ZDT-15717-69738

3 vaccinations 7 coded responses 25 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 945 / CA
Registered: 2021-01-20

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

2021-01-19
Dose 1 — Pfizer-BioNTech
2021-01-20
Registered in v-safe
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Feeling abnormal — Feeling: Good · Site: Pain · Headache, Muscle or body aches

Free text: Just felt blah this morning and little run down

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain — Feeling: Fair · Muscle or body aches, Diarrhea, Abdominal pain

Free text: Lower back pain like as if having my period

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work

Free text: Im not sure why feels like period I did get mine right before

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Abdominal pain

Adult check-in
2021-01-26
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches

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

Adult check-in
2021-02-09
Dose 2 — Pfizer-BioNTech
2021-02-09
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-11
Survey response — 3 months, dose 2
MedDRA: Condition aggravated, Papilloma viral infection, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Had a seizure break through and have hpv in which they are running tests and not sure how this came up when Ive been having normal tests in past so I question the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-10
Survey response — 6 months, dose 2
MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: Good · Be unable to work or attend school

Free text: Sore throat stuffy nose

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-09
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-02-23
Dose 3 — Pfizer-BioNTech
2022-05-05
Call 1 — Left Voicemail
2022-05-25
Survey response — 3 months, dose 3
MedDRA: Asthenia, Decreased appetite, Depression — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Low energy low desire to eat some depression still can't enjoy food

MedDRA releases: 2024-11 · check-in free text available
2022-05-25
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-05-26
Call 2 — Left Voicemail
2022-05-26
Call 1 — Left Voicemail
2022-08-24
Survey response — 6 months, dose 3
MedDRA: Pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have scoliosis and levoscolious and sucks in pain

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-19	Pfizer-BioNTech
2	2021-02-09	Pfizer-BioNTech
3	2022-02-23	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-11	Unsuccessful
2022-05-25	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): Just felt blah this morning and little run down

2021-01-23

Systemic reaction (other): Lower back pain like as if having my period

2021-01-24

Systemic reaction (other): Im not sure why feels like period I did get mine right before

Release 8 — 3 months, dose 2

2021-05-11

Symptoms: Had a seizure break through and have hpv in which they are running tests and not sure how this came up when Ive been having normal tests in past so I question the vaccine

Release 9 — 6 months, dose 2

2021-08-10

Symptoms: Sore throat stuffy nose

Release 11 — 3 months, dose 3

2022-05-25

Symptoms: Low energy low desire to eat some depression still can't enjoy food

Release 12 — 6 months, dose 3

2022-08-24

Symptoms: I have scoliosis and levoscolious and sucks in pain

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	Asthenia	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Decreased appetite	·	·	✓
SD	Depression	·	·	✓
SD	Nasal congestion	✓	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Pain	·	·	✓
SD	Papilloma viral infection	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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