ZJJ-20767-24179

4 vaccinations 10 coded responses 54 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 863 / AZ
Registered: 2021-03-31

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

2021-03-31
Registered in v-safe
2021-03-31
Dose 1 — Pfizer-BioNTech
2021-03-31
Health check-in — day 0, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Pain · Fever

Free text: Sore muscle at injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fever · Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Cytomegalovirus infection, Cytomegalovirus viraemia, Pre-existing disease — Feeling: Good · Site: Pain · Fever · Fatigue or tiredness

Free text: I have cytomegalovirus as well.

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

Adult check-in
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Fever · Diarrhea

Free text: I have Cytomegalovirus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Cytomegalovirus infection — Feeling: Good · Fever · Fatigue or tiredness

Free text: I have cytomegalovirus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — day 7, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Fever · Muscle or body aches, Fatigue or tiredness

Free text: I have cytomegalovirus as well.

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

Adult check-in
2021-04-21
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-22
Dose 2 — Pfizer-BioNTech
2021-04-23
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 do your normal daily activities

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Pulmonary pain — Feeling: Good · Site: Pain · Fever · Muscle or body aches

Free text: Cough and pain in lungs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · None

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-29
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-18
Dose 3 — Pfizer-BioNTech
2022-01-18
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2022-01-19
Survey response — days 1–6 daily, dose 3
MedDRA: Trigeminal neuralgia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activities

Free text: Nerve pain in face on the same side as the injection.

MedDRA releases: 2024-11 · check-in free text available
2022-01-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Abdominal pain

Adult check-in
2022-01-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-01-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2022-01-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-25
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-02-01
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-02-08
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-15
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-22
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-03-01
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-19
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-19
Survey response — 6 months, dose 3
MedDRA: Caesarean section — 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 · Hospitalization

Free text: Had a cesarean section last week and am still recovering.

MedDRA releases: 2024-11 · check-in free text available
2022-07-19
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Hospitalization · 1 call case(s)
2022-07-20
Call 1 — Left Voicemail
2022-10-18
Dose 4 — Pfizer-BioNTech
2022-10-18
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain · Headache, Abdominal pain

Adult check-in
2022-10-19
Survey response — days 1–6 daily, dose 4
MedDRA: Coccydynia, Insomnia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Insomnia and tail bone pain

MedDRA releases: 2024-11 · check-in free text available
2022-10-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache

Adult check-in
2022-10-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-25
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-11-01
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-11-08
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-15
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-22
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-01
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-18
Survey response — 3 months, dose 4
MedDRA: Viral upper respiratory tract infection — Feeling: Good · Be unable to work or attend school

MedDRA releases: 2024-11
2023-04-18
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Pfizer-BioNTech
2	2021-04-22	Pfizer-BioNTech
3	2022-01-18	Pfizer-BioNTech	No
4	2022-10-18	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-07-19	Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-01

Systemic reaction (other): Sore muscle at injection site.

2021-04-03

Systemic reaction (other): I have cytomegalovirus as well.

2021-04-05

Systemic reaction (other): I have Cytomegalovirus

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): I have cytomegalovirus

Release 7 — day 7, dose 1

2021-04-07

Systemic reaction (other): I have cytomegalovirus as well.

Release 7 — days 1–6 daily, dose 2

2021-04-25

Systemic reaction (other): Cough and pain in lungs

Release 10 — days 1–6 daily, dose 3

2022-01-19

Systemic reaction (other): Nerve pain in face on the same side as the injection.

Release 12 — 6 months, dose 3

2022-07-19

Symptoms: Had a cesarean section last week and am still recovering.

Release 12 — days 1–6 daily, dose 4

2022-10-19

Systemic reaction (other): Insomnia and tail bone pain

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
SD	Caesarean section	·	·	✓
SD	Viral upper respiratory tract infection	·	·	✓
SRO	Coccydynia	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Cytomegalovirus infection	✓	✓	✓
SRO	Cytomegalovirus viraemia	○	✓	○
SRO	Injection site pain	✓	✓	✓
SRO	Insomnia	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pulmonary pain	✓	✓	✓
SRO	Trigeminal neuralgia	·	·	✓

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