ZKF-23692-62365

3 vaccinations 8 coded responses 34 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 454 / OH
Registered: 2021-01-30

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

2021-01-30
Registered in v-safe
2021-01-30
Dose 1 — Pfizer-BioNTech
2021-01-30
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: Ocular discomfort — Feeling: Good · Site: Pain

Free text: Pressure feeling behind right eye but didn't develop into headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: Cyst, Hordeolum, Swelling of eyelid — Feeling: Good

Free text: Swelling on top eyelid R, likely a cyst or stye, now 3rd day, not likely related but wanted to note

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — day 7, dose 1
MedDRA: Hordeolum, Swelling of eyelid — Feeling: Good

Free text: Still swollen R eyelid but stye

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-20
Dose 2 — Pfizer-BioNTech
2021-02-20
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Body temperature increased — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Elevated temp but not fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Myalgia — Feeling: Good · Muscle or body aches

Free text: Muscle ache is just on left shoulder/neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-16
Dose 3 — Pfizer-BioNTech
2021-11-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-11-23
Health check-in — day 7, dose 3
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-11-30
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-07
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-14
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-21
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-28
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-15
Survey response — 3 months, dose 3
MedDRA: Diarrhoea, Fatigue, Gastroenteritis viral, Myalgia, Nausea, Pain, Vomiting — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Week ago had stomach flu- w vomiting, nausea, diarrhea, fatigue and muscle pain/body aches . felt better in 24hrs. Rested and did not need treatment and was not able to test but isolated that day and masked as usual next day

MedDRA releases: 2024-11 · check-in free text available
2022-05-17
Survey response — 6 months, dose 3
MedDRA: Cough, Nasal congestion, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cough, sore throat, stuffy nose past 7 days / tested negative for covid. but still masked when had to be out and worked remote

MedDRA releases: 2024-11 · check-in free text available
2022-11-16
Survey response — 12 months, dose 3
MedDRA: Cough, Influenza, Nasopharyngitis, Secretion discharge — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Had cold/flu cough mucus

MedDRA releases: 2024-11 · check-in free text available
2022-11-16
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-17
Call 1 — Left Voicemail
2022-11-18
Call 2 — Left Voicemail
2022-11-18
Callback requested for
06:00PM ET
2022-11-18
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-30	Pfizer-BioNTech
2	2021-02-20	Pfizer-BioNTech
3	2021-11-16	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-11-16	Successful 2022-11-18	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-31

Systemic reaction (other): Pressure feeling behind right eye but didn't develop into headache

2021-02-05

Systemic reaction (other): Swelling on top eyelid R, likely a cyst or stye, now 3rd day, not likely related but wanted to note

Release 3 — day 7, dose 1

2021-02-06

Systemic reaction (other): Still swollen R eyelid but stye

Release 4 — days 1–6 daily, dose 2

2021-02-21

Systemic reaction (other): Elevated temp but not fever

2021-02-24

Systemic reaction (other): Muscle ache is just on left shoulder/neck

Release 11 — 3 months, dose 3

2022-02-15

Symptoms: Week ago had stomach flu- w vomiting, nausea, diarrhea, fatigue and muscle pain/body aches . felt better in 24hrs. Rested and did not need treatment and was not able to test but isolated that day and masked as usual next day

Release 11 — 6 months, dose 3

2022-05-17

Symptoms: Cough, sore throat, stuffy nose past 7 days / tested negative for covid. but still masked when had to be out and worked remote

Release 12 — 12 months, dose 3

2022-11-16

Symptoms: Had cold/flu cough mucus

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	Cough	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Gastroenteritis viral	·	·	✓
SD	Influenza	·	·	✓
SD	Myalgia	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Secretion discharge	·	·	✓
SD	Vomiting	·	·	✓
SRO	Body temperature increased	✓	✓	✓
SRO	Cyst	✓	✓	✓
SRO	Hordeolum	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Ocular discomfort	✓	✓	✓
SRO	Swelling of eyelid	✓	✓	✓

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