ZFB-21886-79869

3 vaccinations 7 coded responses 28 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 852 / AZ
Registered: 2021-01-25

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

2021-01-25
Registered in v-safe
2021-01-25
Dose 1 — Pfizer-BioNTech
2021-01-25
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Free text: Symptoms were mild and lasted only a short time. Laid down for a while ad was okay.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-15
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-16
Dose 2 — Pfizer-BioNTech
2021-02-16
Survey response — day 0, dose 2
MedDRA: Limb discomfort — Feeling: Good

Free text: Arm is slightly sore, but i would not say it is painful.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: No rash, but itching localized on lower leg. Applied hydrocortizine cream and got relief.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-19
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness

Free text: No other symptoms and the fstigue is probably.from other health conditions rather than the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-09
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
2021-03-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-18
Survey response — 6 months, dose 2
MedDRA: Condition aggravated, Office visit, Pre-existing disease — 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: Symptoms: Cancer has spread- on new chemo regimen. · Healthcare visit (other): Chemotherapy in dr. Office

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-18
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-19
Dose 3 — Pfizer-BioNTech
2021-08-25
Call 1 — Could Not Reach Participant
2021-09-29
Survey response — day 35, dose 3
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Cancer has advanced. Started new treatment regimen.

MedDRA releases: 2024-11 · check-in free text available
2021-09-29
Report sent to call center — day 35, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-02
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-11-15
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-18
Survey response — 3 months, dose 3
MedDRA: Hospitalisation, Pre-existing disease, Radiotherapy — 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, Emergency room or emergency department visit, Hospitalization

Free text: It has nothing to do with the vaccine. I have advanced colon cancer and was hospitalized, then had radiation treatments. Am shain changing medications.

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Report sent to call center — 3 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 · Hospitalization · 1 call case(s)
2021-11-19
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-19
Health check-in — 6 months, dose 3
Feeling: Poor

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-25	Pfizer-BioNTech
2	2021-02-16	Pfizer-BioNTech
3	2021-08-19	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-08-18	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-09-29	Successful 2021-11-15	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-18	Successful 2021-11-19	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-26

Systemic reaction (other): Symptoms were mild and lasted only a short time. Laid down for a while ad was okay.

Release 4 — day 0, dose 2

2021-02-16

Systemic reaction (other): Arm is slightly sore, but i would not say it is painful.

Release 4 — days 1–6 daily, dose 2

2021-02-17

Systemic reaction (other): No rash, but itching localized on lower leg. Applied hydrocortizine cream and got relief.

2021-02-19

Systemic reaction (other): No other symptoms and the fstigue is probably.from other health conditions rather than the vaccine.

Release 9 — 6 months, dose 2

2021-08-18

Symptoms: Cancer has spread- on new chemo regimen.

Healthcare visit (other): Chemotherapy in dr. Office

Release 9 — day 35, dose 3

2021-09-29

Symptoms: Cancer has advanced. Started new treatment regimen.

Release 10 — 3 months, dose 3

2021-11-18

Symptoms: It has nothing to do with the vaccine. I have advanced colon cancer and was hospitalized, then had radiation treatments. Am shain changing medications.

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	Condition aggravated	✓	·	✓
SD	Hospitalisation	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Radiotherapy	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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