ZCL-30210-25710

4 vaccinations 10 coded responses 47 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 462 / IN
Registered: 2021-01-18

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

2021-01-18
Registered in v-safe
2021-01-18
Dose 1 — Pfizer-BioNTech
2021-01-18
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Pain

Free text: Pain has been quiet mild at injection site for past few days, just noteworthy that it has lingered for longer than usual when I get a vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-10
Dose 2 — Pfizer-BioNTech
2021-02-10
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Chills

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills, Fatigue or tiredness

Adult check-in
2021-02-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-03
Survey response — day 21, dose 2
MedDRA: Chills — Feeling: Good

Free text: Chills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-01
Dose 3 — Moderna
2021-11-01
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness

Adult check-in
2021-11-03
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Lymph node pain

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenitis — Feeling: Poor · Site: Pain

Free text: Inflamed lymph node

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-08
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-24
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-01
Survey response — day 28, dose 3
MedDRA: Axillary pain — Feeling: Good

Free text: Still having pain in my armpit. Will be consulting with my doctor.

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-15
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-31
Survey response — 3 months, dose 3
MedDRA: Chills, Cough, Headache, Oropharyngeal pain, Pain, Unevaluable event — Feeling: Good · 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

Free text: Respiratory- sore throat, cough, chills, ache, headache

MedDRA releases: 2024-11 · check-in free text available
2022-01-31
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 · 1 call case(s)
2022-03-28
Call 1 — Left Voicemail
2022-05-02
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-01
Survey response — 12 months, dose 3
MedDRA: Chills, Cough, Headache, Oropharyngeal pain, Pyrexia — Feeling: Good · 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

Free text: Headache, chills, fever, sore throat and coughing

MedDRA releases: 2024-11 · check-in free text available
2022-11-01
Report sent to call center — 12 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 · 1 call case(s)
2022-11-02
Call 2 — Left Voicemail
2022-11-02
Call 1 — Left Voicemail
2022-11-02
Call successful
Participant prefers to complete VAERS report online
2022-11-02
Call successful
Participant prefers to complete VAERS report online
2022-11-18
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-11-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2022-11-21
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2022-11-22
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · None

Adult check-in
2022-11-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2022-11-27
Health check-in — day 7, dose 4
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2022-12-04
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-12-11
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-12-16
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-12-30
Survey response — day 42, dose 4
MedDRA: Diarrhoea, Vomiting — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Vomiting and diarrhea

MedDRA releases: 2024-11 · check-in free text available
2023-02-17
Survey response — 3 months, dose 4
MedDRA: Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, Sneezing — Feeling: Fair

MedDRA releases: 2024-11
2023-05-21
Survey response — 6 months, dose 4
MedDRA: Foot fracture — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-05-21
Report sent to call center — 6 months, dose 4
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-05-23
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-18	Pfizer-BioNTech
2	2021-02-10	Pfizer-BioNTech
3	2021-11-01	Moderna	No
4	2022-11-18	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2022-01-31	Successful 2022-11-02	Participant prefers to complete VAERS report online
2022-11-01	Successful 2022-11-02	Participant prefers to complete VAERS report online
2023-05-21	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-24

Systemic reaction (other): Pain has been quiet mild at injection site for past few days, just noteworthy that it has lingered for longer than usual when I get a vaccine

Release 5 — day 21, dose 2

2021-03-03

Symptoms: Chills

Release 10 — days 1–6 daily, dose 3

2021-11-03

Systemic reaction (other): Lymph node pain

2021-11-04

Systemic reaction (other): Inflamed lymph node

Release 10 — day 28, dose 3

2021-12-01

Symptoms: Still having pain in my armpit. Will be consulting with my doctor.

Release 11 — 3 months, dose 3

2022-01-31

Symptoms: Respiratory- sore throat, cough, chills, ache, headache

Release 12 — 12 months, dose 3

2022-11-01

Symptoms: Headache, chills, fever, sore throat and coughing

Release 12 — day 42, dose 4

2022-12-30

Symptoms: Vomiting and diarrhea

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	Axillary pain	·	·	✓
SD	Chills	✓	✓	✓
SD	Cough	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Foot fracture	·	·	✓
SD	Headache	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sneezing	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Vomiting	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenitis	·	·	✓

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