ZBC-23004-49193

4 vaccinations 18 coded responses 27 check-ins 17 free-text entries 6 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 029 / RI
Registered: 2021-02-25

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

2021-02-25
Registered in v-safe
2021-02-25
Dose 1 — Pfizer-BioNTech
2021-02-25
Health check-in — day 0, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-26
Survey response — days 1–6 daily, dose 1
MedDRA: Lower respiratory tract infection — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · 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

Free text: Chest feels like I have cold in it

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Report sent to call center — days 1–6 daily, dose 1
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)
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness, Swelling · Fever · Headache, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion — Feeling: Fair · Site: Swelling, Itching · Fever

Free text: Stuffy nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Fair · Site: Itching · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Mucus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Stuffy nose congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: Respiratory tract congestion — Feeling: Fair · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — day 7, dose 1
MedDRA: Respiratory tract congestion — Feeling: Good · Site: Pain · Be unable to work

Free text: Congested

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-18
Dose 2 — Pfizer-BioNTech
2021-03-18
Health check-in — day 0, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspepsia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Indigestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Hypoaesthesia, Respiratory tract congestion — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Numb fingers congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Dry throat, Respiratory tract congestion — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Cough congestion my throat feels dry

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches · Be unable to work

Adult check-in
2021-03-25
Survey response — day 7, dose 2
MedDRA: Cough — Feeling: Good · Muscle or body aches · Be unable to work

Free text: Cough

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

Adult check-in
2021-04-08
Survey response — day 21, dose 2
MedDRA: Fatigue, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Exhausted pain in arm where shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-22
Survey response — day 35, dose 2
MedDRA: Nausea, Pyrexia — Feeling: Fair

Free text: Nausea and fever in shot area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — day 42, dose 2
MedDRA: Injection site warmth, Pain in extremity — Feeling: Fair

Free text: In left arm it gets fever at injection sight and I get pain to left baby finger. Pains in legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Survey response — 3 months, dose 2
MedDRA: Eye haemorrhage, 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 · Outpatient clinic or urgent care clinic visit

Free text: I have bleeding in my eye I went on lovenox fir DVT AFTER HAving Covid

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Report sent to call center — 3 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

1 call case(s)
2021-06-18
Call 1 — Left Voicemail
2021-09-16
Survey response — 6 months, dose 2
MedDRA: Diverticulitis, Fatigue, Haemorrhage, Office visit, Pre-existing disease, Respiratory disorder, Tooth disorder, Vision blurred — 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 · Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: Always tired problems with breathing my eye sight that was infected during Covid is blurry and a bleed my teeth are rotting breaking out of my mouth. More Diverticultis attacks · Healthcare visit (other): Dr office

MedDRA releases: 2024-11 · check-in free text available
2021-09-16
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

1 call case(s)
2021-09-17
Call 1 — Left Voicemail
2021-11-10
Dose 3 — Pfizer-BioNTech
2022-03-18
Survey response — 12 months, dose 2
MedDRA: Balance disorder, Dental caries, Fatigue — 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 · Outpatient clinic or urgent care clinic visit

Free text: Loosing balance alway fatigue teeth rotting

MedDRA releases: 2024-11 · check-in free text available
2022-03-18
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)
2022-03-21
Call 1 — Left Voicemail
2022-05-13
Dose 4 — Pfizer-BioNTech
2022-11-11
Survey response — 6 months, dose 4
MedDRA: Diverticulitis, Influenza like illness, Pain in extremity — 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: Diverticultis pain in legs flu like symptoms

MedDRA releases: 2024-11 · check-in free text available
2022-11-11
Report sent to call center — 6 months, dose 4
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)
2022-11-14
Call successful
Does not wish to fill out VAERS report
2022-11-14
Call successful
Does not wish to fill out VAERS report
2022-11-14
Call successful
Does not wish to fill out VAERS report
2022-11-14
Call successful
Does not wish to fill out VAERS report
2022-11-14
Call successful
Does not wish to fill out VAERS report
2023-05-13
Survey response — 12 months, dose 4
MedDRA: COVID-19 — 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 · Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-05-13
Report sent to call center — 12 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

Emergency room or emergency department visit · 1 call case(s)
2023-05-15
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-25	Pfizer-BioNTech
2	2021-03-18	Pfizer-BioNTech
3	2021-11-10	Pfizer-BioNTech	No
4	2022-05-13	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-02-26	Successful 2022-11-14	Does not wish to fill out VAERS report
2021-06-17	Successful 2022-11-14	Does not wish to fill out VAERS report
2021-09-16	Successful 2022-11-14	Does not wish to fill out VAERS report
2022-03-18	Successful 2022-11-14	Does not wish to fill out VAERS report
2022-11-11	Successful 2022-11-14	Does not wish to fill out VAERS report
2023-05-13	Successful 2023-05-15	Does not wish to fill out VAERS report

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-26

Systemic reaction (other): Chest feels like I have cold in it

2021-02-28

Systemic reaction (other): Stuffy nose

2021-03-01

Systemic reaction (other): Mucus

2021-03-02

Systemic reaction (other): Stuffy nose congestion

2021-03-03

Systemic reaction (other): Congestion

Release 5 — day 7, dose 1

2021-03-04

Systemic reaction (other): Congested

Release 6 — days 1–6 daily, dose 2

2021-03-19

Systemic reaction (other): Indigestion

2021-03-21

Systemic reaction (other): Numb fingers congestion

2021-03-22

Systemic reaction (other): Cough congestion my throat feels dry

Release 6 — day 7, dose 2

2021-03-25

Systemic reaction (other): Cough

Release 7 — day 21, dose 2

2021-04-08

Symptoms: Exhausted pain in arm where shot

Release 7 — day 35, dose 2

2021-04-22

Symptoms: Nausea and fever in shot area

Release 8 — day 42, dose 2

2021-04-29

Symptoms: In left arm it gets fever at injection sight and I get pain to left baby finger. Pains in legs

Release 9 — 3 months, dose 2

2021-06-17

Symptoms: I have bleeding in my eye I went on lovenox fir DVT AFTER HAving Covid

Release 9 — 6 months, dose 2

2021-09-16

Symptoms: Always tired problems with breathing my eye sight that was infected during Covid is blurry and a bleed my teeth are rotting breaking out of my mouth. More Diverticultis attacks

Healthcare visit (other): Dr office

Release 11 — 12 months, dose 2

2022-03-18

Symptoms: Loosing balance alway fatigue teeth rotting

Release 12 — 6 months, dose 4

2022-11-11

Symptoms: Diverticultis pain in legs flu like symptoms

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	Office visit	·	·	✓
SD	Balance disorder	·	·	✓
SD	COVID-19	·	·	✓
SD	Dental caries	·	·	✓
SD	Diverticulitis	·	·	✓
SD	Eye haemorrhage	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Haemorrhage	·	·	✓
SD	Influenza like illness	·	·	✓
SD	Injection site warmth	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory disorder	·	·	✓
SD	Tooth disorder	·	·	✓
SD	Vision blurred	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dry throat	✓	✓	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Lower respiratory tract infection	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓

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