ZAN-23134-40653

4 vaccinations 8 coded responses 16 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 197 / DE
Registered: 2021-04-23

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

2021-04-01
Dose 1 — Pfizer-BioNTech
2021-04-22
Dose 2 — Pfizer-BioNTech
2021-04-23
Registered in v-safe
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Pain of skin, Tenderness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: skin pain (even hair follicles) - hurts to be touched

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Pain of skin — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Severe skin pain including scalp/haircut follicles, touch hurt

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Pain of skin — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work

Free text: Skin tenderness (moderate)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-29
Health check-in — day 7, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-05-06
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-13
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-20
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-27
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-03
Survey response — day 42, dose 2
MedDRA: Alopecia, Condition aggravated, Memory impairment, Oxygen saturation decreased, Peripheral swelling, Poor quality sleep, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: It's variable but this week my improved long covid symptoms backslid (oxygen saturation dropping to upper 80s occasionally, feet swelling, hair falling out again, working memory issues) but I had terrible sleep and that tends to cause worse symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-22
Survey response — 3 months, dose 2
MedDRA: Alopecia, Arthralgia, COVID-19, Chest pain, Dizziness, Eye swelling, Fatigue, Hypersensitivity, Oxygen saturation decreased, Pre-existing disease — Feeling: Fair · Be unable to work or attend school

Free text: Flares of long covid symptoms again after the improvement (low oxygen, joint pain, hair loss, light headed, fatigue, hot feeling in lungs, new allergy symptoms (eye swelling), some others I probably forgot), comes and goes a few days at a time

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Survey response — 6 months, dose 2
MedDRA: Blood pressure increased, Pre-existing disease — Feeling: Good · Be unable to work or attend school, 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: Symptoms: Elevated blood pressure · Healthcare visit (other): Prescription change, increased Candesartan, which REDUCED my long covid symptoms!

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-25
Dose 3 — Moderna
Co-administered: Flu
2021-10-25
Call successful
Not applicable - Accidental Reporting
2022-04-22
Survey response — 12 months, dose 2
MedDRA: Exposure to SARS-CoV-2, SARS-CoV-2 test negative, Viral infection — 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: Viral infection possibly covid (testing negative, four other household members all positive)

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
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)
2022-04-25
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-22
Dose 4 — Other-Unknown
Co-administered: Flu
2023-04-22
Survey response — 6 months, dose 4
MedDRA: Biopsy breast abnormal, Breast hyperplasia, Oxygen saturation decreased, Post-acute COVID-19 syndrome, Pre-existing disease — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-22
Report sent to call center — 6 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-04-24
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Pfizer-BioNTech
2	2021-04-22	Pfizer-BioNTech
3	2021-10-25	Moderna	Flu
4	2022-10-22	Other-Unknown	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-10-21	Successful 2021-10-25	Not applicable - Accidental Reporting
2022-04-22	Successful 2022-04-25	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-22	Successful 2023-04-24	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-23

Systemic reaction (other): skin pain (even hair follicles) - hurts to be touched

2021-04-24

Systemic reaction (other): Severe skin pain including scalp/haircut follicles, touch hurt

2021-04-25

Systemic reaction (other): Skin tenderness (moderate)

Release 8 — day 42, dose 2

2021-06-03

Symptoms: It's variable but this week my improved long covid symptoms backslid (oxygen saturation dropping to upper 80s occasionally, feet swelling, hair falling out again, working memory issues) but I had terrible sleep and that tends to cause worse symptoms cut off by CDC

Release 9 — 3 months, dose 2

2021-07-22

Symptoms: Flares of long covid symptoms again after the improvement (low oxygen, joint pain, hair loss, light headed, fatigue, hot feeling in lungs, new allergy symptoms (eye swelling), some others I probably forgot), comes and goes a few days at a time

Release 10 — 6 months, dose 2

2021-10-21

Symptoms: Elevated blood pressure

Healthcare visit (other): Prescription change, increased Candesartan, which REDUCED my long covid symptoms!

Release 11 — 12 months, dose 2

2022-04-22

Symptoms: Viral infection possibly covid (testing negative, four other household members all positive)

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	Pre-existing disease	·	·	✓
SD	Alopecia	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Biopsy breast abnormal	·	·	✓
SD	Blood pressure increased	·	·	✓
SD	Breast hyperplasia	·	·	✓
SD	Chest pain	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Dizziness	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Eye swelling	·	·	✓
SD	Fatigue	·	·	✓
SD	Hypersensitivity	·	·	✓
SD	Memory impairment	✓	✓	✓
SD	Oxygen saturation decreased	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Poor quality sleep	✓	✓	✓
SD	Post-acute COVID-19 syndrome	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Viral infection	·	·	✓
SRO	Pain of skin	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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