ZJH-27588-22426

3 vaccinations 9 coded responses 27 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 503 / IA
Registered: 2021-02-16

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

2021-02-06
Dose 1 — Pfizer-BioNTech
2021-02-16
Registered in v-safe
2021-02-16
Survey response — day 7, dose 1
MedDRA: Rash, Rash erythematous, Rash pruritic — Feeling: Good

Free text: Rash on upper chest, sl. Red & sitchy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-27
Dose 2 — Pfizer-BioNTech
2021-02-27
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Chills, Fatigue or tiredness

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Diarrhea

Adult check-in
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Joint pains, Muscle or body aches · Get care from a doctor or other healthcare professional

Free text: I will be seeing my chiropractor to deal with what is possibly related to previous injury.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Muscle spasms — Feeling: Poor · Site: Pain · Chills, Joint pains, Muscle or body aches, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Wow, cramps, chills bad but no fever at this time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal discomfort, Office visit, Rash — Feeling: Good · Joint pains · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Much improved from yesterday! But chiropractor appt. Scheduled next week for hip and low back discomfort, a periofic Achilles heel for me · Healthcare visit (other): My usual Chiropractor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-07
Health check-in — day 7, dose 2
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-03-13
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-28
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-09-27
Dose 3 — Pfizer-BioNTech
2021-09-28
Call 1 — Left Voicemail
2021-10-01
Survey response — days 1–6 daily, dose 3
MedDRA: Asthma, Chills, Eye irritation, Headache, Pyrexia, Respiratory tract congestion, Rhinorrhoea, Unevaluable event — Feeling: Fair · Headache, Muscle or body aches

Free text: Please correct date of 3rd pfizer to Sept 24. Had chills, low grade fever, headache 1st couple days. Headache persists, sinus and runny nose, eyes irritated. Asthma and some chest congestion.

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Productive cough, Therapeutic response unexpected — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Coughing but cough now productive, asthma lessened,

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Nasal congestion, Pre-existing disease, Respiratory tract congestion — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Allergies (high ragweed today); mild congestion in nose chest.

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Survey response — day 7, dose 3
MedDRA: Office visit — Feeling: Good · Headache, Muscle or body aches · Get care from a doctor or other healthcare professional

Free text: Chiropractor

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Report sent to call center — day 7, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-08
Call 1 — Left Voicemail
2021-10-11
Survey response — day 14, dose 3
MedDRA: Arthropathy, Back disorder, Chiropractic, Headache, Musculoskeletal stiffness, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Shoulder and low back issues continue and am now seeing my chiropractor. Not sure if headaches which remain to be on&off irritations are from those upper back,stiff neck issues..that may be sinus related. I feel better but still not where I hope to b · Healthcare visit (other): Chiropractor's office

MedDRA releases: 2024-11 · check-in free text available
2021-10-11
Report sent to call center — day 14, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-13
Call 1 — Left Voicemail
2021-10-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-01
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-27
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-28
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-06	Pfizer-BioNTech
2	2021-02-27	Pfizer-BioNTech
3	2021-09-27	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-02	Unsuccessful
2021-03-04	Unsuccessful
2021-10-04	Unsuccessful
2021-10-11	Unsuccessful

Free text

Release 4 — day 7, dose 1

2021-02-16

Systemic reaction (other): Rash on upper chest, sl. Red & sitchy

Release 4 — days 1–6 daily, dose 2

2021-03-02

Healthcare visit (other): I will be seeing my chiropractor to deal with what is possibly related to previous injury.

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Wow, cramps, chills bad but no fever at this time.

2021-03-04

Systemic reaction (other): Much improved from yesterday! But chiropractor appt. Scheduled next week for hip and low back discomfort, a periofic Achilles heel for me

Healthcare visit (other): My usual Chiropractor

Release 9 — days 1–6 daily, dose 3

2021-10-01

Systemic reaction (other): Please correct date of 3rd pfizer to Sept 24. Had chills, low grade fever, headache 1st couple days. Headache persists, sinus and runny nose, eyes irritated. Asthma and some chest congestion.

2021-10-02

Systemic reaction (other): Coughing but cough now productive, asthma lessened,

2021-10-03

Systemic reaction (other): Allergies (high ragweed today); mild congestion in nose chest.

Release 9 — day 7, dose 3

2021-10-04

Healthcare visit (other): Chiropractor

Release 10 — day 14, dose 3

2021-10-11

Symptoms: Shoulder and low back issues continue and am now seeing my chiropractor. Not sure if headaches which remain to be on&off irritations are from those upper back,stiff neck issues..that may be sinus related. I feel better but still not where I hope to b cut off by CDC

Healthcare visit (other): Chiropractor's office

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	Arthropathy	·	·	✓
SD	Back disorder	·	·	✓
SD	Chiropractic	·	·	✓
SD	Headache	·	·	✓
SD	Musculoskeletal stiffness	·	·	✓
SRO	Asthma	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Cough	·	·	✓
SRO	Eye irritation	·	·	✓
SRO	Headache	·	·	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Musculoskeletal discomfort	✓	✓	✓
SRO	Nasal congestion	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Productive cough	·	·	✓
SRO	Pyrexia	·	·	✓
SRO	Rash	✓	✓	✓
SRO	Rash erythematous	✓	✓	✓
SRO	Rash pruritic	✓	✓	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Therapeutic response unexpected	·	·	✓
SRO	Unevaluable event	·	·	✓

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