ZE4-18653-61870

2 vaccinations 5 coded responses 25 check-ins 5 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 875 / NM
Registered: 2021-01-13

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

2021-01-13
Registered in v-safe
2021-01-13
Dose 1 — Pfizer-BioNTech
2021-01-13
Survey response — day 0, dose 1
MedDRA: Arthritis, Neuropathy peripheral — Feeling: Good · Fever · Headache, Joint pains

Free text: I have neuropathy and arthritis in my feet.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Headache, Muscle or body aches

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-17
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Depression — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Depression

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-03
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-10
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-02-22
Dose 2 — Pfizer-BioNTech
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-01
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-22
Survey response — day 28, dose 2
MedDRA: Cellulitis, Headache, Nasopharyngitis, Office visit — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional

Free text: Symptoms: Last Wednesday I was diagnosed with cellulitis. That is pretty well cleared up now but now I have a bad headache and a cold. Probably unrelated to the vaccine. · Healthcare visit (other): Doctors visit. In person

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Report sent to call center — day 28, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-26
Survey response — 3 months, dose 2
MedDRA: Office visit, Rash, Rash pruritic — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: About 2 weeks after my second pfizer covid 19 shot I developed a painful itchy rash over my face, neck and scalp. · Healthcare visit (other): Office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-14
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-08-23
Survey response — 6 months, dose 2
MedDRA: Dyspnoea, Fatigue, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Short of breath. Fatigue. · Healthcare visit (other): In office doctor visit

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-23
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-26
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Pfizer-BioNTech
2	2021-02-22	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-01-17	priority 2/3
2021-01-18	priority 2/3
2021-03-22	Successful	Reported to VAERS voluntarily prior to GDIT contact
2021-05-26	Successful 2021-06-14	Reported to VAERS voluntarily prior to GDIT contact
2021-08-23	Successful 2021-08-26	Completed over the phone

Free text

Release 1 — day 0, dose 1

2021-01-13

Systemic reaction (other): I have neuropathy and arthritis in my feet.

Release 2 — days 1–6 daily, dose 1

2021-01-18

Systemic reaction (other): Depression

Release 6 — day 28, dose 2

2021-03-22

Symptoms: Last Wednesday I was diagnosed with cellulitis. That is pretty well cleared up now but now I have a bad headache and a cold. Probably unrelated to the vaccine.

Healthcare visit (other): Doctors visit. In person

Release 8 — 3 months, dose 2

2021-05-26

Symptoms: About 2 weeks after my second pfizer covid 19 shot I developed a painful itchy rash over my face, neck and scalp.

Healthcare visit (other): Office visit

Release 9 — 6 months, dose 2

2021-08-23

Symptoms: Short of breath. Fatigue.

Healthcare visit (other): In office doctor visit

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	Cellulitis	✓	✓	✓
SD	Dyspnoea	✓	·	✓
SD	Fatigue	✓	·	✓
SD	Headache	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SRO	Arthritis	✓	✓	✓
SRO	Depression	✓	✓	✓
SRO	Neuropathy peripheral	✓	✓	✓

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