ZGN-48727-13051

2 vaccinations 5 coded responses 23 check-ins 5 free-text entries 5 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 921 / CA
Registered: 2020-12-23

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

2020-12-22
Dose 1 — Pfizer-BioNTech
2020-12-23
Registered in v-safe
2020-12-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2020-12-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2020-12-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2020-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2020-12-28
Survey response — days 1–6 daily, dose 1
MedDRA: Office visit, Oropharyngeal pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Sore Throat · Healthcare visit (other): (b)(6)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-28
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2020-12-29
Survey response — day 7, dose 1
MedDRA: Oropharyngeal pain — Feeling: Good · Joint pains, Muscle or body aches

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-11
Call 1 — Could Not Reach Participant
2021-01-12
Dose 2 — Pfizer-BioNTech
2021-01-12
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-01-13
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Fatigue or tiredness

Adult check-in
2021-01-14
Call successful
Participant prefers to complete VAERS report online
2021-01-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Nausea, Vomiting

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-01-19
Health check-in — day 7, dose 2
Feeling: Poor · Chills, Headache, Muscle or body aches · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-01-19
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-02
Survey response — day 21, dose 2
MedDRA: Dyspnoea, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Worsening shortness of breath and difficulty breathing, I was seen by my SMO and given an inhaler.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-09
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-02-16
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-02-23
Survey response — day 42, dose 2
MedDRA: Chest pain, Condition aggravated, Dyspnoea, Headache, Pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increased body aches and pains, headaches, shortness of breath and chest pain. Moreso than have been happening normally.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-04-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-13
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-01-14
Survey response — 12 months, dose 2
MedDRA: Asthenia, Chronic idiopathic pain syndrome, Conversion disorder, Dissociation, Fatigue, Hypoaesthesia, Musculoskeletal disorder, Pain — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Developed Chronic Pain Syndrome and Functional Neurological Disorder. All over pain, weakness, exhaustion. Numbness & extra weakness / dissasociation in right leg.

MedDRA releases: 2024-11 · check-in free text available
2022-01-14
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-01-17
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-22	Pfizer-BioNTech
2	2021-01-12	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2020-12-28	Successful	Participant prefers to complete VAERS report online
2021-01-13	Successful 2021-01-14	Participant prefers to complete VAERS report online
2021-01-19	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-02-02	Successful 2021-03-23	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-14	Successful 2022-01-17	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-28

Systemic reaction (other): Sore Throat

Healthcare visit (other): (b)(6)

redacted (b)(6)

Release 1 — day 7, dose 1

2020-12-29

Systemic reaction (other): Sore throat

Release 3 — day 21, dose 2

2021-02-02

Symptoms: Worsening shortness of breath and difficulty breathing, I was seen by my SMO and given an inhaler.

Release 4 — day 42, dose 2

2021-02-23

Symptoms: Increased body aches and pains, headaches, shortness of breath and chest pain. Moreso than have been happening normally.

Release 10 — 12 months, dose 2

2022-01-14

Symptoms: Developed Chronic Pain Syndrome and Functional Neurological Disorder. All over pain, weakness, exhaustion. Numbness & extra weakness / dissasociation in right leg.

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	Medical observation	○	○	○
HCVO	Office visit	✓	✓	✓
SD	Asthenia	·	·	✓
SD	Chest pain	✓	✓	✓
SD	Chronic idiopathic pain syndrome	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Conversion disorder	·	·	✓
SD	Dissociation	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	·	·	✓
SD	Musculoskeletal disorder	·	·	✓
SD	Office visit	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓

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