ZAN-31695-25134

3 vaccinations 9 coded responses 27 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 985 / WA
Registered: 2021-05-29

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

2021-05-01
Dose 1 — Pfizer-BioNTech
2021-05-29
Registered in v-safe
2021-05-29
Dose 2 — Pfizer-BioNTech
2021-05-29
Survey response — day 0, dose 2
MedDRA: Muscle spasms — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Right foot keeps cramping

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Foot cramp

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-05
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-12
Survey response — day 14, dose 2
MedDRA: Cough, Pre-existing disease, Productive cough, Seasonal allergy — Feeling: Good

Free text: Phlegmy cough. Not real bad but maybe worth mentioning. Could be seasonal allergies too though

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-03
Survey response — day 35, dose 2
MedDRA: Mood swings, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Unexplainable moodiness, aches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-29
Survey response — 6 months, dose 2
MedDRA: Cough, Dyspnoea, Pyrexia — 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 · Emergency room or emergency department visit

Free text: Low grade fever, cough, difficulty breathing

MedDRA releases: 2024-11 · check-in free text available
2021-11-29
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

Emergency room or emergency department visit · 1 call case(s)
2021-11-30
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-12-06
Dose 3 — Pfizer-BioNTech
2021-12-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-12-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Diarrhea

Adult check-in
2021-12-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-12-13
Health check-in — day 7, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2021-12-20
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-27
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-03
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-10
Survey response — day 35, dose 3
MedDRA: Dysmenorrhoea, Heavy menstrual bleeding, Menstruation delayed — Feeling: Good · Be unable to do your normal daily activities

Free text: My period was abnormally 2 weeks late and extremely heavy with unusual cramping. Has since subsided but thought it with mentioning.

MedDRA releases: 2024-11 · check-in free text available
2022-01-17
Survey response — day 42, dose 3
MedDRA: Chills, Dizziness, Head discomfort, Headache, Patient isolation — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache, weird feeling in head similar to light headed when standing to quick, but happens when not being active. Chills. Nothing severe, didn't get tested since symptoms weren't bad, just isolated in my room for 5 days as precaution. I'm ok now tho

MedDRA releases: 2024-11 · check-in free text available
2022-03-07
Survey response — 3 months, dose 3
MedDRA: Chest pain, Fatigue, Weight increased — 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: Fatigue, weight gain, chest pain. Probably unrelated. Have doc appointment coming up and am on antibiotics now incase it's related to a mouth infection i may have

MedDRA releases: 2024-11 · check-in free text available
2022-03-07
Report sent to call center — 3 months, dose 3
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)
2022-03-08
Call successful
Does not wish to fill out VAERS report
2022-06-06
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-12-06
Survey response — 12 months, dose 3
MedDRA: Apathy, Asthenia, Lethargy, Weight increased — Feeling: Fair · 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: Gained 50lbs. Lack of energy, motivation. Lethargic.

MedDRA releases: 2024-11 · check-in free text available
2022-12-06
Report sent to call center — 12 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-07
Call 1 — Requested Callback
2022-12-08
Call 2 — Left Voicemail
2022-12-08
Callback requested for
12:00PM ET

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-01	Pfizer-BioNTech
2	2021-05-29	Pfizer-BioNTech
3	2021-12-06	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-11-29	Successful 2021-11-30	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-07	Successful 2022-03-08	Does not wish to fill out VAERS report
2022-12-06	Unsuccessful

Free text

Release 8 — day 0, dose 2

2021-05-29

Systemic reaction (other): Right foot keeps cramping

Release 8 — days 1–6 daily, dose 2

2021-05-31

Systemic reaction (other): Foot cramp

Release 9 — day 14, dose 2

2021-06-12

Symptoms: Phlegmy cough. Not real bad but maybe worth mentioning. Could be seasonal allergies too though

Release 9 — day 35, dose 2

2021-07-03

Symptoms: Unexplainable moodiness, aches.

Release 10 — 6 months, dose 2

2021-11-29

Symptoms: Low grade fever, cough, difficulty breathing

Release 10 — day 35, dose 3

2022-01-10

Symptoms: My period was abnormally 2 weeks late and extremely heavy with unusual cramping. Has since subsided but thought it with mentioning.

Release 10 — day 42, dose 3

2022-01-17

Symptoms: Headache, weird feeling in head similar to light headed when standing to quick, but happens when not being active. Chills. Nothing severe, didn't get tested since symptoms weren't bad, just isolated in my room for 5 days as precaution. I'm ok now tho cut off by CDC

Release 11 — 3 months, dose 3

2022-03-07

Symptoms: Fatigue, weight gain, chest pain. Probably unrelated. Have doc appointment coming up and am on antibiotics now incase it's related to a mouth infection i may have

Release 12 — 12 months, dose 3

2022-12-06

Symptoms: Gained 50lbs. Lack of energy, motivation. Lethargic.

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
SD	Apathy	·	·	✓
SD	Asthenia	·	·	✓
SD	Chest pain	·	·	✓
SD	Chills	·	·	✓
SD	Cough	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Dysmenorrhoea	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Head discomfort	·	·	✓
SD	Headache	·	·	✓
SD	Heavy menstrual bleeding	·	·	✓
SD	Lethargy	·	·	✓
SD	Menstruation delayed	·	·	✓
SD	Mood swings	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Patient isolation	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Productive cough	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Seasonal allergy	✓	✓	✓
SD	Weight increased	·	·	✓
SRO	Muscle spasms	✓	✓	✓

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