ZJG-32685-21392

3 vaccinations 12 coded responses 38 check-ins 12 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 472 / IN
Registered: 2021-04-23

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-04-22
Dose 1 — Pfizer-BioNTech
2021-04-23
Registered in v-safe
2021-04-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Joint pains

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Pain, Swelling · Headache, Nausea

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Nausea

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-29
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-13
Dose 2 — Pfizer-BioNTech
2021-05-13
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache

Adult check-in
2021-05-14
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain, Malaise, Self-medication — Feeling: Fair · Site: Pain · Headache

Free text: Yesterday I felt very sick. I took Tylenol and slept all day and all night. Today other than a sore arm at the injection site I am feeling a lot better. But yesterday was tough.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Survey response — days 1–6 daily, dose 2
MedDRA: Palpitations — Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities

Free text: I had heart palpitations last night and today and I usually do not have heart palpitations.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Headache, Heart rate increased, Palpitations — Feeling: Fair · Site: Pain · Chills, Headache · Be unable to do your normal daily activities

Free text: I am having rapid heart beat and heart palpitations off and on and deep breathing isnt helping it subside. I have to lie down for a little while and then it goes away. My head has a full ache especially in my left temple.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-20
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-27
Survey response — day 14, dose 2
MedDRA: Headache, Rash — Feeling: Good

Free text: I broke out with a rash across my stomach, Chest, shoulders and neck. And the minor headache I have had frim the beginning has not completely gone away.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-16
Survey response — 3 months, dose 2
MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activities

Free text: Dull headaches

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-11
Survey response — 6 months, dose 2
MedDRA: Head discomfort, Headache, Neck pain, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Neck pain, dull headaches and full feeling in my head · Healthcare visit (other): In office

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

1 call case(s)
2021-11-15
Call 1 — Left Voicemail
2021-11-19
Dose 3 — Pfizer-BioNTech
2021-11-19
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-20
Survey response — days 1–6 daily, dose 3
MedDRA: Feeling cold — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Feel very cold

MedDRA releases: 2024-11 · check-in free text available
2021-11-21
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Itching · Muscle or body aches, Rash, not including the immediate area around the injection site

Adult check-in
2021-11-23
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Nasopharyngitis, Rhinorrhoea — Feeling: Good · Headache, Muscle or body aches

Free text: Mild symptoms of a cold -runny nose, cough during the night that cleared up during the day

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Survey response — days 1–6 daily, dose 3
MedDRA: Chills, Nasopharyngitis — Feeling: Fair · Chills

Free text: I think I have caught a cold and that's why I have chills

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-11-26
Health check-in — day 7, dose 3
Feeling: Good · Headache

Adult check-in
2021-12-03
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-10
Survey response — day 21, dose 3
MedDRA: Cough, Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good

Free text: I have had a persistent cold with congestion, sniffles, cough since I took the booster shot. Took a Covid test which came back negative.

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Survey response — day 28, dose 3
MedDRA: Lymph node pain — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: The glands at the base of my neck, in front hurt.

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-21
Call successful
Participant prefers to complete VAERS report online
2021-12-27
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-31
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-19
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-20
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-19
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-22	Pfizer-BioNTech
2	2021-05-13	Pfizer-BioNTech
3	2021-11-19	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-11-11	Successful	Participant prefers to complete VAERS report online
2021-12-17	Successful 2021-12-21	Participant prefers to complete VAERS report online

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-24

Systemic reaction (other): None

Release 8 — days 1–6 daily, dose 2

2021-05-14

Systemic reaction (other): Yesterday I felt very sick. I took Tylenol and slept all day and all night. Today other than a sore arm at the injection site I am feeling a lot better. But yesterday was tough.

2021-05-15

Systemic reaction (other): I had heart palpitations last night and today and I usually do not have heart palpitations.

2021-05-16

Systemic reaction (other): I am having rapid heart beat and heart palpitations off and on and deep breathing isnt helping it subside. I have to lie down for a little while and then it goes away. My head has a full ache especially in my left temple.

Release 8 — day 14, dose 2

2021-05-27

Symptoms: I broke out with a rash across my stomach, Chest, shoulders and neck. And the minor headache I have had frim the beginning has not completely gone away.

Release 9 — 3 months, dose 2

2021-08-16

Symptoms: Dull headaches

Release 10 — 6 months, dose 2

2021-11-11

Symptoms: Neck pain, dull headaches and full feeling in my head

Healthcare visit (other): In office

Release 10 — days 1–6 daily, dose 3

2021-11-20

Systemic reaction (other): Feel very cold

2021-11-23

Systemic reaction (other): Mild symptoms of a cold -runny nose, cough during the night that cleared up during the day

2021-11-24

Systemic reaction (other): I think I have caught a cold and that's why I have chills

Release 10 — day 21, dose 3

2021-12-10

Symptoms: I have had a persistent cold with congestion, sniffles, cough since I took the booster shot. Took a Covid test which came back negative.

Release 10 — day 28, dose 3

2021-12-17

Symptoms: The glands at the base of my neck, in front hurt.

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	Cough	·	·	✓
SD	Head discomfort	·	·	✓
SD	Headache	✓	✓	✓
SD	Lymph node pain	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Neck pain	·	·	✓
SD	Rash	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Chills	·	·	✓
SRO	Cough	·	·	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Feeling cold	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Nasopharyngitis	·	·	✓
SRO	No adverse event	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Self-medication	✓	✓	✓

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