ZKS-18129-28121

5 vaccinations 17 coded responses 54 check-ins 17 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 212 / MD
Registered: 2021-01-25

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

2021-01-25
Registered in v-safe
2021-02-02
Dose 1 — Pfizer-BioNTech
2021-02-02
Survey response — day 0, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Pain

Free text: No, just a little tenderness where injected

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-06
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Rhinorrhoea, Sneezing — Feeling: Good · Site: Pain · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: Sneezing, nasal drip, running nose, occasional cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-09
Survey response — day 7, dose 1
MedDRA: Cough, Lacrimation increased, Sneezing, Upper-airway cough syndrome — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Sinus dip, sneezing, a occasional cough, and watery eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — day 14, dose 1
MedDRA: Dry skin, Rash — Feeling: Good

Free text: A rash on my left hand which is opposite the injection arm. Also really dry skin especially hands and feet.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Dose 2 — Pfizer-BioNTech
2021-02-23
Survey response — day 0, dose 2
MedDRA: Tenderness — Feeling: Good · Site: Pain · Headache

Free text: Tender around the injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Good · Site: Pain · Headache

Free text: Tenderness near the injection site

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 · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Diarrhea, Abdominal pain

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good · Site: Pain · Headache, Muscle or body aches

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site pain — Feeling: Good · Headache

Free text: No pain but I have tenderness at the injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-09
Dose 3 — Pfizer-BioNTech
2021-10-03
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-07
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-14
Survey response — day 35, dose 3
MedDRA: Pain in extremity, Peripheral swelling — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Soreness and swelling of the left leg.

MedDRA releases: 2024-11 · check-in free text available
2021-10-14
Report sent to call center — day 35, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2021-10-18
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-21
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-09
Survey response — 3 months, dose 3
MedDRA: Arthropathy, Emergency care — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Left knee issues that I went to the ER for, but they found nothing however it has been bothering me ever since.

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2021-12-10
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-12
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-15
Dose 4 — Pfizer-BioNTech
2022-04-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Chills, Headache · Be unable to do your normal daily activities

Adult check-in
2022-04-17
Survey response — days 1–6 daily, dose 4
MedDRA: Injection site pain, Loss of personal independence in daily activities — Feeling: Good · Site: Pain · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: Right arm around the injection shot is tender, also I have difficulty pulling clothes over my head because it's so tender.

MedDRA releases: 2024-11 · check-in free text available
2022-04-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache

Adult check-in
2022-04-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache

Adult check-in
2022-04-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache

Adult check-in
2022-04-22
Health check-in — day 7, dose 4
Feeling: Good · Site: Pain · Headache

Adult check-in
2022-04-29
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-07
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-13
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-20
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-29
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-17
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-30
Dose 5 — Pfizer-BioNTech
2022-10-01
Survey response — days 1–6 daily, dose 5
MedDRA: Fatigue — Feeling: Fair · Site: Pain

Free text: Tired

MedDRA releases: 2024-11 · check-in free text available
2022-10-02
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Headache · Be unable to do your normal daily activities

Adult check-in
2022-10-03
Survey response — days 1–6 daily, dose 5
MedDRA: No adverse event — Feeling: Good · Chills

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-10-05
Survey response — days 1–6 daily, dose 5
MedDRA: Tenderness — Feeling: Good · Site: Pain · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: Knee tenderness

MedDRA releases: 2024-11 · check-in free text available
2022-10-06
Survey response — days 1–6 daily, dose 5
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Around my knees

MedDRA releases: 2024-11 · check-in free text available
2022-10-07
Survey response — day 7, dose 5
MedDRA: Arthralgia — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Tenderness in my knees

MedDRA releases: 2024-11 · check-in free text available
2022-10-14
Survey response — day 14, dose 5
MedDRA: Arthralgia, Pain, Pain in extremity, Tenderness — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have been experiencing tenderness, throbbing in my legs, and around my knees and calf's.

MedDRA releases: 2024-11 · check-in free text available
2022-10-21
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-10-30
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-11-06
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-11-11
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-30
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-02
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-02	Pfizer-BioNTech
2	2021-02-23	Pfizer-BioNTech
3	2021-09-09	Pfizer-BioNTech	No
4	2022-04-15	Pfizer-BioNTech	No
5	2022-09-30	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-10-14	Successful 2021-10-18	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-12-09	Successful 2021-12-10	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 3 — day 0, dose 1

2021-02-02

Systemic reaction (other): No, just a little tenderness where injected

Release 3 — days 1–6 daily, dose 1

2021-02-06

Systemic reaction (other): Sneezing, nasal drip, running nose, occasional cough

Release 3 — day 7, dose 1

2021-02-09

Systemic reaction (other): Sinus dip, sneezing, a occasional cough, and watery eyes

Release 4 — day 14, dose 1

2021-02-16

Symptoms: A rash on my left hand which is opposite the injection arm. Also really dry skin especially hands and feet.

Release 4 — day 0, dose 2

2021-02-23

Systemic reaction (other): Tender around the injection site

Release 4 — days 1–6 daily, dose 2

2021-02-24

Systemic reaction (other): Tenderness near the injection site

2021-02-28

Systemic reaction (other): No

2021-03-01

Systemic reaction (other): No pain but I have tenderness at the injection site.

Release 10 — day 35, dose 3

2021-10-14

Symptoms: Soreness and swelling of the left leg.

Release 10 — 3 months, dose 3

2021-12-09

Symptoms: Left knee issues that I went to the ER for, but they found nothing however it has been bothering me ever since.

Release 11 — days 1–6 daily, dose 4

2022-04-17

Systemic reaction (other): Right arm around the injection shot is tender, also I have difficulty pulling clothes over my head because it's so tender.

Release 12 — days 1–6 daily, dose 5

2022-10-01

Systemic reaction (other): Tired

2022-10-03

Systemic reaction (other): No

2022-10-05

Systemic reaction (other): Knee tenderness

2022-10-06

Systemic reaction (other): Around my knees

Release 12 — day 7, dose 5

2022-10-07

Systemic reaction (other): Tenderness in my knees

Release 12 — day 14, dose 5

2022-10-14

Symptoms: I have been experiencing tenderness, throbbing in my legs, and around my knees and calf's.

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	Arthralgia	·	·	✓
SD	Arthropathy	·	·	✓
SD	Dry skin	✓	✓	✓
SD	Emergency care	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Peripheral swelling	·	·	✓
SD	Rash	✓	✓	✓
SD	Tenderness	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Fatigue	·	·	✓
SRO	Injection site pain	✓	✓	✓
SRO	Lacrimation increased	✓	✓	✓
SRO	Loss of personal independence in daily activities	·	·	✓
SRO	No adverse event	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sneezing	✓	✓	✓
SRO	Tenderness	✓	✓	✓
SRO	Unevaluable event	·	·	✓
SRO	Upper-airway cough syndrome	✓	✓	✓

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