ZDP-92046-43049

3 vaccinations 8 coded responses 14 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 890 / NV
Registered: 2021-11-29

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

2021-03-24
Dose 1 — Pfizer-BioNTech
2021-04-14
Dose 2 — Pfizer-BioNTech
2021-11-29
Registered in v-safe
2021-12-01
Dose 3 — Pfizer-BioNTech
2021-12-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-04
Survey response — days 1–6 daily, dose 3
MedDRA: Pre-existing disease — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Symptoms not related to shot. Symptoms are related to cancer and radiation and chemo treatments.

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Survey response — days 1–6 daily, dose 3
MedDRA: Adverse drug reaction, Pre-existing disease, Radiotherapy — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: But, these are related to uterine cancer and associated radiation and chemo treatments.

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Survey response — days 1–6 daily, dose 3
MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Symptoms are related to treatments for uterine cancer.

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Survey response — days 1–6 daily, dose 3
MedDRA: Adverse reaction, Pre-existing disease — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: All symptoms are related to cancer treatment.

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Survey response — day 7, dose 3
MedDRA: Unevaluable event — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: All symptoms are related to cancer treatment.

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-22
Survey response — day 21, dose 3
MedDRA: Adverse drug reaction, Dizziness, Fatigue, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Not related to vaccination. Just had chemo treatment, so have some tiredness, dizziness and nausea.

MedDRA releases: 2024-11 · check-in free text available
2021-12-29
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-01-05
Survey response — day 35, dose 3
MedDRA: Bursitis, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Bursitis of the IT band. · Healthcare visit (other): Appointment with PA at doctor's office.

MedDRA releases: 2024-11 · check-in free text available
2022-01-05
Report sent to call center — day 35, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-07
Call 1 — Left Voicemail
2022-01-10
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-01-12
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-03-02
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-06-01
Survey response — 6 months, dose 3
MedDRA: COVID-19, Cough, Headache, Nasal congestion, Quarantine, Sneezing — 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: I contracted COVID on 5/20. Had mild symptoms (cough, stuffy nose, sneezing, headache). Self isolated for five days, mask wearing from day six through today.

MedDRA releases: 2024-11 · check-in free text available
2022-06-01
Report sent to call center — 6 months, dose 3
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)
2022-06-02
Call 1 — Left Voicemail
2022-12-01
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Pfizer-BioNTech	No
2	2021-04-14	Pfizer-BioNTech	No
3	2021-12-01	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-01-05	Successful 2022-01-10	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-01	Unsuccessful

Free text

Release 10 — days 1–6 daily, dose 3

2021-12-04

Systemic reaction (other): Symptoms not related to shot. Symptoms are related to cancer and radiation and chemo treatments.

2021-12-05

Systemic reaction (other): But, these are related to uterine cancer and associated radiation and chemo treatments.

2021-12-06

Systemic reaction (other): Symptoms are related to treatments for uterine cancer.

2021-12-07

Systemic reaction (other): All symptoms are related to cancer treatment.

Release 10 — day 7, dose 3

2021-12-08

Systemic reaction (other): All symptoms are related to cancer treatment.

Release 10 — day 21, dose 3

2021-12-22

Symptoms: Not related to vaccination. Just had chemo treatment, so have some tiredness, dizziness and nausea.

Release 10 — day 35, dose 3

2022-01-05

Symptoms: Bursitis of the IT band.

Healthcare visit (other): Appointment with PA at doctor's office.

Release 11 — 6 months, dose 3

2022-06-01

Symptoms: I contracted COVID on 5/20. Had mild symptoms (cough, stuffy nose, sneezing, headache). Self isolated for five days, mask wearing from day six through today.

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	Bursitis	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Dizziness	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nausea	·	·	✓
SD	Quarantine	·	·	✓
SD	Sneezing	·	·	✓
SRO	Adverse drug reaction	·	·	✓
SRO	Adverse reaction	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Radiotherapy	·	·	✓
SRO	Unevaluable event	·	·	✓

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