ZBJ-15732-19812

3 vaccinations 16 coded responses 39 check-ins 16 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 660 / KS
Registered: 2021-03-31

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

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

2021-03-31
Registered in v-safe
2021-03-31
Dose 1 — Pfizer-BioNTech
2021-03-31
Survey response — day 0, dose 1
MedDRA: Heart rate increased — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Increased heart rate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Body temperature decreased — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Low temp instead of high, 97.7 F

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Fair · Site: Pain, Redness, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Injection site bruising, Respiratory tract congestion, Sinus congestion — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Cough, chest and sinus congestion, small bruise at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Respiratory tract congestion — Feeling: Poor · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Cough, congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Night sweats — Feeling: Poor · Site: Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Cough, sweaty during sleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Site: Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Cough and mild congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 7, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-14
Health check-in — day 14, dose 1
Feeling: Poor

Adult check-in
2021-04-21
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-27
Dose 2 — Pfizer-BioNTech
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

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

Adult check-in
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Dry cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — day 7, dose 2
MedDRA: Cough — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Dry cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Survey response — day 14, dose 2
MedDRA: Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities

Free text: Injection site on arm is occasionally sending sharp tingly pangs down my arm and into the hand.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Health check-in — day 21, dose 2
Feeling: Poor

Adult check-in
2021-05-25
Health check-in — day 28, dose 2
Feeling: Poor

Adult check-in
2021-06-01
Health check-in — day 35, dose 2
Feeling: Poor

Adult check-in
2021-06-09
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-27
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-26
Survey response — 6 months, dose 2
MedDRA: Palpitations — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Heart palpitations

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-28
Call 1 — Left Voicemail
2022-01-04
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2022-01-05
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-01-06
Survey response — days 1–6 daily, dose 3
MedDRA: Night sweats — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Night sweats

MedDRA releases: 2024-11 · check-in free text available
2022-01-07
Survey response — days 1–6 daily, dose 3
MedDRA: Night sweats — Feeling: Fair · Site: Pain, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Night sweats

MedDRA releases: 2024-11 · check-in free text available
2022-01-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-01-09
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-01-10
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-01-12
Health check-in — day 7, dose 3
Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-01-18
Survey response — day 14, dose 3
MedDRA: Decreased appetite, Fatigue, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Sore throat, loss of appetite, extreme fatigue and exhaustion

MedDRA releases: 2024-11 · check-in free text available
2022-01-26
Survey response — day 21, dose 3
MedDRA: Brain fog, Cognitive disorder, Fatigue, Muscular weakness, Somnolence, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Chronic fatigue and muscle weakness, brain fog and cognitive dysfunction, all severely increased. · Healthcare visit (other): I scheduled an in person visit, then rescheduled to televisit due to my health, then had to cancel because I couldn't even be awake for that type of appointment.

MedDRA releases: 2024-11 · check-in free text available
2022-01-26
Report sent to call center — day 21, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-27
Call 1 — Could Not Reach Participant
2022-02-01
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-02-01
Call 2 — Could Not Reach Participant
2022-02-08
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-02-15
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-04-05
Health check-in — 3 months, dose 3
Feeling: Poor

Adult check-in
2022-07-05
Health check-in — 6 months, dose 3
Feeling: Poor

Adult check-in
2023-01-04
Health check-in — 12 months, dose 3
Feeling: Poor

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Pfizer-BioNTech
2	2021-04-27	Pfizer-BioNTech
3	2022-01-04	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-10-26	Unsuccessful
2022-01-26	Unsuccessful

Free text

Release 6 — day 0, dose 1

2021-03-31

Systemic reaction (other): Increased heart rate

Release 6 — days 1–6 daily, dose 1

2021-04-01

Systemic reaction (other): Low temp instead of high, 97.7 F

2021-04-02

Systemic reaction (other): Cough

2021-04-03

Systemic reaction (other): Cough, chest and sinus congestion, small bruise at injection site

2021-04-04

Systemic reaction (other): Cough, congestion

2021-04-05

Systemic reaction (other): Cough, sweaty during sleep

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): Cough and mild congestion

Release 8 — days 1–6 daily, dose 2

2021-05-02

Systemic reaction (other): Coughing

2021-05-03

Systemic reaction (other): Dry cough

Release 8 — day 7, dose 2

2021-05-04

Systemic reaction (other): Dry cough

Release 8 — day 14, dose 2

2021-05-11

Symptoms: Injection site on arm is occasionally sending sharp tingly pangs down my arm and into the hand.

Release 10 — 6 months, dose 2

2021-10-26

Symptoms: Heart palpitations

Release 10 — days 1–6 daily, dose 3

2022-01-06

Systemic reaction (other): Night sweats

2022-01-07

Systemic reaction (other): Night sweats

Release 10 — day 14, dose 3

2022-01-18

Symptoms: Sore throat, loss of appetite, extreme fatigue and exhaustion

Release 11 — day 21, dose 3

2022-01-26

Symptoms: Chronic fatigue and muscle weakness, brain fog and cognitive dysfunction, all severely increased.

Healthcare visit (other): I scheduled an in person visit, then rescheduled to televisit due to my health, then had to cancel because I couldn't even be awake for that type of appointment.

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	Somnolence	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Brain fog	·	·	✓
SD	Cognitive disorder	·	·	✓
SD	Decreased appetite	·	·	✓
SD	Fatigue	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Palpitations	·	·	✓
SRO	Body temperature decreased	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Night sweats	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Sinus congestion	✓	✓	✓

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