ZKQ-17854-36033

3 vaccinations 12 coded responses 38 check-ins 12 free-text entries 1 call case

Sex: —
Age at first dose: 31-35
ZIP prefix: 530 / WI
Registered: 2021-01-06

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

2021-01-06
Registered in v-safe
2021-01-06
Dose 1 — Pfizer-BioNTech
2021-01-06
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-21
Survey response — day 14, dose 1
MedDRA: Cough — Feeling: Good

Free text: The minor new symptom I have noticed is an infrequent dry cough. Not sure if it is related but thought I'd share just in case

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Dose 2 — Pfizer-BioNTech
2021-01-27
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Nasal congestion, Sinus congestion — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Sinus/nasal congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-03
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-10
Survey response — day 14, dose 2
MedDRA: Cough, Pregnancy — Feeling: Good

Free text: Dry cough, seems to be improving. On a different note wanted to mentioned in my last US baby looked good.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-02-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-19
Pregnancy registry survey
Pregnant at time of vaccination · Yes, I would like someone to contact me
2021-04-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-12
Dose 3 — Pfizer-BioNTech
2021-11-13
Survey response — days 1–6 daily, dose 3
MedDRA: Pain in extremity, Tenderness — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Armpit tenderness and pain on arm vaccine received

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Survey response — days 1–6 daily, dose 3
MedDRA: Tenderness — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Armpit tenderness (same arm as vaccine) with adduction and light touch

MedDRA releases: 2024-11 · check-in free text available
2021-11-15
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy, Pain — Feeling: Good · Site: Pain

Free text: Swollen armpit lymphnode (same arm as vaccine)continued. Sore and tender with movement and touch

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy, Musculoskeletal stiffness — Feeling: Fair · Site: Pain · Joint pains

Free text: Continue to have enlarged lymphnode to R armpit. Slightly improved today. Neck has been stiff last 3 days

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Survey response — days 1–6 daily, dose 3
MedDRA: Musculoskeletal stiffness, Pain — Feeling: Fair · Site: Pain · Joint pains

Free text: Neck is stiff and hurts to move

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Survey response — days 1–6 daily, dose 3
MedDRA: Musculoskeletal stiffness — Feeling: Good · Joint pains

Free text: Stiff neck continued

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Survey response — day 7, dose 3
MedDRA: Musculoskeletal stiffness — Feeling: Good · Joint pains

Free text: Stiff neck continued but improving

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

Adult check-in
2021-12-03
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-17
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-24
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-12
Survey response — 3 months, dose 3
MedDRA: Discharge, Respiratory tract congestion, Sputum discoloured — Feeling: Fair

Free text: Some chronic congeation with yellow-green drainage. Able to function fine with just and never gets terrible just didn't go away.

MedDRA releases: 2024-11 · check-in free text available
2022-05-13
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-12
Survey response — 12 months, dose 3
MedDRA: Cough, Malaise, Office visit, Paranasal sinus discomfort, Pneumonia, Productive cough, SARS-CoV-2 test positive, Sinusitis — 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: At the end of September i was confirmed by test at my doctors to have COVID, also had pneumonia and sinus infection. 3 weeks leading up to it I was having a terrible cough that was dry and productive thoughout the day. Also sinus pressure, malaise

MedDRA releases: 2024-11 · check-in free text available
2022-11-12
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)
2022-11-14
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Pfizer-BioNTech
2	2021-01-27	Pfizer-BioNTech
3	2021-11-12	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-11-12	Successful 2022-11-14	Participant prefers to complete VAERS report online

Free text

Release 2 — day 14, dose 1

2021-01-21

Symptoms: The minor new symptom I have noticed is an infrequent dry cough. Not sure if it is related but thought I'd share just in case

Release 2 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): Sinus/nasal congestion

Release 4 — day 14, dose 2

2021-02-10

Symptoms: Dry cough, seems to be improving. On a different note wanted to mentioned in my last US baby looked good.

Release 10 — days 1–6 daily, dose 3

2021-11-13

Systemic reaction (other): Armpit tenderness and pain on arm vaccine received

2021-11-14

Systemic reaction (other): Armpit tenderness (same arm as vaccine) with adduction and light touch

2021-11-15

Systemic reaction (other): Swollen armpit lymphnode (same arm as vaccine)continued. Sore and tender with movement and touch

2021-11-16

Systemic reaction (other): Continue to have enlarged lymphnode to R armpit. Slightly improved today. Neck has been stiff last 3 days

2021-11-17

Systemic reaction (other): Neck is stiff and hurts to move

2021-11-18

Systemic reaction (other): Stiff neck continued

Release 10 — day 7, dose 3

2021-11-19

Systemic reaction (other): Stiff neck continued but improving

Release 11 — 3 months, dose 3

2022-02-12

Symptoms: Some chronic congeation with yellow-green drainage. Able to function fine with just and never gets terrible just didn't go away.

Release 12 — 12 months, dose 3

2022-11-12

Symptoms: At the end of September i was confirmed by test at my doctors to have COVID, also had pneumonia and sinus infection. 3 weeks leading up to it I was having a terrible cough that was dry and productive thoughout the day. Also sinus pressure, malaise cut off by CDC

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	Discharge	·	·	✓
SD	Malaise	·	·	✓
SD	Office visit	·	·	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Pneumonia	·	·	✓
SD	Pregnancy	✓	✓	✓
SD	Productive cough	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sinusitis	·	·	✓
SD	Sputum discoloured	·	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Musculoskeletal stiffness	·	·	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Pain	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Sinus congestion	✓	✓	✓
SRO	Tenderness	·	·	✓

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