ZH2-32547-21324

4 vaccinations 12 coded responses 39 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 483 / MI
Registered: 2021-01-28

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

2021-01-28
Registered in v-safe
2021-01-28
Dose 1 — Pfizer-BioNTech
2021-01-28
Survey response — day 0, dose 1
MedDRA: Heart rate increased — Feeling: Fair · Nausea

Free text: HR temporarily increased resolved within 15 - 20 minutes, and I had no anxiety about getting the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-01-30
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 · Headache

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

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

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-04
Survey response — day 7, dose 1
MedDRA: Headache, Stress — Feeling: Fair · Headache

Free text: Stress related headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-17
Dose 2 — Pfizer-BioNTech
2021-02-18
Survey response — days 1–6 daily, dose 2
MedDRA: Heart rate increased — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: HR elevated directly following (125)- remained elevated for almost a hour (104)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-02-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Diarrhea

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-02-24
Health check-in — day 7, dose 2
Feeling: Good · Joint pains

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

Adult check-in
2021-03-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-24
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
2021-05-19
Survey response — 3 months, dose 2
MedDRA: Dyspnoea, Office visit, Tachycardia — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Tachycardia, SOB · Healthcare visit (other): Physician visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
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)
2021-08-18
Survey response — 6 months, dose 2
MedDRA: Dyspnoea, Exercise tolerance decreased, Fatigue, Heart rate increased, Office visit — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: SOB - low activity tolerance - fatigue - increased resting heart rate · Healthcare visit (other): Office visit and sleep study

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-18
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-19
Call 1 — Left Voicemail
2021-09-14
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-10-01
Survey response — day 14, dose 3
MedDRA: Dyspnoea, Tachycardia — Feeling: Good · Be unable to do your normal daily activities

Free text: SOB, tachycardia

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-12
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-19
Survey response — day 35, dose 3
MedDRA: Ear pain, Nasal congestion, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor

Free text: Congestion, stuffy nose,ear ache and sore throat.

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-12-14
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-15
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-09-16
Survey response — 12 months, dose 3
MedDRA: COVID-19, Cough, Fatigue, Nausea, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: COVID fever, cough, fatigue and nausea

MedDRA releases: 2024-11 · check-in free text available
2022-09-22
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-09-29
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-06
Survey response — day 14, dose 4
MedDRA: Arthritis, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increased arthritic pain

MedDRA releases: 2024-11 · check-in free text available
2022-10-13
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-20
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-10-27
Survey response — day 35, dose 4
MedDRA: Gout — Feeling: Poor · Be unable to do your normal daily activities

Free text: Gout

MedDRA releases: 2024-11 · check-in free text available
2022-11-03
Survey response — day 42, dose 4
MedDRA: Gout — Feeling: Poor · Be unable to do your normal daily activities

Free text: Gout

MedDRA releases: 2024-11 · check-in free text available
2022-12-22
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-23
Survey response — 6 months, dose 4
MedDRA: Gout — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-28	Pfizer-BioNTech
2	2021-02-17	Pfizer-BioNTech
3	2021-09-14	Pfizer-BioNTech	Flu
4	2022-09-22	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-05-19	Unsuccessful
2021-08-18	Unsuccessful

Free text

Release 3 — day 0, dose 1

2021-01-28

Systemic reaction (other): HR temporarily increased resolved within 15 - 20 minutes, and I had no anxiety about getting the vaccine

Release 3 — day 7, dose 1

2021-02-04

Systemic reaction (other): Stress related headache

Release 4 — days 1–6 daily, dose 2

2021-02-18

Systemic reaction (other): HR elevated directly following (125)- remained elevated for almost a hour (104)

Release 8 — 3 months, dose 2

2021-05-19

Symptoms: Tachycardia, SOB

Healthcare visit (other): Physician visit

Release 9 — 6 months, dose 2

2021-08-18

Symptoms: SOB - low activity tolerance - fatigue - increased resting heart rate

Healthcare visit (other): Office visit and sleep study

Release 9 — day 14, dose 3

2021-10-01

Symptoms: SOB, tachycardia

Release 10 — day 35, dose 3

2021-10-19

Symptoms: Congestion, stuffy nose,ear ache and sore throat.

Release 12 — 12 months, dose 3

2022-09-16

Symptoms: COVID fever, cough, fatigue and nausea

Release 12 — day 14, dose 4

2022-10-06

Symptoms: Increased arthritic pain

Release 12 — day 35, dose 4

2022-10-27

Symptoms: Gout

Release 12 — day 42, dose 4

2022-11-03

Symptoms: Gout

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	Arthritis	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Ear pain	·	·	✓
SD	Exercise tolerance decreased	✓	·	✓
SD	Fatigue	✓	·	✓
SD	Gout	·	·	✓
SD	Heart rate increased	✓	·	✓
SD	Nasal congestion	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Tachycardia	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Stress	✓	✓	✓

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