ZC6-27404-77084

3 vaccinations 9 coded responses 31 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 977 / OR
Registered: 2020-12-23

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

2020-12-22
Dose 1 — Pfizer-BioNTech
2020-12-23
Registered in v-safe
2020-12-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2020-12-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-29
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-12
Dose 2 — Pfizer-BioNTech
2021-01-12
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-16
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Fair

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Fair · Be unable to work

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Report sent to call center — days 1–6 daily, dose 2
Be unable to work

1 call case(s)
2021-01-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-01-19
Survey response — day 7, dose 2
MedDRA: Cough — Feeling: Fair

Free text: Cough

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: Pre-existing disease, Psoriasis, Psoriatic arthropathy — Feeling: Fair

Free text: Increase in previously controlled psoriatic arthritis and psoriasis symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — day 42, dose 2
MedDRA: Pre-existing disease, Psoriasis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Increased psoriatic disease

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-13
Survey response — 3 months, dose 2
MedDRA: Cough, Pre-existing disease, Psoriasis — Feeling: Good · Be unable to work

Free text: Week long cough post 2 nd shot, severe out break of psoriasis lasting until just a week ago, psoriasis hands, feet, arms legs, even on my biological drug, it kept progressing. Worst in 15 years since on treatment.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-07-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-14
Dose 3 — Pfizer-BioNTech
2021-09-28
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-05
Survey response — day 21, dose 3
MedDRA: Pre-existing disease, Psoriasis, Psoriatic arthropathy, Skin lesion — Feeling: Good

Free text: Skin lesions from psoriasis, mild, increased psoriatic arthritis symptoms in hips, shoulders

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-12
Survey response — day 28, dose 3
MedDRA: Joint noise, Joint stiffness, Physiotherapy — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Transient joint stiffness and clicking in shoulders, not usual. · Healthcare visit (other): Physical therapy taping

MedDRA releases: 2024-11 · check-in free text available
2021-10-12
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-19
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-26
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-14
Survey response — 3 months, dose 3
MedDRA: Pre-existing disease, Psoriasis, Vaccine positive rechallenge — Feeling: Good

Free text: Flair of psoriasis, happened also after my first two shots

MedDRA releases: 2024-11 · check-in free text available
2022-03-15
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-14
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-22	Pfizer-BioNTech
2	2021-01-12	Pfizer-BioNTech
3	2021-09-14	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-17	priority 2/3
2021-02-23	Successful 2021-06-03	Reported to VAERS voluntarily prior to GDIT contact
2021-10-12	Successful 2021-10-07	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 2 — days 1–6 daily, dose 2

2021-01-16

Systemic reaction (other): Cough

2021-01-17

Systemic reaction (other): Cough

Release 2 — day 7, dose 2

2021-01-19

Systemic reaction (other): Cough

Release 4 — day 35, dose 2

2021-02-16

Symptoms: Increase in previously controlled psoriatic arthritis and psoriasis symptoms

Release 4 — day 42, dose 2

2021-02-23

Symptoms: Increased psoriatic disease

Release 7 — 3 months, dose 2

2021-04-13

Symptoms: Week long cough post 2 nd shot, severe out break of psoriasis lasting until just a week ago, psoriasis hands, feet, arms legs, even on my biological drug, it kept progressing. Worst in 15 years since on treatment.

Release 10 — day 21, dose 3

2021-10-05

Symptoms: Skin lesions from psoriasis, mild, increased psoriatic arthritis symptoms in hips, shoulders

Release 10 — day 28, dose 3

2021-10-12

Symptoms: Transient joint stiffness and clicking in shoulders, not usual.

Healthcare visit (other): Physical therapy taping

Release 10 — 3 months, dose 3

2021-12-14

Symptoms: Flair of psoriasis, happened also after my first two shots

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	Physiotherapy	·	·	✓
SD	Cough	✓	✓	✓
SD	Joint noise	·	·	✓
SD	Joint stiffness	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Psoriasis	✓	✓	✓
SD	Psoriatic arthropathy	✓	✓	✓
SD	Skin lesion	·	·	✓
SD	Vaccine positive rechallenge	·	·	✓
SRO	Cough	✓	✓	✓

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