ZGW-19013-30253

3 vaccinations 7 coded responses 18 check-ins 7 free-text entries 5 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 913 / CA
Registered: 2020-12-23

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

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

2020-12-23
Registered in v-safe
2020-12-23
Dose 1 — Pfizer-BioNTech
2020-12-23
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2020-12-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2020-12-25
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2020-12-27
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pruritus — Feeling: Fair · Site: Pain, Itching

Free text: Itchy @ inj site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-29
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pruritus — Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness

Free text: Very itchy at site until now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Survey response — day 7, dose 1
MedDRA: Pruritus — Feeling: Fair · Site: Itching · Joint pains, Muscle or body aches

Free text: Gen itchy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Dose 2 — Pfizer-BioNTech
2021-01-13
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-14
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-15
Survey response — days 1–6 daily, dose 2
MedDRA: Nausea, Pre-existing disease, Pruritus — Feeling: Poor · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work

Free text: Itching, acid reflux causing my nausea.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Report sent to call center — days 1–6 daily, dose 2
Be unable to work

1 call case(s)
2021-01-18
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-01-18
Report sent to call center — days 1–6 daily, dose 2
Be unable to work

1 call case(s)
2021-01-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-12
Dose 3 — Pfizer-BioNTech
2021-10-13
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-17
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-10-18
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-10-19
Health check-in — day 7, dose 3
Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-10-26
Survey response — day 14, dose 3
MedDRA: Back pain, Chest discomfort, Headache, Nausea, Neck pain, Pain, Pain in extremity, Paraesthesia — Feeling: Poor · Be unable to work or attend school

Free text: I am but sire but since after booster shot, i am still experiencing neck pain lower back - head are pain with pricking needle like sensation. My arm area where the sire still hurt, mid sternal pressure, nausea, rt lower back pain.

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Survey response — day 21, dose 3
MedDRA: Chest discomfort, Chest pain, Injection site pain, Injection site paraesthesia, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Arm site still hurst with tingling. I still experience sternal pressure and chest pinching feelings. Feverx2days

MedDRA releases: 2024-11 · check-in free text available
2022-01-13
Survey response — 3 months, dose 3
MedDRA: Chest discomfort, Chest pain, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: Days after receiving the booster, i have been having the chest pressure and pinching sensation at my left chest until now. · Healthcare visit (other): Md visit - multiple times

MedDRA releases: 2024-11 · check-in free text available
2022-01-13
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-14
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-23	Pfizer-BioNTech
2	2021-01-13	Pfizer-BioNTech
3	2021-10-12	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2020-12-25	priority 2/3
2021-01-14	priority 2/3
2021-01-15	priority 2/3
2021-01-18	priority 2/3
2022-01-13	Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-27

Systemic reaction (other): Itchy @ inj site

2020-12-29

Systemic reaction (other): Very itchy at site until now.

Release 1 — day 7, dose 1

2020-12-30

Systemic reaction (other): Gen itchy

Release 2 — days 1–6 daily, dose 2

2021-01-15

Systemic reaction (other): Itching, acid reflux causing my nausea.

Release 10 — day 14, dose 3

2021-10-26

Symptoms: I am but sire but since after booster shot, i am still experiencing neck pain lower back - head are pain with pricking needle like sensation. My arm area where the sire still hurt, mid sternal pressure, nausea, rt lower back pain.

Release 10 — day 21, dose 3

2021-11-04

Symptoms: Arm site still hurst with tingling. I still experience sternal pressure and chest pinching feelings. Feverx2days

Release 10 — 3 months, dose 3

2022-01-13

Symptoms: Days after receiving the booster, i have been having the chest pressure and pinching sensation at my left chest until now.

Healthcare visit (other): Md visit - multiple times

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	Back pain	·	·	✓
SD	Chest discomfort	·	·	✓
SD	Chest pain	·	·	✓
SD	Headache	·	·	✓
SD	Injection site pain	·	·	✓
SD	Injection site paraesthesia	·	·	✓
SD	Nausea	·	·	✓
SD	Neck pain	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Paraesthesia	·	·	✓
SD	Pyrexia	·	·	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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