ZBH-77129-65698

4 vaccinations 13 coded responses 42 check-ins 13 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 374 / TN
Registered: 2021-02-16

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-26
Dose 1 — Pfizer-BioNTech
2021-02-16
Registered in v-safe
2021-02-16
Dose 2 — Pfizer-BioNTech
2021-02-16
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-18
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease, Vertigo — Feeling: Fair · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Vertigo which I had months ago · Healthcare visit (other): Made appt for vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-19
Survey response — days 1–6 daily, dose 2
MedDRA: Vertigo — Feeling: Fair · Be unable to do your normal daily activities

Free text: Vertigo still present wondering if it is injection side effect

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event, Vertigo — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Vertigo mild · Healthcare visit (other): Made appointment but it is not for 2 week

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Vertigo — Feeling: Good

Free text: Vertigo but better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Vertigo — Feeling: Good

Free text: Mild positional vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-18
Survey response — 3 months, dose 2
MedDRA: Nasopharyngitis, Sinus disorder — Feeling: Good

Free text: Cold sinus issues for 10+ days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-09
Call successful
Participant prefers to complete VAERS report online
2021-08-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-01
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-08
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-22
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-29
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-05
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-31
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-01
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-30
Dose 4 — Moderna
Co-administered: Flu
2022-10-01
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2022-10-02
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2022-10-03
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-04
Survey response — days 1–6 daily, dose 4
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: Sore throat today

MedDRA releases: 2024-11 · check-in free text available
2022-10-05
Survey response — days 1–6 daily, dose 4
MedDRA: Fatigue, Oropharyngeal pain — Feeling: Fair · Fatigue or tiredness

Free text: Sore throat, mild fatigue bettet today

MedDRA releases: 2024-11 · check-in free text available
2022-10-06
Survey response — days 1–6 daily, dose 4
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-10-07
Survey response — day 7, dose 4
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-10-14
Survey response — day 14, dose 4
MedDRA: Asthenia, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Tired, lack of energy

MedDRA releases: 2024-11 · check-in free text available
2022-10-24
Survey response — day 21, dose 4
MedDRA: Hypersensitivity, Medical counselling, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: This shot flared uo my allergies whuch had been in control for well over 2 5 years. It has been 3 weeks and no better. Going to doctor to get steroids · Healthcare visit (other): Call my doctor to get refills of asthma medication I haven't had to use in over 2 5 years

MedDRA releases: 2024-11 · check-in free text available
2022-10-24
Report sent to call center — day 21, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-25
Call successful
Participant prefers to complete VAERS report online
2022-10-30
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-05
Survey response — day 35, dose 4
MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: My coughing has continued with some light congestion

MedDRA releases: 2024-11 · check-in free text available
2022-11-05
Report sent to call center — day 35, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-07
Call successful
Participant prefers to complete VAERS report online
2022-11-07
Call successful
Participant prefers to complete VAERS report online
2022-11-12
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-01
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-31
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Pfizer-BioNTech
2	2021-02-16	Pfizer-BioNTech
3	2021-10-01	Pfizer-BioNTech	Flu
4	2022-09-30	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-02-18	Successful 2022-11-07	Participant prefers to complete VAERS report online
2021-02-20	Successful 2021-08-09	Participant prefers to complete VAERS report online
2022-10-24	Successful 2022-10-25	Participant prefers to complete VAERS report online
2022-11-05	Successful 2022-11-07	Participant prefers to complete VAERS report online

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-18

Systemic reaction (other): Vertigo which I had months ago

Healthcare visit (other): Made appt for vertigo

2021-02-19

Systemic reaction (other): Vertigo still present wondering if it is injection side effect

2021-02-20

Systemic reaction (other): Vertigo mild

Healthcare visit (other): Made appointment but it is not for 2 week

2021-02-21

Systemic reaction (other): Vertigo but better

2021-02-22

Systemic reaction (other): Mild positional vertigo

Release 8 — 3 months, dose 2

2021-05-18

Symptoms: Cold sinus issues for 10+ days

Release 12 — days 1–6 daily, dose 4

2022-10-04

Systemic reaction (other): Sore throat today

2022-10-05

Systemic reaction (other): Sore throat, mild fatigue bettet today

2022-10-06

Systemic reaction (other): Sore throat

Release 12 — day 7, dose 4

2022-10-07

Systemic reaction (other): Sore throat

Release 12 — day 14, dose 4

2022-10-14

Symptoms: Tired, lack of energy

Release 12 — day 21, dose 4

2022-10-24

Symptoms: This shot flared uo my allergies whuch had been in control for well over 2 5 years. It has been 3 weeks and no better. Going to doctor to get steroids

Healthcare visit (other): Call my doctor to get refills of asthma medication I haven't had to use in over 2 5 years

Release 12 — day 35, dose 4

2022-11-05

Symptoms: My coughing has continued with some light congestion

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	Medical counselling	·	·	✓
HCVO	Unevaluable event	✓	✓	✓
HCVO	Vertigo	✓	✓	✓
SD	Asthenia	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Hypersensitivity	·	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinus disorder	✓	✓	✓
SRO	Fatigue	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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