ZKT-32825-08377

5 vaccinations 15 coded responses 60 check-ins 14 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 914 / CA
Registered: 2021-03-18

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

2021-03-12
Dose 1 — Pfizer-BioNTech
2021-03-18
Registered in v-safe
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Itching · Fatigue or tiredness

Adult check-in
2021-03-19
Health check-in — day 7, dose 1
Feeling: Fair · Site: Redness, Itching · Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-02
Dose 2 — Pfizer-BioNTech
2021-04-02
Survey response — day 0, dose 2
MedDRA: Pruritus, Rash erythematous — Feeling: Good

Free text: The rash that showed up three days after the first dose is still there, though less red and less itchy than it was initially.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Rash erythematous — Feeling: Good · Site: Redness

Free text: The redness I mentioned is that the rash that appeared 3 days after the first shot just got a bit darker red, after having faded in the two weeks prior to the 2nd shot. I suspect the rash may have been from the alsohol or bandaid they used the first time, as I have chemical allergies. I took my own alcohol for the 2nd & did not use a bandaid, and so far the rash has not expanded, just a bit darker red.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Rash pruritic — Feeling: Good

Free text: The rash I had is fading & not itchy any more.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-09
Survey response — day 7, dose 2
MedDRA: Headache — Feeling: Good · Headache

Free text: I very, very seldom get headaches, and today Ive had 3 or 4 short term (less than a minute) where I had a pain in my head. Nothing terrible, but odd for me. No idea if its vaccine related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — day 14, dose 2
MedDRA: Apathy, Disturbance in attention, Fatigue, Headache, Hypersomnia — Feeling: Fair

Free text: I had more headaches in the last week than before - they are rare with me. All short term & not severe, but noticeable. Havent had any today though. Also still more tired than usual, so I sleep more. Also very unfocused & apathetic lately

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — day 21, dose 2
MedDRA: Abdominal pain upper, Nausea, Rash — Feeling: Fair

Free text: Had low intensity stomach pains, in upper left abdomen yesterday & today feeling slightly nauseous all day. Not serious. Probably unrelated to vaccine, but there it is. The rash is almost gone.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-02
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-06
Dose 3 — Pfizer-BioNTech
2021-10-06
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Itching · Fatigue or tiredness

Adult check-in
2021-10-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Itching · Fatigue or tiredness

Adult check-in
2021-10-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness · None

Adult check-in
2021-10-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness · Fatigue or tiredness

Adult check-in
2021-10-11
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Fair · Site: Redness · Abdominal pain · Get care from a doctor or other healthcare professional

Free text: I made an appt. to see my doctor in office tomorrow.

MedDRA releases: 2024-11 · check-in free text available
2021-10-11
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-12
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness · Fatigue or tiredness

Adult check-in
2021-10-13
Health check-in — day 7, dose 3
Feeling: Fair · Site: Redness · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-15
Call 1 — Left Voicemail
2021-10-19
Call 2 — Left Voicemail
2021-10-20
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-27
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-03
Survey response — day 28, dose 3
MedDRA: Ear swelling, Erythema, Pre-existing disease, Vaccination site rash — Feeling: Fair

Free text: The rash at the vaccine site went away, but comes back when I shower, then goes away again. My earlobes are red & swollen. Both of those things are, I think, related to my long time allergies rather than the vaccine. Just my uneducated opinion.

MedDRA releases: 2024-11 · check-in free text available
2021-11-10
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-17
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-05
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-06
Survey response — 6 months, dose 3
MedDRA: Injection site rash — Feeling: Good

Free text: The rash that developed around the injection site of my booster shot in October, lasted for weeks, if not longer, but finally went away. Then a few weeks ago, it showed up again for a few days & then disappeared. Seems weird, but it's gone now.

MedDRA releases: 2024-11 · check-in free text available
2022-05-13
Dose 4 — Pfizer-BioNTech
2022-05-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2022-05-15
Survey response — days 1–6 daily, dose 4
MedDRA: Pre-existing disease, Rash — Feeling: Good · Site: Redness, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: The new rash on my wrist is probably not vaccine related. I'm allergic to adhesives & had to package something using tape. It probably got on my wrist. Happens all the time.

MedDRA releases: 2024-11 · check-in free text available
2022-05-16
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Itching · Fatigue or tiredness

Adult check-in
2022-05-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2022-05-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Itching · Fatigue or tiredness

Adult check-in
2022-05-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Itching · Fatigue or tiredness

Adult check-in
2022-05-20
Health check-in — day 7, dose 4
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2022-05-27
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-03
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-10
Survey response — day 28, dose 4
MedDRA: Mouth haemorrhage, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I woke up yesterday with blood in my mouth. Developed a sore throat, which got quite sore, but feels better today. Just tested negative for Covid on a home test.

MedDRA releases: 2024-11 · check-in free text available
2022-06-10
Report sent to call center — day 28, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-06-13
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-17
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-25
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-08-12
Survey response — 3 months, dose 4
MedDRA: Rash — Feeling: Fair · Be unable to do your normal daily activities

Free text: In the last month I've had a very bad rash on my hands, but yesterday I discovered that Mangos can do that & I have been peeling & eating those quite often so I'm pretty sure it's the mangos and not vaccine related. Good otherwise!

