ZCR-30896-91753

2 vaccinations 11 coded responses 25 check-ins 11 free-text entries 5 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 900 / CA
Registered: 2021-04-15

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

2021-04-15
Registered in v-safe
2021-04-15
Dose 1 — Pfizer-BioNTech
2021-04-15
Survey response — day 0, dose 1
MedDRA: Hypoaesthesia, Pain in extremity — Feeling: Fair · Fatigue or tiredness

Free text: Mild numbness on side of body I got shot on, sore arm but not pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Deafness, Hypoaesthesia, Lymphadenopathy, Pre-existing disease — Feeling: Fair · Site: Pain · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Major aggravation of eustachian tube issue including change in hearing, swollen lymph nodes in neck, mild numbness in hand and side of face that shot was on.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-21
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Dyspnoea — Feeling: Fair · Fatigue or tiredness

Free text: Chest tightness, breathing is off

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-30
Survey response — day 14, dose 1
MedDRA: Back pain — Feeling: Fair

Free text: Lower back pain started today, like PMS, but I am 2 years into menopause.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-07
Dose 2 — Pfizer-BioNTech
2021-05-07
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-11
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Dyspnoea — Feeling: Poor · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Chest tightness, breathing trouble

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — days 1–6 daily, dose 2
MedDRA: Dry throat, Dyspnoea, Nasal dryness — Feeling: Fair · Fatigue or tiredness · Be unable to work

Free text: Trouble breathing. Dry sinuses and lungs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-14
Survey response — day 7, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Short of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-28
Survey response — day 21, dose 2
MedDRA: Chest discomfort, Fatigue, Malaise, Mental impairment, Urticaria — Feeling: Poor · Be unable to work, 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: Have felt unwell since second vaccine dose. Had some improvement last week, but worse now. Can't think, fatigue, chest tightness, feel like death, one episode hives (first ever).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-04
Survey response — day 28, dose 2
MedDRA: Chest discomfort, Fatigue, Hyperventilation, Urticaria — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Worsening chest tightness/breathing, fatigue, and new hives.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Report sent to call center — day 28, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-11
Survey response — day 35, dose 2
MedDRA: Chest discomfort, Condition aggravated, Dyspnoea, Pre-existing disease — Feeling: Poor · 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, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Chest tightness/Breathing issue became hyperreactive respiratory disorder and I've been prescribed Albuterol and budesonide. I had this intermittently for the past year, but it's been daily since covid Vax 2 and I've missed work.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Report sent to call center — day 35, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-06-17
Call successful
Participant prefers to complete VAERS report online
2021-06-18
Survey response — day 42, dose 2
MedDRA: Nausea — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-24
Call 1 — Left Voicemail
2021-08-06
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-11-05
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-05-07
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-15	Pfizer-BioNTech
2	2021-05-07	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-04-16	Successful	Participant prefers to complete VAERS report online
2021-05-28	Successful	Participant prefers to complete VAERS report online
2021-06-04	Successful	Participant prefers to complete VAERS report online
2021-06-11	Successful 2021-06-17	Participant prefers to complete VAERS report online
2021-06-18	Unsuccessful

Free text

Release 7 — day 0, dose 1

2021-04-15

Systemic reaction (other): Mild numbness on side of body I got shot on, sore arm but not pain

Release 7 — days 1–6 daily, dose 1

2021-04-16

Systemic reaction (other): Major aggravation of eustachian tube issue including change in hearing, swollen lymph nodes in neck, mild numbness in hand and side of face that shot was on.

2021-04-21

Systemic reaction (other): Chest tightness, breathing is off

Release 8 — day 14, dose 1

2021-04-30

Symptoms: Lower back pain started today, like PMS, but I am 2 years into menopause.

Release 8 — days 1–6 daily, dose 2

2021-05-11

Systemic reaction (other): Chest tightness, breathing trouble

2021-05-12

Systemic reaction (other): Trouble breathing. Dry sinuses and lungs

Release 8 — day 7, dose 2

2021-05-14

Systemic reaction (other): Short of breath

Release 8 — day 21, dose 2

2021-05-28

Symptoms: Have felt unwell since second vaccine dose. Had some improvement last week, but worse now. Can't think, fatigue, chest tightness, feel like death, one episode hives (first ever).

Release 8 — day 28, dose 2

2021-06-04

Symptoms: Worsening chest tightness/breathing, fatigue, and new hives.

Release 9 — day 35, dose 2

2021-06-11

Symptoms: Chest tightness/Breathing issue became hyperreactive respiratory disorder and I've been prescribed Albuterol and budesonide. I had this intermittently for the past year, but it's been daily since covid Vax 2 and I've missed work.

Release 9 — day 42, dose 2

2021-06-18

Symptoms: Nausea

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	Back pain	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Hyperventilation	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Mental impairment	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Deafness	✓	✓	✓
SRO	Dry throat	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Nasal dryness	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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