ZCA-30080-19629

3 vaccinations 8 coded responses 26 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 684 / NE
Registered: 2021-03-19

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

2021-03-19
Registered in v-safe
2021-03-19
Dose 1 — Pfizer-BioNTech
2021-03-19
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: None yet but just got the shot 20 minutes ago

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Be unable to do your normal daily activities

Free text: Soreness in left arm where vaccine was administered

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: Not today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea — Feeling: Good

Free text: Sniffles. Allergies I hope

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — day 7, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-04-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-09
Dose 2 — Pfizer-BioNTech
2021-04-09
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: Too soon to know. Just got vaccine 14 minutes ago

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills · Be unable to do your normal daily activities

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Dysphagia, Emergency care, Medical counselling, Office visit, Throat tightness — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Difficulty swallowing and tightness around throat. Went to doctor and was out in Prednisone · Healthcare visit (other): My family physician was able to get me in with the PA

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-16
Survey response — day 7, dose 2
MedDRA: Office visit, Oropharyngeal pain — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Throat is sore · Healthcare visit (other): Doctors office yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-07
Survey response — day 28, dose 2
MedDRA: Dysphagia, Office visit, Throat tightness — Feeling: Good · Be unable to work, Get care from a doctor or other healthcare professional

Free text: Symptoms: Difficulty Swallowing and throat tightening · Healthcare visit (other): Primary doctor and allergy doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Report sent to call center — day 28, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-10
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-01
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2022-03-04
Call successful
Does not wish to fill out VAERS report
2022-04-11
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-06-01
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-03
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Pfizer-BioNTech
2	2021-04-09	Pfizer-BioNTech
3	2021-12-01	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-04-15	Successful	Does not wish to fill out VAERS report
2021-04-16	Successful	Does not wish to fill out VAERS report
2021-05-07	Successful 2022-03-04	Does not wish to fill out VAERS report

Free text

Release 5 — day 0, dose 1

2021-03-19

Systemic reaction (other): None yet but just got the shot 20 minutes ago

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Soreness in left arm where vaccine was administered

2021-03-23

Systemic reaction (other): Not today

2021-03-24

Systemic reaction (other): Sniffles. Allergies I hope

Release 7 — day 0, dose 2

2021-04-09

Systemic reaction (other): Too soon to know. Just got vaccine 14 minutes ago

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Difficulty swallowing and tightness around throat. Went to doctor and was out in Prednisone

Healthcare visit (other): My family physician was able to get me in with the PA

Release 7 — day 7, dose 2

2021-04-16

Systemic reaction (other): Throat is sore

Healthcare visit (other): Doctors office yesterday

Release 8 — day 28, dose 2

2021-05-07

Symptoms: Difficulty Swallowing and throat tightening

Healthcare visit (other): Primary doctor and allergy doctor

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	Office visit	✓	✓	✓
SD	Dysphagia	✓	✓	✓
SD	Throat tightness	✓	✓	✓
SRO	Dysphagia	✓	✓	✓
SRO	Emergency care	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Office visit	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Throat tightness	✓	✓	✓

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