ZJD-28509-59450

5 vaccinations 6 coded responses 50 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 852 / AZ
Registered: 2021-03-03

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

2021-03-03
Registered in v-safe
2021-03-03
Dose 1 — Pfizer-BioNTech
2021-03-03
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Nausea

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Diarrhea

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — day 7, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-03-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-24
Dose 2 — Pfizer-BioNTech
2021-03-24
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-14
Survey response — day 21, dose 2
MedDRA: Diarrhoea, Headache — Feeling: Fair

Free text: Diarrhea and headache for the last three days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 28, dose 2
MedDRA: Diarrhoea, Headache — Feeling: Fair

Free text: Diarrhea off and on, headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — day 35, dose 2
MedDRA: Diarrhoea — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: I keep having diarrhea often on, several days at a time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-22
Survey response — 6 months, dose 2
MedDRA: Type 2 diabetes mellitus — 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 · Outpatient clinic or urgent care clinic visit

Free text: Diagnosed with type two diabetes.

MedDRA releases: 2024-11 · check-in free text available
2021-09-22
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)
2021-09-27
Call 1 — Left Voicemail
2021-10-22
Dose 3 — Pfizer-BioNTech
2022-06-02
Dose 4 — Pfizer-BioNTech
2022-06-03
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-06-04
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Itching · Fatigue or tiredness, Nausea

Adult check-in
2022-06-05
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Itching · Chills, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2022-06-06
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Itching · Chills, Fatigue or tiredness, Nausea

Adult check-in
2022-06-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Itching · Fatigue or tiredness, Nausea

Adult check-in
2022-06-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness · Fatigue or tiredness

Adult check-in
2022-06-09
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-06-16
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-23
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-30
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-07
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-14
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-09-03
Survey response — 3 months, dose 4
MedDRA: Chills, Cough, Diarrhoea, Headache, Myalgia, Oropharyngeal pain, Pyrexia, Vomiting — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fever, cough, sore throat, vomiting, diarrhea, chills, headache muscle pain. Tested negative twice with two home tests and negative once with one rapid test at Walgreens.

MedDRA releases: 2024-11 · check-in free text available
2022-11-10
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-11-11
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Diarrhea

Adult check-in
2022-11-12
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-11-13
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Nausea, Diarrhea

Adult check-in
2022-11-14
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2022-11-15
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Headache

Adult check-in
2022-11-16
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Headache

Adult check-in
2022-11-17
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-11-24
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-12-01
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-12-08
Survey response — day 28, dose 5
MedDRA: Chills, Cough, Headache, Medical counselling, Oropharyngeal pain, Pain, Pyrexia — Feeling: Poor · 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: Fever, sore throat, cough, headache, chills, body aches. · Healthcare visit (other): Spoke over phone

MedDRA releases: 2024-11 · check-in free text available
2022-12-08
Report sent to call center — day 28, dose 5
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)
2022-12-09
Call 2 — Left Voicemail
2022-12-09
Call 1 — Left Voicemail
2022-12-17
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-12-24
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-02-09
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Pfizer-BioNTech
2	2021-03-24	Pfizer-BioNTech
3	2021-10-22	Pfizer-BioNTech	No
4	2022-06-02	Pfizer-BioNTech	No
5	2022-11-10	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-09-22	Unsuccessful
2022-12-08	Unsuccessful

Free text

Release 7 — day 21, dose 2

2021-04-14

Symptoms: Diarrhea and headache for the last three days.

Release 7 — day 28, dose 2

2021-04-21

Symptoms: Diarrhea off and on, headaches

Release 8 — day 35, dose 2

2021-04-28

Symptoms: I keep having diarrhea often on, several days at a time.

Release 9 — 6 months, dose 2

2021-09-22

Symptoms: Diagnosed with type two diabetes.

Release 12 — 3 months, dose 4

2022-09-03

Symptoms: Fever, cough, sore throat, vomiting, diarrhea, chills, headache muscle pain. Tested negative twice with two home tests and negative once with one rapid test at Walgreens.

Release 12 — day 28, dose 5

2022-12-08

Symptoms: Fever, sore throat, cough, headache, chills, body aches.

Healthcare visit (other): Spoke over phone

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	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Type 2 diabetes mellitus	·	·	✓
SD	Vomiting	·	·	✓

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