ZB2-16962-16735

3 vaccinations 10 coded responses 22 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 009 / PR
Registered: 2021-01-05

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

2020-12-22
Dose 1 — Pfizer-BioNTech
2021-01-05
Registered in v-safe
2021-01-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-12
Dose 2 — Pfizer-BioNTech
2021-01-19
Survey response — day 7, dose 2
MedDRA: Fatigue, Headache, Immediate post-injection reaction, Nausea, Pyrexia — Feeling: Good · Site: Pain

Free text: Mild fever, Headache, nausea, tiredness 12-48 hrs post both vaccine doses

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-16
Survey response — day 35, dose 2
MedDRA: Abdominal discomfort, Arthralgia, Condition aggravated, Dizziness, Epistaxis, Heavy menstrual bleeding, Hypoaesthesia, Pain in extremity, Paraesthesia, Pre-existing disease — Feeling: Good

Free text: I have fibromyalgia: Hip and leg pain with tingling/numbness returned and worsening of shoulder pain despite adherence to gabapentin. Dizziness also experienced as on/off. Epistaxis, GI discomfort,heavy menstrual bleeding but may be due to celebrex

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — day 42, dose 2
MedDRA: Abdominal discomfort, Arthralgia, Dizziness, Epistaxis, Gingival bleeding, Paraesthesia — Feeling: Fair

Free text: Joint pain, Gi discomfort, epistaxis, gum bleeding, tingling/numbness in arms and legs, dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — 3 months, dose 2
MedDRA: Epistaxis, Heavy menstrual bleeding, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Weekly episode of epistaxis continue . Monthly heavy menstrual bleeding continue. · Healthcare visit (other): Pending appointment for medical evaluation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-17
Survey response — 6 months, dose 2
MedDRA: Epistaxis, Heavy menstrual bleeding — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Ocasional Nosebleeds and heavy menstrual bleeding continue

MedDRA releases: 2024-11 · check-in free text available
2021-07-17
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-28
Call 1 — Left Voicemail
2022-01-14
Dose 3 — Pfizer-BioNTech
2022-01-14
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-01-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-01-16
Survey response — days 1–6 daily, dose 3
MedDRA: Diarrhoea — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Loose stools

MedDRA releases: 2024-11 · check-in free text available
2022-01-17
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-01-19
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain — Feeling: Fair · Site: Pain · Joint pains

Free text: Arm pit pain in same arm where I got the shot

MedDRA releases: 2024-11 · check-in free text available
2022-01-20
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Axillary pain — Feeling: Fair · Site: Pain · Joint pains

Free text: Shoulder an axila pain

MedDRA releases: 2024-11 · check-in free text available
2022-01-23
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-28
Survey response — day 14, dose 3
MedDRA: Cardiac aneurysm — Feeling: Good

Free text: Interatrial aneurysm

MedDRA releases: 2024-11 · check-in free text available
2022-02-04
Survey response — day 21, dose 3
MedDRA: Arthralgia, Back pain — Feeling: Good

Free text: Hip and back pain

MedDRA releases: 2024-11 · check-in free text available
2022-02-11
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-18
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-25
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-15
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-22	Pfizer-BioNTech
2	2021-01-12	Pfizer-BioNTech
3	2022-01-14	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-15	Unsuccessful
2021-07-17	Unsuccessful

Free text

Release 2 — day 7, dose 2

2021-01-19

Systemic reaction (other): Mild fever, Headache, nausea, tiredness 12-48 hrs post both vaccine doses

Release 4 — day 35, dose 2

2021-02-16

Symptoms: I have fibromyalgia: Hip and leg pain with tingling/numbness returned and worsening of shoulder pain despite adherence to gabapentin. Dizziness also experienced as on/off. Epistaxis, GI discomfort,heavy menstrual bleeding but may be due to celebrex cut off by CDC

Release 4 — day 42, dose 2

2021-02-24

Symptoms: Joint pain, Gi discomfort, epistaxis, gum bleeding, tingling/numbness in arms and legs, dizziness

Release 7 — 3 months, dose 2

2021-04-15

Symptoms: Weekly episode of epistaxis continue . Monthly heavy menstrual bleeding continue.

Healthcare visit (other): Pending appointment for medical evaluation

Release 9 — 6 months, dose 2

2021-07-17

Symptoms: Ocasional Nosebleeds and heavy menstrual bleeding continue

Release 10 — days 1–6 daily, dose 3

2022-01-16

Systemic reaction (other): Loose stools

2022-01-19

Systemic reaction (other): Arm pit pain in same arm where I got the shot

2022-01-20

Systemic reaction (other): Shoulder an axila pain

Release 11 — day 14, dose 3

2022-01-28

Symptoms: Interatrial aneurysm

Release 11 — day 21, dose 3

2022-02-04

Symptoms: Hip and back pain

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	Unevaluable event	✓	✓	✓
SD	Abdominal discomfort	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	·	·	✓
SD	Cardiac aneurysm	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Epistaxis	✓	✓	✓
SD	Gingival bleeding	✓	✓	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Arthralgia	·	·	✓
SRO	Axillary pain	·	·	✓
SRO	Diarrhoea	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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