ZJQ-18041-11221

3 vaccinations 7 coded responses 22 check-ins 7 free-text entries 7 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 606 / IL
Registered: 2020-12-24

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

2020-12-17
Dose 1 — Pfizer-BioNTech
2020-12-24
Registered in v-safe
2020-12-24
Survey response — day 7, dose 1
MedDRA: Blood pressure increased — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My blood pressure was elevated for 3 days after the injection. It has returned to normal by day 4

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-24
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-31
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-07
Dose 2 — Pfizer-BioNTech
2021-01-09
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: painful arm at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-10
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-13
Survey response — days 1–6 daily, dose 2
MedDRA: Office visit — Feeling: Poor · Fever · Chills, Headache, Nausea · Get care from a doctor or other healthcare professional

Free text: Visit in person with my internist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-15
Health check-in — day 7, dose 2
Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-01-15
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-01-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-03-13
Call 1 — Left Voicemail
2021-04-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-14
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-09-29
Survey response — day 14, dose 3
MedDRA: Arthralgia, Exercise tolerance decreased, Fatigue, Loss of personal independence in daily activities, Mobility decreased, Myalgia — Feeling: Good · Be unable to do your normal daily activities

Free text: Fatigue. I am occasionally unable to exercise or do my ADL's as before. Intermittent joint and muscle pain making it difficult to take stairs and perform at my prior high level of fitness ( martial arts).

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-12
Survey response — day 28, dose 3
MedDRA: Fatigue, Headache — Feeling: Fair

Free text: Headaches daily and unusual fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-10-19
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-26
Health check-in — day 42, dose 3
Feeling: Good

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

Adult check-in
2022-03-15
Survey response — 6 months, dose 3
MedDRA: Office visit, Pericarditis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Symptoms: Pericarditis · Healthcare visit (other): Cardiologist visits and tests

MedDRA releases: 2024-11 · check-in free text available
2022-03-15
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-03-16
Call 1 — Left Voicemail
2022-03-23
Call successful
Participant prefers to complete VAERS report online
2022-09-16
Survey response — 12 months, dose 3
MedDRA: COVID-19, Keratitis, 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 · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Covid kerititis bilateral · Healthcare visit (other): Daily office exams of eyes for 10 days

MedDRA releases: 2024-11 · check-in free text available
2022-09-16
Report sent to call center — 12 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-19
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-17	Pfizer-BioNTech
2	2021-01-07	Pfizer-BioNTech
3	2021-09-14	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2020-12-24	Successful	Participant prefers to complete VAERS report online
2021-01-09	Successful	Participant prefers to complete VAERS report online
2021-01-10	Successful	Participant prefers to complete VAERS report online
2021-01-13	Successful	Participant prefers to complete VAERS report online
2021-01-15	Successful	Participant prefers to complete VAERS report online
2022-03-15	Successful 2022-03-23	Participant prefers to complete VAERS report online
2022-09-16	Successful 2022-09-19	Participant prefers to complete VAERS report online

Free text

Release 1 — day 7, dose 1

2020-12-24

Systemic reaction (other): My blood pressure was elevated for 3 days after the injection. It has returned to normal by day 4

Release 1 — days 1–6 daily, dose 2

2021-01-09

Systemic reaction (other): painful arm at injection site

2021-01-13

Healthcare visit (other): Visit in person with my internist

Release 9 — day 14, dose 3

2021-09-29

Symptoms: Fatigue. I am occasionally unable to exercise or do my ADL's as before. Intermittent joint and muscle pain making it difficult to take stairs and perform at my prior high level of fitness ( martial arts).

Release 10 — day 28, dose 3

2021-10-12

Symptoms: Headaches daily and unusual fatigue

Release 11 — 6 months, dose 3

2022-03-15

Symptoms: Pericarditis

Healthcare visit (other): Cardiologist visits and tests

Release 12 — 12 months, dose 3

2022-09-16

Symptoms: Covid kerititis bilateral

Healthcare visit (other): Daily office exams of eyes for 10 days

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	Arthralgia	·	·	✓
SD	COVID-19	·	·	✓
SD	Exercise tolerance decreased	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Keratitis	·	·	✓
SD	Loss of personal independence in daily activities	·	·	✓
SD	Mobility decreased	·	·	✓
SD	Myalgia	·	·	✓
SD	Pericarditis	·	·	✓
SRO	Blood pressure increased	✓	✓	✓
SRO	Injection site pain	✓	✓	✓

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