ZG4-26503-88415

3 vaccinations 8 coded responses 28 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 761 / TX
Registered: 2021-03-26

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

2021-03-12
Dose 1 — Pfizer-BioNTech
2021-03-26
Registered in v-safe
2021-03-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-02
Dose 2 — Pfizer-BioNTech
2021-04-02
Health check-in — day 0, dose 2
Feeling: Fair · None

Adult check-in
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Headache

Free text: Could have been from sleeping late.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Good · Muscle or body aches

Free text: 2nd day symptoms were worst.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Good · Muscle or body aches

Free text: Have daily anyway.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-02
Survey response — 3 months, dose 2
MedDRA: Hypobarism — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Had acute mountain syndrome from going to mountains. Had symptoms in previous years but not nearly as bad. CO2 of 60.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-07
Call 1 — Could Not Reach Participant
2021-07-12
Call 2 — Left Voicemail
2021-10-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-03
Dose 3 — Pfizer-BioNTech
2021-10-05
Survey response — days 1–6 daily, dose 3
MedDRA: Back pain — Feeling: Good · Muscle or body aches

Free text: Back hurts

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-08
Survey response — days 1–6 daily, dose 3
MedDRA: Migraine — Feeling: Good · Headache

Free text: I have migraines

MedDRA releases: 2024-11 · check-in free text available
2021-10-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-10
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-17
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-24
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-31
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-07
Survey response — day 35, dose 3
MedDRA: Body temperature increased, Cough, Pain — Feeling: Fair

Free text: Cough and aches but probably from moving stuff for a garage sale. Temp of 99.8 at 3:15 pm. Normal temp in 97's.

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-02
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-03
Survey response — 6 months, dose 3
MedDRA: Abdominal pain upper, Chills, Diarrhoea, Pain, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Stomach cramps and diarrhea with bad aches and bad chills with probable fever.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-12	Pfizer-BioNTech
2	2021-04-02	Pfizer-BioNTech
3	2021-10-03	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-07-02	Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 2

2021-04-03

Systemic reaction (other): Could have been from sleeping late.

2021-04-04

Systemic reaction (other): 2nd day symptoms were worst.

2021-04-05

Systemic reaction (other): Have daily anyway.

Release 9 — 3 months, dose 2

2021-07-02

Symptoms: Had acute mountain syndrome from going to mountains. Had symptoms in previous years but not nearly as bad. CO2 of 60.

Release 10 — days 1–6 daily, dose 3

2021-10-05

Systemic reaction (other): Back hurts

2021-10-08

Systemic reaction (other): I have migraines

Release 10 — day 35, dose 3

2021-11-07

Symptoms: Cough and aches but probably from moving stuff for a garage sale. Temp of 99.8 at 3:15 pm. Normal temp in 97's.

Release 11 — 6 months, dose 3

2022-04-03

Symptoms: Stomach cramps and diarrhea with bad aches and bad chills with probable fever.

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	Abdominal pain upper	·	·	✓
SD	Body temperature increased	·	·	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Hypobarism	✓	✓	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Back pain	·	·	✓
SRO	Migraine	·	·	✓
SRO	Unevaluable event	✓	✓	✓

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