ZDV-11701-20421

5 vaccinations 18 coded responses 61 check-ins 17 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 496 / MI
Registered: 2020-12-29

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

2020-12-29
Registered in v-safe
2020-12-29
Dose 1 — Pfizer-BioNTech
2020-12-29
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

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

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-01-05
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-14
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-19
Dose 2 — Pfizer-BioNTech
2021-01-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Abdominal pain

Adult check-in
2021-01-26
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches

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

Adult check-in
2021-02-09
Survey response — day 21, dose 2
MedDRA: Abdominal discomfort, Diarrhoea — Feeling: Good

Free text: Some GI distress including loose stools.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-04
Dose 3 — Pfizer-BioNTech
2021-10-04
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Chills, Abdominal pain

Adult check-in
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-10-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-10-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Abdominal pain

Adult check-in
2021-10-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-10-11
Health check-in — day 7, dose 3
Feeling: Good · Headache, Nausea

Adult check-in
2021-10-18
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-25
Survey response — day 21, dose 3
MedDRA: Headache, Nausea, Pyrexia — Feeling: Fair · Be unable to work or attend school

Free text: Headache, nausea, and low grade fever

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Survey response — day 28, dose 3
MedDRA: Body temperature increased — Feeling: Good

Free text: Periodic short lasting low grade fevers of ~ 100.

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Survey response — day 35, dose 3
MedDRA: Fatigue, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair

Free text: Very sore throat and some head congestion; fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-11-15
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-03
Survey response — 3 months, dose 3
MedDRA: Oropharyngeal pain, Sinusitis — Feeling: Fair

Free text: Probable lingering sinus infection; sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-04-04
Survey response — 6 months, dose 3
MedDRA: Pre-existing disease, Tinnitus — Feeling: Good

Free text: Existing tinnitus has exacerbated

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Dose 4 — Pfizer-BioNTech
2022-04-29
Survey response — days 1–6 daily, dose 4
MedDRA: Adverse reaction — Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: These were significant in the first 24-36 hours

MedDRA releases: 2024-11 · check-in free text available
2022-04-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache, Joint pains

Adult check-in
2022-05-01
Survey response — days 1–6 daily, dose 4
MedDRA: Epistaxis — Feeling: Fair · Site: Pain · Fever · Headache

Free text: Nose bleed

MedDRA releases: 2024-11 · check-in free text available
2022-05-02
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache

Adult check-in
2022-05-03
Survey response — days 1–6 daily, dose 4
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Slight sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Health check-in — day 7, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-05-11
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-18
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-26
Survey response — day 28, dose 4
MedDRA: Cough — Feeling: Good

Free text: Dry cough

MedDRA releases: 2024-11 · check-in free text available
2022-06-01
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-08
Survey response — day 42, dose 4
MedDRA: Epistaxis — Feeling: Good

Free text: Another spontaneous nosebleed.

MedDRA releases: 2024-11 · check-in free text available
2022-07-27
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-26
Survey response — 6 months, dose 4
MedDRA: Epistaxis — Feeling: Fair

Free text: Occasional unprovoked nosebleeds.

MedDRA releases: 2024-11 · check-in free text available
2022-11-10
Dose 5 — Pfizer-BioNTech
2022-11-15
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-11-16
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea

Adult check-in
2022-11-17
Health check-in — day 7, dose 5
Feeling: Fair · Fever · Headache, Fatigue or tiredness

Adult check-in
2022-11-24
Survey response — day 14, dose 5
MedDRA: Fatigue, Oropharyngeal pain — Feeling: Fair

Free text: Sore throat and fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-12-01
Survey response — day 21, dose 5
MedDRA: Epistaxis, Oropharyngeal pain, Pyrexia — Feeling: Fair

Free text: Sore throat. Short lived fevers. I continue to have weekly unprovoked nosebleeds.

MedDRA releases: 2024-11 · check-in free text available
2022-12-08
Survey response — day 28, dose 5
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good

Free text: Nose bleeds are more frequent.

MedDRA releases: 2024-11 · check-in free text available
2022-12-15
Survey response — day 35, dose 5
MedDRA: Epistaxis — Feeling: Good

Free text: Nosebleeds continue and are more frequent.

MedDRA releases: 2024-11 · check-in free text available
2022-12-22
Survey response — day 42, dose 5
MedDRA: Gastrointestinal disorder, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair

Free text: Moderate sore throat and congestion, some GI issues.

MedDRA releases: 2024-11 · check-in free text available
2023-02-09
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-05-11
Survey response — 6 months, dose 5
MedDRA: COVID-19, Cough, Diarrhoea, Dyspnoea, Epistaxis, Fatigue, Oropharyngeal pain, Pain, Parosmia, Pyrexia, Respiratory tract congestion, Sneezing, Taste disorder — Feeling: Good · 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

MedDRA releases: 2024-11
2023-05-11
Report sent to call center — 6 months, dose 5
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)
2023-05-12
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Pfizer-BioNTech
2	2021-01-19	Pfizer-BioNTech
3	2021-10-04	Pfizer-BioNTech	No
4	2022-04-27	Pfizer-BioNTech	No
5	2022-11-10	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2023-05-11	Unsuccessful

Free text

Release 3 — day 21, dose 2

2021-02-09

Symptoms: Some GI distress including loose stools.

Release 10 — day 21, dose 3

2021-10-25

Symptoms: Headache, nausea, and low grade fever

Release 10 — day 28, dose 3

2021-11-01

Symptoms: Periodic short lasting low grade fevers of ~ 100.

Release 10 — day 35, dose 3

2021-11-08

Symptoms: Very sore throat and some head congestion; fatigue

Release 10 — 3 months, dose 3

2022-01-03

Symptoms: Probable lingering sinus infection; sore throat

Release 11 — 6 months, dose 3

2022-04-04

Symptoms: Existing tinnitus has exacerbated

Release 11 — days 1–6 daily, dose 4

2022-04-29

Systemic reaction (other): These were significant in the first 24-36 hours

2022-05-01

Systemic reaction (other): Nose bleed

2022-05-03

Systemic reaction (other): Slight sore throat

Release 11 — day 28, dose 4

2022-05-26

Symptoms: Dry cough

Release 11 — day 42, dose 4

2022-06-08

Symptoms: Another spontaneous nosebleed.

Release 12 — 6 months, dose 4

2022-10-26

Symptoms: Occasional unprovoked nosebleeds.

Release 12 — day 14, dose 5

2022-11-24

Symptoms: Sore throat and fatigue

Release 12 — day 21, dose 5

2022-12-01

Symptoms: Sore throat. Short lived fevers. I continue to have weekly unprovoked nosebleeds.

Release 12 — day 28, dose 5

2022-12-08

Symptoms: Nose bleeds are more frequent.

Release 12 — day 35, dose 5

2022-12-15

Symptoms: Nosebleeds continue and are more frequent.

Release 12 — day 42, dose 5

2022-12-22

Symptoms: Moderate sore throat and congestion, some GI issues.

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	Abdominal discomfort	✓	✓	✓
SD	Body temperature increased	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Epistaxis	·	·	✓
SD	Fatigue	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Parosmia	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinusitis	·	·	✓
SD	Sneezing	·	·	✓
SD	Taste disorder	·	·	✓
SD	Tinnitus	·	·	✓
SRO	Adverse reaction	·	·	✓
SRO	Epistaxis	·	·	✓
SRO	Oropharyngeal pain	·	·	✓

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