ZCP-14629-72025

4 vaccinations 13 coded responses 41 check-ins 12 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 850 / AZ
Registered: 2021-03-19

Relationship: Self
Race: Other
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
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Ageusia — Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lost my sense of taste

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 · Muscle or body aches

Adult check-in
2021-03-26
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

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

Adult check-in
2021-04-10
Dose 2 — Pfizer-BioNTech
2021-04-10
Health check-in — day 0, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Chills, Headache, Joint pains, 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: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal distension, Abdominal pain — Feeling: Fair · Chills, Joint pains, Muscle or body aches

Free text: Cramping bloating abdomen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal distension, Abdominal pain — Feeling: Fair · Chills, Joint pains, Fatigue or tiredness

Free text: Abdominal bloating and cramps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — day 7, dose 2
MedDRA: Abdominal distension, Abdominal pain — Feeling: Fair · Diarrhea

Free text: Abdominal cramping and bloating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-22
Dose 3 — Pfizer-BioNTech
2021-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-28
Survey response — days 1–6 daily, dose 3
MedDRA: Office visit — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional

Free text: Rheumatologist appt

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-29
Health check-in — day 7, dose 3
Feeling: Poor · Site: Swelling · Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-11-02
Call 2 — Left Voicemail
2021-11-05
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-12
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-19
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-26
Survey response — day 35, dose 3
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: inordinate fatigue has lingered

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-21
Survey response — 3 months, dose 3
MedDRA: Asthma, Cough, Fatigue, Illness, Nasopharyngitis, Pre-existing disease, Somnolence — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cough, cold symptoms, extreme fatigue (somnolence) NO FEVERS asthma extreme exacerbation still present 2 weeks after illness began NO GI SXS

MedDRA releases: 2024-11 · check-in free text available
2022-03-27
Dose 4 — Moderna
2022-04-15
Survey response — day 14, dose 4
MedDRA: Delirium, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: High fever and delirium for 4 days after booster 2

MedDRA releases: 2024-11 · check-in free text available
2022-04-17
Survey response — day 21, dose 4
MedDRA: Fatigue — Feeling: Fair · 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: Extreme fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-04-17
Report sent to call center — day 21, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-04-19
Call 2 — Left Voicemail
2022-04-26
Survey response — day 28, dose 4
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache almost daily

MedDRA releases: 2024-11 · check-in free text available
2022-05-01
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-08
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-06-28
Survey response — 3 months, dose 4
MedDRA: Cough, Decreased appetite, Diarrhoea, Fatigue, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fever cough diarrhea fatigue loss of appetite

MedDRA releases: 2024-11 · check-in free text available
2022-09-26
Survey response — 6 months, dose 4
MedDRA: Adverse drug reaction, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: My RA is no longer being helped with the biologic I am on

MedDRA releases: 2024-11 · check-in free text available
2023-03-27
Survey response — 12 months, dose 4
MedDRA: Autoimmune disorder, Diabetic complication — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-03-27
Report sent to call center — 12 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-03-28
Call 1 — Left Voicemail
2023-03-28
Call 1 — Left Voicemail
2023-03-28
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Pfizer-BioNTech
2	2021-04-10	Pfizer-BioNTech
3	2021-10-22	Pfizer-BioNTech	No
4	2022-03-27	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-10-28	Unsuccessful
2022-04-17	Unsuccessful
2023-03-27	Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-24

Systemic reaction (other): Lost my sense of taste

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Cramping bloating abdomen

2021-04-16

Systemic reaction (other): Abdominal bloating and cramps

Release 7 — day 7, dose 2

2021-04-17

Systemic reaction (other): Abdominal cramping and bloating

Release 10 — days 1–6 daily, dose 3

2021-10-28

Healthcare visit (other): Rheumatologist appt

Release 10 — day 35, dose 3

2021-11-26

Symptoms: inordinate fatigue has lingered

Release 11 — 3 months, dose 3

2022-01-21

Symptoms: Cough, cold symptoms, extreme fatigue (somnolence) NO FEVERS asthma extreme exacerbation still present 2 weeks after illness began NO GI SXS

Release 11 — day 14, dose 4

2022-04-15

Symptoms: High fever and delirium for 4 days after booster 2

Release 11 — day 21, dose 4

2022-04-17

Symptoms: Extreme fatigue

Release 11 — day 28, dose 4

2022-04-26

Symptoms: Headache almost daily

Release 12 — 3 months, dose 4

2022-06-28

Symptoms: Fever cough diarrhea fatigue loss of appetite

Release 12 — 6 months, dose 4

2022-09-26

Symptoms: My RA is no longer being helped with the biologic I am on

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	Adverse drug reaction	·	·	✓
SD	Asthma	·	·	✓
SD	Autoimmune disorder	·	·	✓
SD	Cough	·	·	✓
SD	Decreased appetite	·	·	✓
SD	Delirium	·	·	✓
SD	Diabetic complication	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Illness	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	·	·	✓
SD	Somnolence	·	·	✓
SRO	Abdominal distension	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Ageusia	✓	✓	✓

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