ZCA-12740-13876

2 vaccinations 8 coded responses 16 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 926 / CA
Registered: 2021-02-03

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

2021-01-26
Dose 1 — Pfizer-BioNTech
2021-02-03
Registered in v-safe
2021-02-03
Survey response — day 7, dose 1
MedDRA: Injection site erythema, Injection site rash — Feeling: Good · Site: Pain, Redness, Itching

Free text: 2 red rash at injection site, started today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — day 14, dose 1
MedDRA: Chest pain, Headache, Injection site rash — Feeling: Good

Free text: 2 red rash on arm at injection site on day 8. Also, a little bit of sharp chest pains and sharp head aches off and on through out the day during days 7 & 8.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Dose 2 — Pfizer-BioNTech
2021-02-16
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: I just received the 2nd dose 6 hours ago. No symptoms yet.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Hypersomnia, Influenza, Loss of personal independence in daily activities — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: It feels like low grade flu. Ive slept a lot today and sat on couch all day. Mild bcuz its not bad but I cant go to work

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Good · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Rash on my entire torso, from below my neck to abdomin. No itching or pain with rash

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: Hyperhidrosis, Miliaria, Rash — Feeling: Good

Free text: I previously reported a rash on my torso 2 days after getting 2nd dose. But I think it was a heat rash bcuz I sweated throughout the night (like sweating out a fever), woke up wet, so it was prob not a reaction but a heat rash.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-02
Survey response — day 14, dose 2
MedDRA: Chills, Feeling cold, Malaise — Feeling: Good

Free text: I got chills last night while sleeping. Maybe I was just cold, but it felt like chills (like when youre sick)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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
Survey response — day 35, dose 2
MedDRA: Contusion, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Several unexplained bruises on my back left thigh for a week now. Then, 2 days later a large (1-1/2) dark bruise in the center of the smaller bruises. Had a ultrasound, negative for blood clots. Dont know what they are from. · Healthcare visit (other): In person with my doctor and ultrasound in hospital

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-17
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-18
Call 1 — Left Voicemail
2022-02-16
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-26	Pfizer-BioNTech
2	2021-02-16	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-03-23	Unsuccessful

Free text

Release 3 — day 7, dose 1

2021-02-03

Systemic reaction (other): 2 red rash at injection site, started today

Release 3 — day 14, dose 1

2021-02-09

Symptoms: 2 red rash on arm at injection site on day 8. Also, a little bit of sharp chest pains and sharp head aches off and on through out the day during days 7 & 8.

Release 4 — day 0, dose 2

2021-02-16

Systemic reaction (other): I just received the 2nd dose 6 hours ago. No symptoms yet.

Release 4 — days 1–6 daily, dose 2

2021-02-17

Systemic reaction (other): It feels like low grade flu. Ive slept a lot today and sat on couch all day. Mild bcuz its not bad but I cant go to work

2021-02-18

Systemic reaction (other): Rash on my entire torso, from below my neck to abdomin. No itching or pain with rash

2021-02-20

Systemic reaction (other): I previously reported a rash on my torso 2 days after getting 2nd dose. But I think it was a heat rash bcuz I sweated throughout the night (like sweating out a fever), woke up wet, so it was prob not a reaction but a heat rash.

Release 4 — day 14, dose 2

2021-03-02

Symptoms: I got chills last night while sleeping. Maybe I was just cold, but it felt like chills (like when youre sick)

Release 6 — day 35, dose 2

2021-03-23

Symptoms: Several unexplained bruises on my back left thigh for a week now. Then, 2 days later a large (1-1/2) dark bruise in the center of the smaller bruises. Had a ultrasound, negative for blood clots. Dont know what they are from.

Healthcare visit (other): In person with my doctor and ultrasound in hospital

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	Chest pain	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Contusion	✓	✓	✓
SD	Feeling cold	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Injection site rash	✓	✓	✓
SD	Malaise	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Hypersomnia	✓	✓	✓
SRO	Influenza	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site rash	✓	✓	✓
SRO	Loss of personal independence in daily activities	✓	✓	✓
SRO	Miliaria	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Rash	✓	✓	✓

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