ZAQ-40372-23068

3 vaccinations 12 coded responses 33 check-ins 12 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 631 / MO
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

2020-12-17
Dose 1 — Pfizer-BioNTech
2020-12-18
Registered in v-safe
2020-12-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, Abdominal pain

Adult check-in
2020-12-19
Survey response — days 1–6 daily, dose 1
MedDRA: Sleep disorder — Feeling: Good · Site: Pain · Chills, Headache, Muscle or body aches

Free text: Interrupted sleep the past 2 nights since I received the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-20
Survey response — days 1–6 daily, dose 1
MedDRA: Middle insomnia — Feeling: Good · Fatigue or tiredness

Free text: Middle of the night insomnia since getting the vaccine on 12/17 3 days ago

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-21
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia, Middle insomnia — Feeling: Good · Fatigue or tiredness

Free text: Middle of night waking and insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-26
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2020-12-31
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-04
Dose 2 — Pfizer-BioNTech
2021-01-04
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-05
Survey response — days 1–6 daily, dose 2
MedDRA: Disturbance in attention — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Difficulty concentrating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities

2 call case(s)
2021-01-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-08
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Fair · Fatigue or tiredness

Free text: Middle of night insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-13
Survey response — day 7, dose 2
MedDRA: Insomnia — Feeling: Good · Fatigue or tiredness

Free text: Middle of night insomnia persists almost every night since I received the first dose of vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-01-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-24
Dose 3 — Pfizer-BioNTech
2021-09-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-09-29
Survey response — days 1–6 daily, dose 3
MedDRA: Fatigue, Injection site pain, Insomnia, Pyrexia — Feeling: Good

Free text: All my symptoms appeared in the first 48 hours after the last injection, 3rd dose was Friday evening 9/24/21. The next morning my left deltoid muscle at injection site was very sore for 12 hrs. Over next 36 hrs had sleeplessness, fatigue, fever

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Survey response — days 1–6 daily, dose 3
MedDRA: Adverse reaction — Feeling: Good

Free text: Had many symptoms in 48Â° following injection.

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Survey response — day 7, dose 3
MedDRA: Adverse reaction — Feeling: Good

Free text: None now but significant symptoms in first 48 hours

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-15
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-22
Survey response — day 28, dose 3
MedDRA: Adverse reaction — Feeling: Fair · Be unable to do your normal daily activities

Free text: Have had adverse reaction to influenza vaccine I believe. Received it 4 days ago on Tuesday 2/19

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Survey response — day 35, dose 3
MedDRA: Malaise, Pancreatitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Malaise and pancreatitis

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-24
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-25
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-24
Survey response — 12 months, dose 3
MedDRA: Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Activation of long-dormant systemic lupus erythematosus - thought to be related to so many vaccines in past 1.5 years.

MedDRA releases: 2024-11 · check-in free text available
2022-09-24
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-26
Call 1 — Left Voicemail
2022-09-28
Call 2 — Left Voicemail
2022-09-30
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-17	Pfizer-BioNTech
2	2021-01-04	Pfizer-BioNTech
3	2021-09-24	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-05	priority 2/3
2021-01-05	priority 2/3
2022-09-24	Successful 2022-09-30	Participant prefers to complete VAERS report online

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-19

Systemic reaction (other): Interrupted sleep the past 2 nights since I received the vaccine

2020-12-20

Systemic reaction (other): Middle of the night insomnia since getting the vaccine on 12/17 3 days ago

2020-12-21

Systemic reaction (other): Middle of night waking and insomnia

Release 1 — days 1–6 daily, dose 2

2021-01-05

Systemic reaction (other): Difficulty concentrating

2021-01-08

Systemic reaction (other): Middle of night insomnia

Release 1 — day 7, dose 2

2021-01-13

Systemic reaction (other): Middle of night insomnia persists almost every night since I received the first dose of vaccine

Release 9 — days 1–6 daily, dose 3

2021-09-29

Systemic reaction (other): All my symptoms appeared in the first 48 hours after the last injection, 3rd dose was Friday evening 9/24/21. The next morning my left deltoid muscle at injection site was very sore for 12 hrs. Over next 36 hrs had sleeplessness, fatigue, fever

2021-09-30

Systemic reaction (other): Had many symptoms in 48Â° following injection.

Release 9 — day 7, dose 3

2021-10-01

Systemic reaction (other): None now but significant symptoms in first 48 hours

Release 10 — day 28, dose 3

2021-10-22

Symptoms: Have had adverse reaction to influenza vaccine I believe. Received it 4 days ago on Tuesday 2/19

Release 10 — day 35, dose 3

2021-10-29

Symptoms: Malaise and pancreatitis

Release 12 — 12 months, dose 3

2022-09-24

Symptoms: Activation of long-dormant systemic lupus erythematosus - thought to be related to so many vaccines in past 1.5 years.

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	Adverse reaction	·	·	✓
SD	Malaise	·	·	✓
SD	Pancreatitis	·	·	✓
SD	Pre-existing disease	·	·	✓
SRO	Adverse reaction	·	·	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Fatigue	·	·	✓
SRO	Injection site pain	·	·	✓
SRO	Insomnia	✓	✓	✓
SRO	Middle insomnia	✓	✓	✓
SRO	Pyrexia	·	·	✓
SRO	Sleep disorder	✓	✓	✓

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