ZKJ-27339-10538

4 vaccinations 10 coded responses 31 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 701 / LA
Registered: 2021-01-16

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-15
Dose 1 — Pfizer-BioNTech
2021-01-16
Registered in v-safe
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Fatigue or tiredness

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Survey response — day 14, dose 1
MedDRA: Headache, Pre-existing disease — Feeling: Fair

Free text: Headache, but Im a migraine sufferer

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Dose 2 — Pfizer-BioNTech
2021-02-19
Survey response — day 14, dose 2
MedDRA: Headache, Migraine — Feeling: Fair

Free text: Headache upon waking several days. I am a migraine sufferer and took a Fioricet, which seems to help me get through the day. I wake up with a headache daily now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-07
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Pain in extremity, Peripheral swelling — Feeling: Fair

Free text: Right inner elbow pain/swelling. Right tibia swelling and small pain in right calf, which been there since last month, didnt really bother with it as a pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-08
Survey response — 6 months, dose 2
MedDRA: Abdominal pain, Arthralgia, Diarrhoea, Flank pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Left side pain today and abdominal pain/diarrhea today. Right elbow pain for the last 3 months.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-21
Dose 3 — Pfizer-BioNTech
2021-09-30
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-10-02
Survey response — day 42, dose 3
MedDRA: Blister, Rash — Feeling: Fair

Free text: A couple of blisters to me big toe and lateral tarsal. Also a rash to upper foot.

MedDRA releases: 2024-11 · check-in free text available
2021-11-20
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-02-18
Dose 4 — Pfizer-BioNTech
2022-02-18
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-02-19
Survey response — days 1–6 daily, dose 4
MedDRA: No adverse event — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-02-20
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-02-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-02-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-02-23
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Nausea, Abdominal pain · Be unable to work or attend school

Adult check-in
2022-02-24
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Nausea

Adult check-in
2022-02-25
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-03-04
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-03-11
Survey response — day 21, dose 4
MedDRA: Oedema peripheral — Feeling: Good

Free text: Small bump under my right armpit, which seems better with warm compression. Don't feel it as much today. Started on Sunday.

MedDRA releases: 2024-11 · check-in free text available
2022-03-18
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-03-25
Survey response — day 35, dose 4
MedDRA: Arthralgia, Cough, Joint swelling, Occupational therapy, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Joint pain from arthritis and fluid in leg/ knee. Also sinus/ allergies with a slight cough today. · Healthcare visit (other): Occupational therapy

MedDRA releases: 2024-11 · check-in free text available
2022-03-25
Report sent to call center — day 35, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-29
Call 2 — Could Not Reach Participant
2022-04-01
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-04-01
Call 3 — Could Not Reach Participant
2022-05-21
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-08-19
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-02-18
Survey response — 12 months, dose 4
MedDRA: Arthralgia, Neck pain, Pain in extremity, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-02-18
Report sent to call center — 12 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2023-02-20
Call 1 — Left Voicemail
2023-02-20
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Pfizer-BioNTech
2	2021-02-05	Pfizer-BioNTech
3	2021-08-21	Pfizer-BioNTech	No
4	2022-02-18	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-03-25	Unsuccessful
2023-02-18	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-21

Systemic reaction (other): Dizziness

Release 3 — day 14, dose 1

2021-01-29

Symptoms: Headache, but Im a migraine sufferer

Release 4 — day 14, dose 2

2021-02-19

Symptoms: Headache upon waking several days. I am a migraine sufferer and took a Fioricet, which seems to help me get through the day. I wake up with a headache daily now.

Release 8 — 3 months, dose 2

2021-05-07

Symptoms: Right inner elbow pain/swelling. Right tibia swelling and small pain in right calf, which been there since last month, didnt really bother with it as a pain.

Release 9 — 6 months, dose 2

2021-08-08

Symptoms: Left side pain today and abdominal pain/diarrhea today. Right elbow pain for the last 3 months.

Release 9 — day 42, dose 3

2021-10-02

Symptoms: A couple of blisters to me big toe and lateral tarsal. Also a rash to upper foot.

Release 11 — days 1–6 daily, dose 4

2022-02-19

Systemic reaction (other): No

Release 11 — day 21, dose 4

2022-03-11

Symptoms: Small bump under my right armpit, which seems better with warm compression. Don't feel it as much today. Started on Sunday.

Release 11 — day 35, dose 4

2022-03-25

Symptoms: Joint pain from arthritis and fluid in leg/ knee. Also sinus/ allergies with a slight cough today.

Healthcare visit (other): Occupational therapy

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	Occupational therapy	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Abdominal pain	✓	·	✓
SD	Arthralgia	✓	✓	✓
SD	Blister	·	·	✓
SD	Cough	·	·	✓
SD	Diarrhoea	✓	·	✓
SD	Flank pain	✓	·	✓
SD	Headache	✓	✓	✓
SD	Joint swelling	·	·	✓
SD	Migraine	✓	✓	✓
SD	Neck pain	·	·	✓
SD	Oedema peripheral	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	No adverse event	·	·	✓

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