 800mg, 5 times a day for 10 days. It has spread to the torso and the opposite side of the first outbreak. · Healthcare visit (other): Optometrist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Report sent to call center — day 35, 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)
2021-02-18
Survey response — day 42, dose 2
MedDRA: Herpes zoster, Office visit — Feeling: Fair · Be unable to work, 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: Symptoms: Shingles returned · Healthcare visit (other): Optometrist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Report sent to call center — day 42, 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)
2021-04-08
Survey response — 3 months, dose 2
MedDRA: Condition aggravated, Herpes zoster, Pre-existing disease — Feeling: Poor · 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: Return of shingles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Report sent to call center — 3 months, 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)
2021-05-10
Call 1 — Left Voicemail
2021-05-12
Call successful
Does not wish to fill out VAERS report
2021-07-08
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-01-07
Survey response — 12 months, dose 2
MedDRA: Cough, Pyrexia — Feeling: Poor · 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: High fever, cough. Negative PCR.

MedDRA releases: 2024-11 · check-in free text available
2022-01-07
Report sent to call center — 12 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-10
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-18	Pfizer-BioNTech
2	2021-01-07	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2020-12-19	priority 2/3
2020-12-20	priority 2/3
2021-01-01	priority 2/3
2021-01-08	priority 2/3
2021-01-10	priority 2/3
2021-01-11	priority 2/3
2021-01-12	priority 2/3
2021-01-13	priority 2/3
2021-01-14	priority 2/3
2021-01-21	Successful	Does not wish to fill out VAERS report
2021-02-04	Successful	Does not wish to fill out VAERS report
2021-02-11	Successful	Does not wish to fill out VAERS report
2021-02-18	Successful	Does not wish to fill out VAERS report
2021-04-08	Successful 2021-05-12	Does not wish to fill out VAERS report
2022-01-07	Successful 2022-01-10	Participant prefers to complete VAERS report online

Free text

Release 1 — day 14, dose 1

2021-01-01

Symptoms: Headaches, nausea/stomach pain has returned

Release 1 — days 1–6 daily, dose 2

2021-01-08

Systemic reaction (other): Headache, syncope, weakness

Release 2 — day 14, dose 2

2021-01-21

Symptoms: I have developed a rash/almost abscess on my forehead. Very painful, feels like how people describe shingles. Been using hot packs, steroids and on a 10 day antibiotic regimen.

Release 2 — day 21, dose 2

2021-01-28

Symptoms: Been diagnosed with shingles and it is in my eye.

Release 3 — day 28, dose 2

2021-02-04

Symptoms: Shingles in my eye

Release 4 — day 35, dose 2

2021-02-11

Symptoms: Shingles have returned and on a second round of anti-virals. Acyclovir 800mg, 5 times a day for 10 days. It has spread to the torso and the opposite side of the first outbreak.

Healthcare visit (other): Optometrist

Release 4 — day 42, dose 2

2021-02-18

Symptoms: Shingles returned

Healthcare visit (other): Optometrist

Release 7 — 3 months, dose 2

2021-04-08

Symptoms: Return of shingles

Release 10 — 12 months, dose 2

2022-01-07

Symptoms: High fever, cough. Negative PCR.

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	Medical observation	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Cough	·	·	✓
SD	Headache	✓	✓	✓
SD	Herpes zoster	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Rash	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Syncope	✓	✓	✓

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