ZJA-14756-10464

2 vaccinations 11 coded responses 25 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 850 / AZ
Registered: 2021-01-15

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

2021-01-15
Registered in v-safe
2021-01-15
Dose 1 — Pfizer-BioNTech
2021-01-15
Survey response — day 0, dose 1
MedDRA: Pruritus — Feeling: Good

Free text: Itchy mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

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

Adult check-in
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Paraesthesia, Pruritus — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Skin is prickly and itching again

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Paraesthesia, Pruritus — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Mild prickly/itchy sensation in skin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus, Self-medication — Feeling: Good

Free text: Itching - still taking daily antihistamine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · Diarrhea, Abdominal pain

Adult check-in
2021-01-29
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-09
Dose 2 — Pfizer-BioNTech
2021-02-09
Health check-in — day 0, dose 2
Feeling: Fair · Site: Itching · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-16
Survey response — day 7, dose 2
MedDRA: Chest discomfort, Oropharyngeal pain — Feeling: Poor · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore throat and tight chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — day 14, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Be unable to do your normal daily activities

Free text: Swollen lymph glands in neck and groin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-16
Survey response — day 35, dose 2
MedDRA: Decreased appetite, Fatigue, Irritable bowel syndrome, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: IBS flare up, reflux (unusual for me)Really tired for past week, no appetite.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — day 42, dose 2
MedDRA: Gastrooesophageal reflux disease, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe reflux for past 2 weeks, daily headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Survey response — 3 months, dose 2
MedDRA: Fatigue, Hypersensitivity — Feeling: Fair

Free text: More severe allergies and several days a week of extreme fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-10
Survey response — 6 months, dose 2
MedDRA: Abdominal pain, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: One month of severe abdominal pain, especially with food. It resolved · Healthcare visit (other): Had endoscopy and colonoscopy

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-10
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-01
Call 1 — Left Voicemail
2022-02-09
Survey response — 12 months, dose 2
MedDRA: Impaired healing, Knee operation, 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: Knee surgery not healing well · Healthcare visit (other): Regular appts with Orthepedic surgeon

MedDRA releases: 2024-11 · check-in free text available
2022-02-09
Report sent to call center — 12 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)
2022-02-10
Call 1 — Left Voicemail
2022-02-16
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Pfizer-BioNTech
2	2021-02-09	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-08-10	Successful	Does not wish to fill out VAERS report
2022-02-09	Successful 2022-02-16	Does not wish to fill out VAERS report

Free text

Release 2 — day 0, dose 1

2021-01-15

Systemic reaction (other): Itchy mild

Release 2 — days 1–6 daily, dose 1

2021-01-18

Systemic reaction (other): Skin is prickly and itching again

2021-01-19

Systemic reaction (other): Mild prickly/itchy sensation in skin

2021-01-21

Systemic reaction (other): Itching - still taking daily antihistamine

Release 4 — day 7, dose 2

2021-02-16

Systemic reaction (other): Sore throat and tight chest

Release 4 — day 14, dose 2

2021-02-23

Symptoms: Swollen lymph glands in neck and groin

Release 5 — day 35, dose 2

2021-03-16

Symptoms: IBS flare up, reflux (unusual for me)Really tired for past week, no appetite.

Release 6 — day 42, dose 2

2021-03-23

Symptoms: Severe reflux for past 2 weeks, daily headaches

Release 8 — 3 months, dose 2

2021-05-11

Symptoms: More severe allergies and several days a week of extreme fatigue

Release 9 — 6 months, dose 2

2021-08-10

Symptoms: One month of severe abdominal pain, especially with food. It resolved

Healthcare visit (other): Had endoscopy and colonoscopy

Release 11 — 12 months, dose 2

2022-02-09

Symptoms: Knee surgery not healing well

Healthcare visit (other): Regular appts with Orthepedic surgeon

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	·	·	✓
HCVO	Unevaluable event	✓	·	✓
SD	Abdominal pain	✓	·	✓
SD	Decreased appetite	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastrooesophageal reflux disease	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Impaired healing	·	·	✓
SD	Irritable bowel syndrome	✓	✓	✓
SD	Knee operation	·	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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