MedDRA releases: 2024-11 · check-in free text available
2022-10-21
Dose 5 — Pfizer-BioNTech
2022-10-21
Health check-in — day 0, dose 5
Feeling: Good · None

Adult check-in
2022-10-22
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Redness, Itching · Fatigue or tiredness

Adult check-in
2022-10-23
Survey response — days 1–6 daily, dose 5
MedDRA: Apathy, Head discomfort, Listless — Feeling: Fair · Site: Redness, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My head feels heavy & I am listless and completely unmotivated to do anything

MedDRA releases: 2024-11 · check-in free text available
2022-10-24
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Redness, Itching · Fatigue or tiredness

Adult check-in
2022-10-25
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2022-10-26
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Redness · None

Adult check-in
2022-10-27
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Redness, Itching · None

Adult check-in
2022-10-28
Survey response — day 7, dose 5
MedDRA: Depressed mood, Tearfulness — Feeling: Good · Site: Itching

Free text: Last night I was bizarrely depressed - tears falling down my face for hours for absolutely no reason - that never happens. Doubt it's related to vaccine, but it isn't related to anything else either so just in case it happens to anyone else?

MedDRA releases: 2024-11 · check-in free text available
2022-11-04
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-11
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-18
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-25
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-02
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-22
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-21
Survey response — 6 months, dose 5
MedDRA: Breast cancer, Surgery — Feeling: Good · Get care from a doctor or other healthcare professional · Hospitalization

MedDRA releases: 2024-11
2023-04-21
Report sent to call center — 6 months, dose 5
Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2023-04-25
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	2021-03-12	Pfizer-BioNTech
2	2021-04-02	Pfizer-BioNTech
3	2021-10-06	Pfizer-BioNTech	No
4	2022-05-13	Pfizer-BioNTech	No
5	2022-10-21	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-10-11	Successful	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-10	Successful 2022-06-13	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-21	Successful 2023-04-25	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 6 — day 0, dose 2

2021-04-02

Systemic reaction (other): The rash that showed up three days after the first dose is still there, though less red and less itchy than it was initially.

Release 6 — days 1–6 daily, dose 2

2021-04-03

Systemic reaction (other): The redness I mentioned is that the rash that appeared 3 days after the first shot just got a bit darker red, after having faded in the two weeks prior to the 2nd shot. I suspect the rash may have been from the alsohol or bandaid they used the first time, as I have chemical allergies. I took my own alcohol for the 2nd & did not use a bandaid, and so far the rash has not expanded, just a bit darker red.

2021-04-05

Systemic reaction (other): The rash I had is fading & not itchy any more.

Release 7 — day 7, dose 2

2021-04-09

Systemic reaction (other): I very, very seldom get headaches, and today Ive had 3 or 4 short term (less than a minute) where I had a pain in my head. Nothing terrible, but odd for me. No idea if its vaccine related.

Release 7 — day 14, dose 2

2021-04-16

Symptoms: I had more headaches in the last week than before - they are rare with me. All short term & not severe, but noticeable. Havent had any today though. Also still more tired than usual, so I sleep more. Also very unfocused & apathetic lately

Release 7 — day 21, dose 2

2021-04-23

Symptoms: Had low intensity stomach pains, in upper left abdomen yesterday & today feeling slightly nauseous all day. Not serious. Probably unrelated to vaccine, but there it is. The rash is almost gone.

Release 10 — days 1–6 daily, dose 3

2021-10-11

Healthcare visit (other): I made an appt. to see my doctor in office tomorrow.

Release 10 — day 28, dose 3

2021-11-03

Symptoms: The rash at the vaccine site went away, but comes back when I shower, then goes away again. My earlobes are red & swollen. Both of those things are, I think, related to my long time allergies rather than the vaccine. Just my uneducated opinion.

Release 11 — 6 months, dose 3

2022-04-06

Symptoms: The rash that developed around the injection site of my booster shot in October, lasted for weeks, if not longer, but finally went away. Then a few weeks ago, it showed up again for a few days & then disappeared. Seems weird, but it's gone now.

Release 11 — days 1–6 daily, dose 4

2022-05-15

Systemic reaction (other): The new rash on my wrist is probably not vaccine related. I'm allergic to adhesives & had to package something using tape. It probably got on my wrist. Happens all the time.

Release 12 — day 28, dose 4

2022-06-10

Symptoms: I woke up yesterday with blood in my mouth. Developed a sore throat, which got quite sore, but feels better today. Just tested negative for Covid on a home test.

Release 12 — 3 months, dose 4

2022-08-12

Symptoms: In the last month I've had a very bad rash on my hands, but yesterday I discovered that Mangos can do that & I have been peeling & eating those quite often so I'm pretty sure it's the mangos and not vaccine related. Good otherwise!

Release 12 — days 1–6 daily, dose 5

2022-10-23

Systemic reaction (other): My head feels heavy & I am listless and completely unmotivated to do anything

Release 12 — day 7, dose 5

2022-10-28

Systemic reaction (other): Last night I was bizarrely depressed - tears falling down my face for hours for absolutely no reason - that never happens. Doubt it's related to vaccine, but it isn't related to anything else either so just in case it happens to anyone else?

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	Unevaluable event	·	·	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Apathy	✓	✓	✓
SD	Breast cancer	·	·	✓
SD	Disturbance in attention	✓	✓	✓
SD	Ear swelling	·	·	✓
SD	Erythema	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypersomnia	✓	✓	✓
SD	Injection site rash	·	·	✓
SD	Mouth haemorrhage	·	·	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rash	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Surgery	·	·	✓
SD	Vaccination site rash	·	·	✓
SRO	Apathy	·	·	✓
SRO	Depressed mood	·	·	✓
SRO	Head discomfort	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Listless	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash	·	·	✓
SRO	Rash erythematous	✓	✓	✓
SRO	Rash pruritic	✓	✓	✓
SRO	Tearfulness	·	·	✓

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