ZF4-25716-44010

3 vaccinations 8 coded responses 13 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 381 / TN
Registered: 2021-08-23

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-11
Dose 1 — Pfizer-BioNTech
2021-04-01
Dose 2 — Pfizer-BioNTech
2021-08-20
Dose 3 — Pfizer-BioNTech
2021-08-23
Registered in v-safe
2021-08-23
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Fair · Site: Pain, Redness, Swelling, Itching

Free text:

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-24
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Good · Site: Swelling, Itching

Free text: No

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling, Itching · None

Adult check-in
2021-08-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling, Itching · None

Adult check-in
2021-08-27
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain, Swelling, Itching · None

Adult check-in
2021-09-03
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-09-10
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-09-17
Survey response — day 28, dose 3
MedDRA: Injection site swelling — Feeling: Good

Free text: I still have a bump in the injection spot! It has gone done but I can still feel it.

MedDRA releases: 2024-11 · check-in free text available
2021-09-24
Survey response — day 35, dose 3
MedDRA: Dizziness, Headache, Injection site swelling, Muscle spasms — Feeling: Fair

Free text: I have been having severe cramps in my legs and back. Some dizziness and headaches. My shot spot, still has not gone down completely! It has been little over a month, now!

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Survey response — day 42, dose 3
MedDRA: Back pain, Musculoskeletal pain, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: My left side from my shoulder blade down to my lower back has been in excruciating pain! I went to the Minor Med!

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Report sent to call center — day 42, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-08
Call 2 — Left Voicemail
2021-11-19
Survey response — 3 months, dose 3
MedDRA: Muscle spasms, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: I have been have severe cramps and spasms, through out my body! · Healthcare visit (other): PCP visit

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-24
Call 2 — Left Voicemail
2022-02-20
Survey response — 6 months, dose 3
MedDRA: Dizziness, Headache, Nausea, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: From 1/30-2/5/22, I had a severe headache, nausea and dizziness! · Healthcare visit (other): PCP

MedDRA releases: 2024-11 · check-in free text available
2022-02-20
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-22
Call 1 — Left Voicemail
2022-08-20
Survey response — 12 months, dose 3
MedDRA: Arthralgia, Gastrointestinal disorder, Headache, Nausea — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Stomach issues, Headaches, Nausea, knee pains and others!

MedDRA releases: 2024-11 · check-in free text available
2022-08-20
Report sent to call center — 12 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-08-22
Call 1 — Left Voicemail
2022-08-22
Call 1 — Left Voicemail
2022-08-22
Call 2 — Left Voicemail
2022-08-22
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Pfizer-BioNTech	No
2	2021-04-01	Pfizer-BioNTech	No
3	2021-08-20	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-10-01	Unsuccessful
2021-11-19	Unsuccessful
2022-02-20	Unsuccessful
2022-08-20	Unsuccessful

Free text

Release 9 — days 1–6 daily, dose 3

2021-08-23

2021-08-24

Systemic reaction (other): No

Release 9 — day 28, dose 3

2021-09-17

Symptoms: I still have a bump in the injection spot! It has gone done but I can still feel it.

Release 9 — day 35, dose 3

2021-09-24

Symptoms: I have been having severe cramps in my legs and back. Some dizziness and headaches. My shot spot, still has not gone down completely! It has been little over a month, now!

Release 9 — day 42, dose 3

2021-10-01

Symptoms: My left side from my shoulder blade down to my lower back has been in excruciating pain! I went to the Minor Med!

Release 10 — 3 months, dose 3

2021-11-19

Symptoms: I have been have severe cramps and spasms, through out my body!

Healthcare visit (other): PCP visit

Release 11 — 6 months, dose 3

2022-02-20

Symptoms: From 1/30-2/5/22, I had a severe headache, nausea and dizziness!

Healthcare visit (other): PCP

Release 12 — 12 months, dose 3

2022-08-20

Symptoms: Stomach issues, Headaches, Nausea, knee pains and others!

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	Arthralgia	·	·	✓
SD	Back pain	·	·	✓
SD	Dizziness	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	·	·	✓
SD	Injection site swelling	·	·	✓
SD	Muscle spasms	·	·	✓
SD	Musculoskeletal pain	·	·	✓
SD	Nausea	·	·	✓
SD	Office visit	·	·	✓
SRO	No adverse event	✓	·	✓

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