ZEX-14740-30553

4 vaccinations 5 coded responses 35 check-ins 4 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 032 / NH
Registered: 2021-03-27

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

2021-03-27
Registered in v-safe
2021-03-27
Dose 1 — Pfizer-BioNTech
2021-03-27
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-03
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-24
Dose 2 — Pfizer-BioNTech
2021-04-24
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: The majority of these symptoms occurred during a 4 hour period last night, and have largely subsided.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-01
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-08
Survey response — day 14, dose 2
MedDRA: Diarrhoea, Fatigue, Nausea, Vomiting — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Had another bout of violent diarrhea and vomiting exactly one week after second vax. Fatigue and nausea following day. Fine since then.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-23
Survey response — 6 months, dose 2
MedDRA: Atrial fibrillation, Sleep apnoea syndrome — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: I have been diagnosed with moderate atrial fibrillation and sleep apnea.

MedDRA releases: 2024-11 · check-in free text available
2021-10-23
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-28
Call 1 — Left Voicemail
2021-10-29
Call successful
Does not wish to fill out VAERS report
2022-04-24
Survey response — 12 months, dose 2
MedDRA: Atrial fibrillation, Cardiac murmur — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I have been diagnosed with atrial fibrillation and a heart murmur, but it is likely due to my age and weight, rather than being Covid/vaccination related.

MedDRA releases: 2024-11 · check-in free text available
2022-04-24
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-25
Call 1 — Left Voicemail
2022-04-25
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-01
Dose 3 — Pfizer-BioNTech
Co-administered: Shingles
2022-09-16
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-09-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-23
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-09-30
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-07
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-14
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-21
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-28
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-16
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-17
Survey response — 6 months, dose 4
MedDRA: COVID-19 — 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
2023-03-17
Report sent to call center — 6 months, 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)
2023-03-20
Call 1 — Left Voicemail
2023-03-29
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	2021-03-27	Pfizer-BioNTech
2	2021-04-24	Pfizer-BioNTech
3	2022-06-01	Pfizer-BioNTech	Shingles
4	2022-09-16	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-10-23	Successful 2021-10-29	Does not wish to fill out VAERS report
2022-04-24	Successful 2022-04-25	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-17	Successful 2023-03-29	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-25

Systemic reaction (other): The majority of these symptoms occurred during a 4 hour period last night, and have largely subsided.

Release 8 — day 14, dose 2

2021-05-08

Symptoms: Had another bout of violent diarrhea and vomiting exactly one week after second vax. Fatigue and nausea following day. Fine since then.

Release 10 — 6 months, dose 2

2021-10-23

Symptoms: I have been diagnosed with moderate atrial fibrillation and sleep apnea.

Release 11 — 12 months, dose 2

2022-04-24

Symptoms: I have been diagnosed with atrial fibrillation and a heart murmur, but it is likely due to my age and weight, rather than being Covid/vaccination related.

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	Atrial fibrillation	·	·	✓
SD	Cardiac murmur	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Sleep apnoea syndrome	·	·	✓
SD	Vomiting	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓

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