ZGT-11271-05066

2 vaccinations 9 coded responses 21 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 114 / NY
Registered: 2021-01-17

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

2021-01-16
Dose 1 — Pfizer-BioNTech
2021-01-17
Registered in v-safe
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Night sweats — Feeling: Good · Chills

Free text: Chills for 1/2 hour. Sweating at night. Not a problem though.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Eye pruritus, Ocular hyperaemia, Rhinorrhoea — Feeling: Good

Free text: Itchy bloodshot left eye, runny nose for a few days but not a problem.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Survey response — day 7, dose 1
MedDRA: Eye pruritus, Rhinorrhoea — Feeling: Good

Free text: Still runny nose and itchy left eye mild no problem.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-06
Dose 2 — Pfizer-BioNTech
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Free text: Slight dizzy

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

Free text: Slight dizzy and short of breadth on walking fast.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspepsia — Feeling: Good · Fatigue or tiredness

Free text: Indigestion the past few days

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

Free text: Slight burping, indigestion.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-13
Health check-in — day 7, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-02-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-13
Survey response — day 35, dose 2
MedDRA: Dyspnoea, Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Deep breadth difficult and more tired than usual. Will be going for more tests next week to see what the problems are. May not have anything to do with vaccination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — day 42, dose 2
MedDRA: Dyspnoea, Dyspnoea exertional — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Shortness of breadth on exertion. I think its due to underlying conditions. Being checked out this week with doctors. · Healthcare visit (other): I am seeing doctors to determine cause of shotness of breath.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-28
Call 2 — Could Not Reach Participant
2022-01-03
Call 1 — Left Voicemail
2022-02-06
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-16	Pfizer-BioNTech
2	2021-02-06	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-03-20	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-19

Systemic reaction (other): Chills for 1/2 hour. Sweating at night. Not a problem though.

2021-01-22

Systemic reaction (other): Itchy bloodshot left eye, runny nose for a few days but not a problem.

Release 2 — day 7, dose 1

2021-01-23

Systemic reaction (other): Still runny nose and itchy left eye mild no problem.

Release 3 — days 1–6 daily, dose 2

2021-02-08

Systemic reaction (other): Slight dizzy

2021-02-09

Systemic reaction (other): Slight dizzy and short of breadth on walking fast.

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Indigestion the past few days

2021-02-11

Systemic reaction (other): Slight burping, indigestion.

Release 5 — day 35, dose 2

2021-03-13

Symptoms: Deep breadth difficult and more tired than usual. Will be going for more tests next week to see what the problems are. May not have anything to do with vaccination.

Release 6 — day 42, dose 2

2021-03-20

Symptoms: Shortness of breadth on exertion. I think its due to underlying conditions. Being checked out this week with doctors.

Healthcare visit (other): I am seeing doctors to determine cause of shotness of breath.

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	Dyspnoea	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Dyspnoea exertional	✓	✓	✓
SD	Fatigue	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Eructation	✓	✓	✓
SRO	Eye pruritus	✓	✓	✓
SRO	Night sweats	✓	✓	✓
SRO	Ocular hyperaemia	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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