ZBW-26729-79906

4 vaccinations 13 coded responses 44 check-ins 13 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 631 / MO
Registered: 2021-02-19

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

2021-02-19
Registered in v-safe
2021-02-19
Dose 1 — Pfizer-BioNTech
2021-02-19
Survey response — day 0, dose 1
MedDRA: Pain in extremity, Taste disorder — Feeling: Good · Site: Swelling

Free text: Arms sore, slight taste in mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-23
Survey response — days 1–6 daily, dose 1
MedDRA: Inflammation — Feeling: Poor · Site: Pain, Swelling · Joint pains · Be unable to do your normal daily activities

Free text: Bill is fine.Mary back and hand inflammation. Not sure related to vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-02-25
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Back pain, Pain in extremity — Feeling: Fair · Joint pains, Muscle or body aches

Free text: (b)(6) has been great.(b)(6) lower back, left hip, r hand joint pain still have

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Joint pains, Muscle or body aches

Free text: (b)(6) is still great but (b)(6) still some problem areas.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-12
Dose 2 — Pfizer-BioNTech
2021-03-12
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: Bill and I are fine right now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Nausea — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Slight nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-02
Survey response — day 21, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — day 28, dose 2
MedDRA: Asthenia, Fatigue, Muscular weakness — Feeling: Good

Free text: Bill is fine. Mary is still fatigued, lack of energy and some weakness in the legs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — day 35, dose 2
MedDRA: Asthenia, Fatigue, Headache, Loss of personal independence in daily activities — Feeling: Good

Free text: Bill is fine. Mary still fatigued, some headaches, lack of energy. Slow getting things accomplished.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-13
Survey response — 3 months, dose 2
MedDRA: Asthenia, Dyspnoea, Fatigue — Feeling: Fair

Free text: (b)(6) slight breathing problems. Both have been extremely fatigued, no energy. Requires more rest.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-10
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-28
Dose 3 — Pfizer-BioNTech
2021-10-01
Survey response — days 1–6 daily, dose 3
MedDRA: Barotrauma — Feeling: Good

Free text: Head feels like in airplane and wont clear

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · 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 — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-09
Survey response — day 42, dose 3
MedDRA: Cough, Fatigue, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Bill is: Achy, coughing, tired for 4 days

MedDRA releases: 2024-11 · check-in free text available
2021-12-28
Survey response — 3 months, dose 3
MedDRA: Bone contusion, Bone pain, Inflammation, Office visit, Pain, Unevaluable event — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Bruised ribs, inflammation, intense pain, bone pain. Mary all in upper body. Dr treated pain meds, anti inflammation meds, pt. Going to do a ct scan.

MedDRA releases: 2024-11 · check-in free text available
2021-12-28
Report sent to call center — 3 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-30
Call 1 — Could Not Reach Participant
2022-01-05
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-29
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-10
Dose 4 — Pfizer-BioNTech
2022-04-15
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-16
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-17
Health check-in — day 7, dose 4
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2022-04-24
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-08
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-15
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-22
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-12
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-10
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-19	Pfizer-BioNTech
2	2021-03-12	Pfizer-BioNTech
3	2021-09-28	Pfizer-BioNTech	No
4	2022-04-10	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-12-28	Successful 2022-01-05	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 4 — day 0, dose 1

2021-02-19

Systemic reaction (other): Arms sore, slight taste in mouth

Release 4 — days 1–6 daily, dose 1

2021-02-23

Systemic reaction (other): Bill is fine.Mary back and hand inflammation. Not sure related to vaccine.

2021-02-25

Systemic reaction (other): (b)(6) has been great.(b)(6) lower back, left hip, r hand joint pain still have

redacted (b)(6)

Release 4 — day 7, dose 1

2021-02-26

Systemic reaction (other): (b)(6) is still great but (b)(6) still some problem areas.

redacted (b)(6)

Release 5 — day 0, dose 2

2021-03-12

Systemic reaction (other): Bill and I are fine right now.

Release 5 — days 1–6 daily, dose 2

2021-03-14

Systemic reaction (other): Slight nausea

Release 6 — day 21, dose 2

2021-04-02

Symptoms: Fatigue

Release 7 — day 28, dose 2

2021-04-09

Symptoms: Bill is fine. Mary is still fatigued, lack of energy and some weakness in the legs.

Release 7 — day 35, dose 2

2021-04-16

Symptoms: Bill is fine. Mary still fatigued, some headaches, lack of energy. Slow getting things accomplished.

Release 9 — 3 months, dose 2

2021-06-13

Symptoms: (b)(6) slight breathing problems. Both have been extremely fatigued, no energy. Requires more rest.

redacted (b)(6)

Release 9 — days 1–6 daily, dose 3

2021-10-01

Systemic reaction (other): Head feels like in airplane and wont clear

Release 10 — day 42, dose 3

2021-11-09

Symptoms: Bill is: Achy, coughing, tired for 4 days

Release 10 — 3 months, dose 3

2021-12-28

Symptoms: Bruised ribs, inflammation, intense pain, bone pain. Mary all in upper body. Dr treated pain meds, anti inflammation meds, pt. Going to do a ct scan.

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	Asthenia	✓	✓	✓
SD	Bone contusion	·	·	✓
SD	Bone pain	·	·	✓
SD	Cough	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Inflammation	·	·	✓
SD	Loss of personal independence in daily activities	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Office visit	·	·	✓
SD	Pain	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Adverse reaction	○	○	○
SRO	Arthralgia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Barotrauma	·	·	✓
SRO	Inflammation	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Taste disorder	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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