ZD9-94242-46008

4 vaccinations 12 coded responses 48 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 009 / PR
Registered: 2020-12-30

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2020-12-30
Registered in v-safe
2021-01-27
Dose 1 — Pfizer-BioNTech
2021-01-27
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-02-03
Survey response — day 7, dose 1
MedDRA: Increased appetite — Feeling: Good

Free text: Increased appetite since day 2 or 3 post vaccination

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-17
Dose 2 — Pfizer-BioNTech
2021-02-17
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-18
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Rhinitis allergic — Feeling: Good · Site: Swelling · Chills

Free text: A little chills but I also have nasal allergies Which might cause chills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site erythema, Injection site swelling — Feeling: Good · Site: Redness, Swelling

Free text: The redness and swelling is not at the site of the inoculation. It is approximately 3 inches below (diagonally)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Somnolence — Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness

Free text: Sleepness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-03-03
Survey response — day 14, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: Chills. Mild. Tire. Tunny noe ( i do not know if it us allergy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-01
Dose 3 — Pfizer-BioNTech
2021-10-01
Health check-in — day 0, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Decreased appetite — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school

Free text: Lack of appetite

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Survey response — days 1–6 daily, dose 3
MedDRA: Decreased appetite — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Lack of appetite. Sleep

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal discomfort, Decreased appetite — Feeling: Fair · Site: Redness, Swelling

Free text: Stomach discomfort. Loss of appetite.

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Swelling · Fatigue or tiredness

Adult check-in
2021-10-09
Survey response — day 7, dose 3
MedDRA: Somnolence — Feeling: Fair · Fatigue or tiredness

Free text: Sleepiness

MedDRA releases: 2024-11 · check-in free text available
2021-10-15
Survey response — day 14, dose 3
MedDRA: Abdominal discomfort, Fatigue — Feeling: Good

Free text: Stomach discomfort. Still tiredness some time

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-10-29
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-05
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-31
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-03
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-08
Dose 4 — Pfizer-BioNTech
2022-04-15
Survey response — day 7, dose 4
MedDRA: Somnolence — Feeling: Fair · Site: Redness, Swelling · Fatigue or tiredness

Free text: Sleepiness

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-29
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-08
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-15
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-21
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-08
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-08
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2023-04-08
Survey response — 12 months, dose 4
MedDRA: Bronchitis, Office visit, Pain, Pre-existing disease, Sinusitis — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-04-08
Report sent to call center — 12 months, dose 4
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2023-04-11
Call 1 — Could Not Reach Participant
2023-04-14
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-27	Pfizer-BioNTech
2	2021-02-17	Pfizer-BioNTech
3	2021-10-01	Pfizer-BioNTech	No
4	2022-04-08	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2023-04-08	Unsuccessful

Free text

Release 3 — day 7, dose 1

2021-02-03

Systemic reaction (other): Increased appetite since day 2 or 3 post vaccination

Release 4 — days 1–6 daily, dose 2

2021-02-18

Systemic reaction (other): A little chills but I also have nasal allergies Which might cause chills

2021-02-21

Systemic reaction (other): The redness and swelling is not at the site of the inoculation. It is approximately 3 inches below (diagonally)

2021-02-23

Systemic reaction (other): Sleepness

Release 5 — day 14, dose 2

2021-03-03

Symptoms: Chills. Mild. Tire. Tunny noe ( i do not know if it us allergy

Release 10 — days 1–6 daily, dose 3

2021-10-04

Systemic reaction (other): Lack of appetite

2021-10-05

Systemic reaction (other): Lack of appetite. Sleep

2021-10-06

Systemic reaction (other): Stomach discomfort. Loss of appetite.

Release 10 — day 7, dose 3

2021-10-09

Systemic reaction (other): Sleepiness

Release 10 — day 14, dose 3

2021-10-15

Symptoms: Stomach discomfort. Still tiredness some time

Release 11 — day 7, dose 4

2022-04-15

Systemic reaction (other): Sleepiness

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	Abdominal discomfort	·	·	✓
SD	Bronchitis	·	·	✓
SD	Fatigue	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Sinusitis	·	·	✓
SD	Unevaluable event	✓	✓	✓
SRO	Abdominal discomfort	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Decreased appetite	·	·	✓
SRO	Increased appetite	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Rhinitis allergic	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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