ZDY-28751-81180

5 vaccinations 9 coded responses 50 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 483 / MI
Registered: 2021-01-28

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

2021-01-28
Registered in v-safe
2021-01-28
Dose 1 — Pfizer-BioNTech
2021-01-28
Health check-in — day 0, dose 1
Feeling: Good · None

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

Adult check-in
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Good

Free text: Day after first dose I missed this text. On 1/29 I had no fever,chills or other symptoms. But I was very tired the second day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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: Fair · Fatigue or tiredness

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-02-04
Health check-in — day 7, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-18
Dose 2 — Pfizer-BioNTech
2021-02-18
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-25
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-01
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
2021-08-19
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-18
Dose 3 — Pfizer-BioNTech
2021-10-18
Survey response — day 0, dose 3
MedDRA: Back pain — Feeling: Good

Free text: Aches across back at shoulders for 2 days after 3rd vaccine on correct date 10/09

MedDRA releases: 2024-11 · check-in free text available
2021-10-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-10-22
Survey response — days 1–6 daily, dose 3
MedDRA: Rhinorrhoea — Feeling: Good · Fatigue or tiredness

Free text: Sniffles

MedDRA releases: 2024-11 · check-in free text available
2021-10-23
Survey response — days 1–6 daily, dose 3
MedDRA: Paranasal sinus hypersecretion — Feeling: Fair · Headache

Free text: Sinus drainage

MedDRA releases: 2024-11 · check-in free text available
2021-10-24
Survey response — days 1–6 daily, dose 3
MedDRA: Rhinorrhoea, Unevaluable event — Feeling: Fair · Headache

Free text: Sinus sniffles

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-02
Survey response — day 14, dose 3
MedDRA: Ear pain, Oropharyngeal pain, Paranasal sinus hypersecretion — Feeling: Fair

Free text: Earache sore throat sinus drainage

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-15
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-22
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-29
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-17
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-20
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-06-09
Dose 4 — Pfizer-BioNTech
2022-06-16
Health check-in — day 7, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-06-23
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-06-30
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-07-08
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-15
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-23
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-09-08
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-25
Dose 5 — Pfizer-BioNTech
2022-11-16
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-11-22
Survey response — day 28, dose 5
MedDRA: Body temperature increased, Office visit, Oropharyngeal pain, Paranasal sinus hypersecretion, Pyrexia, SARS-CoV-2 test negative, Unevaluable event — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Upper respiratory, sore throat, sinus drainage neg Covid test, no fever, now have fever 98.8, 100.4 · Healthcare visit (other): Physician appt first

MedDRA releases: 2024-11 · check-in free text available
2022-11-22
Report sent to call center — day 28, dose 5
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-23
Call 1 — Left Voicemail
2022-12-01
Survey response — day 35, dose 5
MedDRA: Ear disorder, Influenza virus test negative, Paranasal sinus hypersecretion, SARS-CoV-2 test negative, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Received z pack and cough medicine for sinus infection. Still have sinus drainage, and ear not perfect. No fever. Tested neg for Covid and flu

MedDRA releases: 2024-11 · check-in free text available
2022-12-01
Report sent to call center — day 35, dose 5
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-02
Call 2 — Left Voicemail
2022-12-02
Call 1 — Left Voicemail
2022-12-06
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2023-01-24
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-25
Survey response — 6 months, dose 5
MedDRA: Office visit, Unevaluable event, Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-04-25
Report sent to call center — 6 months, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2023-04-26
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-26
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-26
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-28	Pfizer-BioNTech
2	2021-02-18	Pfizer-BioNTech
3	2021-10-18	Pfizer-BioNTech	No
4	2022-06-09	Pfizer-BioNTech	No
5	2022-10-25	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-11-22	Successful 2023-04-26	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-01	Successful 2023-04-26	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-25	Successful 2023-04-26	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-31

Systemic reaction (other): Day after first dose I missed this text. On 1/29 I had no fever,chills or other symptoms. But I was very tired the second day.

Release 10 — day 0, dose 3

2021-10-18

Systemic reaction (other): Aches across back at shoulders for 2 days after 3rd vaccine on correct date 10/09

Release 10 — days 1–6 daily, dose 3

2021-10-22

Systemic reaction (other): Sniffles

2021-10-23

Systemic reaction (other): Sinus drainage

2021-10-24

Systemic reaction (other): Sinus sniffles

Release 10 — day 14, dose 3

2021-11-02

Symptoms: Earache sore throat sinus drainage

Release 12 — day 28, dose 5

2022-11-22

Symptoms: Upper respiratory, sore throat, sinus drainage neg Covid test, no fever, now have fever 98.8, 100.4

Healthcare visit (other): Physician appt first

Release 12 — day 35, dose 5

2022-12-01

Symptoms: Received z pack and cough medicine for sinus infection. Still have sinus drainage, and ear not perfect. No fever. Tested neg for Covid and flu

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	Body temperature increased	·	·	✓
SD	Ear disorder	·	·	✓
SD	Ear pain	·	·	✓
SD	Influenza virus test negative	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Paranasal sinus hypersecretion	·	·	✓
SD	Pyrexia	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinusitis	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Urinary tract infection	·	·	✓
SRO	Back pain	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Paranasal sinus hypersecretion	·	·	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Unevaluable event	·	·	✓

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