ZDQ-23292-31688

4 vaccinations 14 coded responses 34 check-ins 13 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 785 / TX
Registered: 2021-08-04

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

2021-07-07
Dose 1 — Pfizer-BioNTech
2021-08-04
Registered in v-safe
2021-08-04
Dose 2 — Pfizer-BioNTech
2021-08-05
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Leg pain

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-06
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain — Feeling: Good · Site: Pain, Itching

Free text: Some chest pain

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-08-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-08-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-08-11
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-08-18
Survey response — day 14, dose 2
MedDRA: Chest pain, Headache — Feeling: Good

Free text: Chest pains and headaches and they didnt affect me with my daily activities bc they have been mostly in the evening

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-25
Survey response — day 21, dose 2
MedDRA: Pain in extremity — Feeling: Good · Be unable to do your normal daily activities

Free text: Leg has hurt so much

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-01
Survey response — day 28, dose 2
MedDRA: Chest pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Chest pains

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-08
Survey response — day 35, dose 2
MedDRA: Chest pain, Gallbladder disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Chest pains / developed issues with my gall bladder

MedDRA releases: 2024-11 · check-in free text available
2021-09-15
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-11-03
Survey response — 3 months, dose 2
MedDRA: Insomnia, Jaw disorder — Feeling: Good

Free text: Problem with my jaw /trouble sleeping

MedDRA releases: 2024-11 · check-in free text available
2022-02-02
Dose 3 — Pfizer-BioNTech
2022-02-02
Health check-in — day 0, dose 3
Feeling: Good · Headache

Adult check-in
2022-02-03
Survey response — days 1–6 daily, dose 3
MedDRA: Pain in extremity — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: Moderate leg pain

MedDRA releases: 2024-11 · check-in free text available
2022-02-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-02-05
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Good · Headache

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-02-06
Survey response — days 1–6 daily, dose 3
MedDRA: Chest pain — Feeling: Good · Site: Pain

Free text: Mild chest pain for a little while.

MedDRA releases: 2024-11 · check-in free text available
2022-02-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-02-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-02-09
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-02-16
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-02-23
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-03-02
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-03-09
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-03-16
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-05-04
Survey response — 3 months, dose 3
MedDRA: Gallbladder disorder — 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: Gallbladder issues

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-05
Call 1 — Left Voicemail
2022-08-03
Survey response — 6 months, dose 3
MedDRA: Back pain, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Very bad back pain Kidney area · Healthcare visit (other): Have appointment with dr

MedDRA releases: 2024-11 · check-in free text available
2022-08-03
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

1 call case(s)
2022-08-04
Call 2 — Left Voicemail
2022-08-04
Call 1 — Left Voicemail
2022-09-13
Dose 4 — Pfizer-BioNTech
2022-10-01
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-04
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-11
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-18
Survey response — day 35, dose 4
MedDRA: Renal pain, Unevaluable event — 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

Free text: Symptoms: Kidney pain · Healthcare visit (other): Appointment tomorrow

MedDRA releases: 2024-11 · check-in free text available
2022-10-18
Report sent to call center — day 35, 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-10-19
Call 3 — Left Voicemail
2022-10-19
Call 2 — Left Voicemail
2022-10-19
Call 1 — Left Voicemail
2022-10-25
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-12-15
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-03-14
Survey response — 6 months, dose 4
MedDRA: Migraine — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-07-07	Pfizer-BioNTech	No
2	2021-08-04	Pfizer-BioNTech	No
3	2022-02-02	Pfizer-BioNTech	No
4	2022-09-13	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-05-04	Unsuccessful
2022-08-03	Unsuccessful
2022-10-18	Unsuccessful

Free text

Release 9 — days 1–6 daily, dose 2

2021-08-05

Systemic reaction (other): Leg pain

2021-08-06

Systemic reaction (other): Some chest pain

Release 9 — day 14, dose 2

2021-08-18

Symptoms: Chest pains and headaches and they didnt affect me with my daily activities bc they have been mostly in the evening

Release 9 — day 21, dose 2

2021-08-25

Symptoms: Leg has hurt so much

Release 9 — day 28, dose 2

2021-09-01

Symptoms: Chest pains

Release 9 — day 35, dose 2

2021-09-08

Symptoms: Chest pains / developed issues with my gall bladder

Release 10 — 3 months, dose 2

2021-11-03

Symptoms: Problem with my jaw /trouble sleeping

Release 11 — days 1–6 daily, dose 3

2022-02-03

Systemic reaction (other): Moderate leg pain

2022-02-05

Systemic reaction (other): No

2022-02-06

Systemic reaction (other): Mild chest pain for a little while.

Release 11 — 3 months, dose 3

2022-05-04

Symptoms: Gallbladder issues

Release 12 — 6 months, dose 3

2022-08-03

Symptoms: Very bad back pain Kidney area

Healthcare visit (other): Have appointment with dr

Release 12 — day 35, dose 4

2022-10-18

Symptoms: Kidney pain

Healthcare visit (other): Appointment tomorrow

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	Unevaluable event	·	·	✓
SD	Back pain	·	·	✓
SD	Chest pain	✓	·	✓
SD	Gallbladder disorder	·	·	✓
SD	Headache	✓	·	✓
SD	Insomnia	·	·	✓
SD	Jaw disorder	·	·	✓
SD	Migraine	·	·	✓
SD	Pain in extremity	✓	·	✓
SD	Renal pain	·	·	✓
SRO	Chest pain	✓	·	✓
SRO	No adverse event	·	·	✓
SRO	Pain in extremity	✓	·	✓

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