ZCL-14667-89111

5 vaccinations 8 coded responses 61 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 282 / NC
Registered: 2020-12-31

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

2020-12-31
Registered in v-safe
2020-12-31
Dose 1 — Pfizer-BioNTech
2020-12-31
Health check-in — day 0, dose 1
Feeling: Good · None

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

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-02
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Nausea

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-07
Health check-in — day 7, dose 1
Feeling: Good · None

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

Adult check-in
2021-01-21
Dose 2 — Pfizer-BioNTech
2021-01-21
Health check-in — day 0, dose 2
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-23
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Be unable to do your normal daily activities

Free text: Significant and visible enlargement of the axillary lymph nodes on the side of the injection, mild tenderness on the other side.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy, Tenderness — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Axillary lymph nodes on the side of the injection visibly enlarged and tender but improving.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Lymphadenopathy — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Axillary lymph nodes on the side of the injection are enlarged but going down. Dizziness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-11
Survey response — day 21, dose 2
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Persistent headache, at times moderate to severe.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-25
Dose 3 — Pfizer-BioNTech
2021-09-30
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Headache

Free text: Axillary lymph nodes are swollen

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Headache

Free text: Axillary lymph nodes are enlarged on the side of the vaccine

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Health check-in — day 7, dose 3
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-10-09
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-16
Survey response — day 21, dose 3
MedDRA: Abdominal pain upper, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Nausea, stomach cramps

MedDRA releases: 2024-11 · check-in free text available
2021-10-23
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-30
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-06
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-12-25
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-26
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-16
Dose 4 — Moderna
2022-05-17
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-05-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-05-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-05-21
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-05-22
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache

Adult check-in
2022-05-23
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-30
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-06
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-13
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-20
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-29
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-15
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-07
Dose 5 — Moderna
Co-administered: Flu
2022-10-07
Health check-in — day 0, dose 5
Feeling: Good · None

Adult check-in
2022-10-08
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Nausea

Adult check-in
2022-10-09
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2022-10-10
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2022-10-11
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-12
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-13
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-14
Health check-in — day 7, dose 5
Feeling: Good · Site: Itching · None

Adult check-in
2022-10-21
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-28
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-04
Survey response — day 28, dose 5
MedDRA: Conjunctivitis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Conjunctivitis both eyes

MedDRA releases: 2024-11 · check-in free text available
2022-11-04
Report sent to call center — day 28, dose 5
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-11-07
Call 1 — Left Voicemail
2022-11-11
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-18
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-06
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-07
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-31	Pfizer-BioNTech
2	2021-01-21	Pfizer-BioNTech
3	2021-09-25	Pfizer-BioNTech	No
4	2022-05-16	Moderna	No
5	2022-10-07	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-01-02	priority 2/3
2022-11-04	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 2

2021-01-23

Systemic reaction (other): Significant and visible enlargement of the axillary lymph nodes on the side of the injection, mild tenderness on the other side.

2021-01-24

Systemic reaction (other): Axillary lymph nodes on the side of the injection visibly enlarged and tender but improving.

2021-01-25

Systemic reaction (other): Axillary lymph nodes on the side of the injection are enlarged but going down. Dizziness.

Release 4 — day 21, dose 2

2021-02-11

Symptoms: Persistent headache, at times moderate to severe.

Release 9 — days 1–6 daily, dose 3

2021-09-30

Systemic reaction (other): Axillary lymph nodes are swollen

2021-10-01

Systemic reaction (other): Axillary lymph nodes are enlarged on the side of the vaccine

Release 10 — day 21, dose 3

2021-10-16

Symptoms: Nausea, stomach cramps

Release 12 — day 28, dose 5

2022-11-04

Symptoms: Conjunctivitis both eyes

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	Abdominal pain upper	·	·	✓
SD	Conjunctivitis	·	·	✓
SD	Headache	✓	✓	✓
SD	Nausea	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Tenderness	○	✓	○

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