ZKM-17133-83545

4 vaccinations 17 coded responses 46 check-ins 16 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 282 / NC
Registered: 2021-04-09

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

2021-04-09
Registered in v-safe
2021-04-09
Dose 1 — Pfizer-BioNTech
2021-04-09
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Nausea

Free text: Tired

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

Adult check-in
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Nausea, Pre-existing disease, Rheumatoid arthritis — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: I have RA and skipped Methotrexate. Flare up is worse than normal. Not usually this nauseous and tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-16
Survey response — day 7, dose 1
MedDRA: Rheumatoid arthritis — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Pain probably related to Rheumatoid Arthritis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-07
Dose 2 — Pfizer-BioNTech
2021-05-07
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Nausea

Adult check-in
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-10
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Fair · Site: Pain · Headache, Joint pains · Be unable to do your normal daily activities

Free text: Joint pain most likely from RA

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Condition aggravated, Pre-existing disease, Rheumatoid arthritis — Feeling: Fair · Site: Pain · Headache, Joint pains

Free text: Joint pain is probably RA related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Fair · Joint pains, Muscle or body aches

Free text: Rheumatoid Arthritis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-06
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-12
Dose 3 — Pfizer-BioNTech
2021-09-12
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Chills

Adult check-in
2021-09-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-09-14
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Myalgia, Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Muscle and joint pain probably related to not taking RA medications

MedDRA releases: 2024-11 · check-in free text available
2021-09-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache

Adult check-in
2021-09-16
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Fair · Headache

Free text: Dizziness-moderate

MedDRA releases: 2024-11 · check-in free text available
2021-09-17
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Fair · Headache

Free text: Dizziness-moderate

MedDRA releases: 2024-11 · check-in free text available
2021-09-18
Survey response — days 1–6 daily, dose 3
MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Bad RA flare up holding Methotrexate and Xeljanz 6 days

MedDRA releases: 2024-11 · check-in free text available
2021-09-19
Survey response — day 7, dose 3
MedDRA: Arthralgia, Pain, Pre-existing disease — Feeling: Good · Headache

Free text: Took methotrexate last night and feel alot better . Joint and body pain reported yesterday may have been from holding RA medications.

MedDRA releases: 2024-11 · check-in free text available
2021-09-26
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-10-03
Survey response — day 21, dose 3
MedDRA: Arthralgia — Feeling: Fair

Free text: Joint pain worse

MedDRA releases: 2024-11 · check-in free text available
2021-10-10
Survey response — day 28, dose 3
MedDRA: Dizziness — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Dizziness and lightheadedness

MedDRA releases: 2024-11 · check-in free text available
2021-10-10
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-17
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-24
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-10-29
Call 3 — Left Voicemail
2021-12-12
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-02-11
Dose 4 — Pfizer-BioNTech
2022-02-24
Survey response — day 7, dose 4
MedDRA: Nasopharyngitis — Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities

Free text: Feel like I caught a cold exactly 1 week after vaccine

MedDRA releases: 2024-11 · check-in free text available
2022-02-26
Survey response — day 14, dose 4
MedDRA: Office visit, Respiratory tract congestion — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: Congestion · Healthcare visit (other): Family doctor

MedDRA releases: 2024-11 · check-in free text available
2022-02-26
Report sent to call center — day 14, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-01
Call 3 — Could Not Reach Participant
2022-03-04
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-03-04
Call X — Could Not Reach Participant
2022-03-11
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-03-18
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-03-25
Survey response — day 42, dose 4
MedDRA: Diarrhoea, Vomiting — Feeling: Good · Be unable to work or attend school

Free text: Vomiting and diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-05-13
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-08-12
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-02-11
Survey response — 12 months, dose 4
MedDRA: Pre-existing disease — 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

MedDRA releases: 2024-11
2023-02-11
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-02-13
Call 1 — Could Not Reach Participant
2023-02-13
Call 1 — Could Not Reach Participant
2023-02-13
Call 1 — Could Not Reach Participant
2023-02-16
Call 2 — Left Voicemail
2023-02-16
Call 2 — Left Voicemail
2023-02-16
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-09	Pfizer-BioNTech
2	2021-05-07	Pfizer-BioNTech
3	2021-09-12	Pfizer-BioNTech	No
4	2022-02-11	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-10-10	Unsuccessful
2022-02-26	Unsuccessful
2023-02-11	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-10

Systemic reaction (other): Tired

2021-04-12

Systemic reaction (other): I have RA and skipped Methotrexate. Flare up is worse than normal. Not usually this nauseous and tired

Release 7 — day 7, dose 1

2021-04-16

Systemic reaction (other): Pain probably related to Rheumatoid Arthritis

Release 8 — days 1–6 daily, dose 2

2021-05-10

Systemic reaction (other): Joint pain most likely from RA

2021-05-11

Systemic reaction (other): Joint pain is probably RA related

2021-05-13

Systemic reaction (other): Rheumatoid Arthritis

Release 9 — days 1–6 daily, dose 3

2021-09-14

Systemic reaction (other): Muscle and joint pain probably related to not taking RA medications

2021-09-16

Systemic reaction (other): Dizziness-moderate

2021-09-17

Systemic reaction (other): Dizziness-moderate

2021-09-18

Systemic reaction (other): Bad RA flare up holding Methotrexate and Xeljanz 6 days

Release 9 — day 7, dose 3

2021-09-19

Systemic reaction (other): Took methotrexate last night and feel alot better . Joint and body pain reported yesterday may have been from holding RA medications.

Release 9 — day 21, dose 3

2021-10-03

Symptoms: Joint pain worse

Release 10 — day 28, dose 3

2021-10-10

Symptoms: Dizziness and lightheadedness

Release 11 — day 7, dose 4

2022-02-24

Systemic reaction (other): Feel like I caught a cold exactly 1 week after vaccine

Release 11 — day 14, dose 4

2022-02-26

Symptoms: Congestion

Healthcare visit (other): Family doctor

Release 11 — day 42, dose 4

2022-03-25

Symptoms: Vomiting and diarrhea

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	Diarrhoea	·	·	✓
SD	Dizziness	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Vomiting	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Dizziness	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Myalgia	·	·	✓
SRO	Nasopharyngitis	·	·	✓
SRO	Nausea	✓	✓	✓
SRO	Pain	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rheumatoid arthritis	✓	✓	✓

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