ZK9-16436-25426

4 vaccinations 18 coded responses 35 check-ins 17 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 800 / CO
Registered: 2021-02-27

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

2021-02-27
Registered in v-safe
2021-02-27
Dose 1 — Pfizer-BioNTech
2021-02-27
Health check-in — day 0, dose 1
Feeling: Good · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Good · Site: Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Some slight cough-might be asthma?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea, Fatigue, Muscle spasms, Poor quality sleep, Self-medication — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Cramping of muscles and slight shortness of breath and extremely tired. Did not sleep well last night-very restless. Took Melatonin two 5mgs tablets in the course of night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Sniffles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — days 1–6 daily, dose 1
MedDRA: Paranasal sinus hypersecretion — Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Nasal thick discharge with minor clotting!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Fair · Chills, Headache, Fatigue or tiredness, Nausea

Free text: Mostly just tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — day 7, dose 1
MedDRA: Fatigue, Feeling hot — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Just feel warm in & off-no Fever! Still sleepy a lot. Symptoms remain mild.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-20
Dose 2 — Pfizer-BioNTech
2021-03-20
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Coccydynia, Headache, Pre-existing disease — Feeling: Fair · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to work

Free text: Was in ICU JUST BEFORE #2 vaccine with head injury from a fall...hard to know what symptom is from what? I am managing even with head pain and coccyx pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Moderate-severe left ear ache for about 2 hours last night. It subsided.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain — Feeling: Good · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Ear ache gone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Ear ache lots less

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-27
Health check-in — day 7, dose 2
Feeling: Good · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-04-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-21
Survey response — 3 months, dose 2
MedDRA: Dizziness, Muscle spasms — Feeling: Fair

Free text: Dizziness & body cramping

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-27
Dose 3 — Pfizer-BioNTech
2021-10-01
Survey response — days 1–6 daily, dose 3
MedDRA: Eye pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: My eyes hurt

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

Free text: Slight coughasthma?

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Pre-existing disease — Feeling: Fair · Chills, Joint pains, Fatigue or tiredness, Nausea

Free text: Slight cough..I do have asthma!

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Survey response — day 7, dose 3
MedDRA: Cough — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Slight cough-asthma?

MedDRA releases: 2024-11 · check-in free text available
2021-10-11
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-10-18
Health check-in — day 21, dose 3
Feeling: Good

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

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

Adult check-in
2021-12-27
Survey response — 3 months, dose 3
MedDRA: Asthma, Cough — Feeling: Good

Free text: Slight coughasthma?

MedDRA releases: 2024-11 · check-in free text available
2021-12-29
Call 3 — Left Voicemail
2022-03-29
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-03-30
Dose 4 — Pfizer-BioNTech
2022-07-01
Survey response — 3 months, dose 4
MedDRA: Asthma, Migraine, Pruritus, Rash, Salivary duct obstruction — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Skin outbreaks, migraines, clogged salivary gland, systemic itching and asthma

MedDRA releases: 2024-11 · check-in free text available
2022-07-01
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-05
Call 2 — Left Voicemail
2022-07-05
Call 2 — Left Voicemail
2023-04-01
Survey response — 12 months, dose 4
MedDRA: COVID-19 — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-01
Report sent to call center — 12 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-04-05
Call 1 — Left Voicemail
2023-04-05
Call 1 — Left Voicemail
2023-04-05
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-27	Pfizer-BioNTech
2	2021-03-20	Pfizer-BioNTech
3	2021-09-27	Pfizer-BioNTech	No
4	2022-03-30	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-22	Unsuccessful
2022-07-01	Unsuccessful
2023-04-01	Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-28

Systemic reaction (other): Some slight cough-might be asthma?

2021-03-01

Systemic reaction (other): Cramping of muscles and slight shortness of breath and extremely tired. Did not sleep well last night-very restless. Took Melatonin two 5mgs tablets in the course of night

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): Sniffles

2021-03-04

Systemic reaction (other): Nasal thick discharge with minor clotting!

2021-03-05

Systemic reaction (other): Mostly just tired

Release 5 — day 7, dose 1

2021-03-06

Systemic reaction (other): Just feel warm in & off-no Fever! Still sleepy a lot. Symptoms remain mild.

Release 6 — days 1–6 daily, dose 2

2021-03-21

Systemic reaction (other): Was in ICU JUST BEFORE #2 vaccine with head injury from a fall...hard to know what symptom is from what? I am managing even with head pain and coccyx pain

2021-03-22

Systemic reaction (other): Moderate-severe left ear ache for about 2 hours last night. It subsided.

2021-03-24

Systemic reaction (other): Ear ache gone

2021-03-25

Systemic reaction (other): Ear ache lots less

Release 9 — 3 months, dose 2

2021-06-21

Symptoms: Dizziness & body cramping

Release 9 — days 1–6 daily, dose 3

2021-10-01

Systemic reaction (other): My eyes hurt

2021-10-02

Systemic reaction (other): Slight coughasthma?

2021-10-03

Systemic reaction (other): Slight cough..I do have asthma!

Release 9 — day 7, dose 3

2021-10-04

Systemic reaction (other): Slight cough-asthma?

Release 10 — 3 months, dose 3

2021-12-27

Symptoms: Slight coughasthma?

Release 12 — 3 months, dose 4

2022-07-01

Symptoms: Skin outbreaks, migraines, clogged salivary gland, systemic itching and asthma

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	Asthma	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Migraine	·	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Pruritus	·	·	✓
SD	Rash	·	·	✓
SD	Salivary duct obstruction	·	·	✓
SRO	Coccydynia	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Eye pain	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Paranasal sinus hypersecretion	✓	✓	✓
SRO	Poor quality sleep	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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