ZHJ-15519-12115

4 vaccinations 6 coded responses 42 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 025 / MA
Registered: 2021-04-09

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

2021-04-09
Registered in v-safe
2021-04-09
Dose 1 — Pfizer-BioNTech
2021-04-09
Health check-in — day 0, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Swelling · Fatigue or tiredness

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache · Be unable to do your normal daily activities

Adult check-in
2021-04-16
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-23
Survey response — day 14, dose 1
MedDRA: Fatigue, Headache, Pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Was very fatigued and achy yesterday with a slight headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-01
Dose 2 — Pfizer-BioNTech
2021-05-01
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Polydipsia, Thirst — Feeling: Fair · Muscle or body aches

Free text: very thirsty since getting vaccine. drinking lots of liquid constantly since saturday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Rash, not including the immediate area around the injection site

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-05-08
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-05
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-12
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-31
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-29
Dose 3 — Pfizer-BioNTech
2022-05-02
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-05-21
Dose 4 — Pfizer-BioNTech
2022-05-21
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-22
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-05-23
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-05-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-05-28
Health check-in — day 7, dose 4
Feeling: Fair · Headache

Adult check-in
2022-06-04
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-11
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-18
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-25
Survey response — day 35, dose 4
MedDRA: Faeces pale, Faeces soft — Feeling: Fair

Free text: Light colored soft stool

MedDRA releases: 2024-11 · check-in free text available
2022-07-03
Survey response — day 42, dose 4
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Knee pain. Probably unrelated to vaccine.

MedDRA releases: 2024-11 · check-in free text available
2022-08-20
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-19
Survey response — 6 months, dose 4
MedDRA: Cough, Eye irritation, Fatigue, Headache, Medical counselling, Ocular hyperaemia, Pyrexia, Rhinorrhoea, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Vomiting — 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 · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Tested positive for Covid in late August. Vomiting, bad headache, extreme fatigue, runny. Ose, cough,fever, burning red eyes. The burning red eyes lasted for two weeks after tested negative. · Healthcare visit (other): Phone call with doctor

MedDRA releases: 2024-11 · check-in free text available
2022-11-19
Report sent to call center — 6 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-11-21
Call successful
Does not wish to fill out VAERS report
2022-12-02
Callback requested for
2023-05-21
Survey response — 12 months, dose 4
MedDRA: Arthritis, COVID-19, Dizziness, Fatigue, Headache, Pyrexia, Rhinorrhoea, Vomiting — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-05-21
Report sent to call center — 12 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-05-23
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-09	Pfizer-BioNTech
2	2021-05-01	Pfizer-BioNTech
3	2021-11-29	Pfizer-BioNTech	No
4	2022-05-21	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-11-19	Successful 2022-11-21	Does not wish to fill out VAERS report
2023-05-21	Unsuccessful

Free text

Release 7 — day 14, dose 1

2021-04-23

Symptoms: Was very fatigued and achy yesterday with a slight headache

Release 8 — days 1–6 daily, dose 2

2021-05-03

Systemic reaction (other): very thirsty since getting vaccine. drinking lots of liquid constantly since saturday.

Release 12 — day 35, dose 4

2022-06-25

Symptoms: Light colored soft stool

Release 12 — day 42, dose 4

2022-07-03

Symptoms: Knee pain. Probably unrelated to vaccine.

Release 12 — 6 months, dose 4

2022-11-19

Symptoms: Tested positive for Covid in late August. Vomiting, bad headache, extreme fatigue, runny. Ose, cough,fever, burning red eyes. The burning red eyes lasted for two weeks after tested negative.

Healthcare visit (other): Phone call with doctor

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 counselling	·	·	✓
SD	Arthralgia	·	·	✓
SD	Arthritis	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Dizziness	·	·	✓
SD	Eye irritation	·	·	✓
SD	Faeces pale	·	·	✓
SD	Faeces soft	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Ocular hyperaemia	·	·	✓
SD	Pain	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Vomiting	·	·	✓
SRO	Polydipsia	✓	✓	✓
SRO	Thirst	✓	✓	✓

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