ZLQ-71724-63873

3 vaccinations 10 coded responses 28 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 903 / CA
Registered: 2021-02-23

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

2021-02-23
Registered in v-safe
2021-02-24
Dose 1 — Pfizer-BioNTech
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

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

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · None

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 1
MedDRA: Chills — Feeling: Good

Free text: Had chills for about an hour overnight

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Nausea — Feeling: Fair · Nausea · Be unable to do your normal daily activities

Free text: Nausea and dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Black American female treating (Orencia) for rheumatoid arthritis. Last tx 2/4 next tx 3/4. Pfizer shot 2/24 next 3/19.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — day 7, dose 1
MedDRA: Dizziness — Feeling: Fair · Nausea · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-19
Dose 2 — Pfizer-BioNTech
2021-03-19
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-09
Survey response — day 21, dose 2
MedDRA: Cough, Rhinorrhoea, Sneezing — Feeling: Good

Free text: Respiratory symptoms: coughing, runny nose, sneezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — day 28, dose 2
MedDRA: Headache — Feeling: Good

Free text: Headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — day 35, dose 2
MedDRA: Arthralgia, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: Increased shoulder pain. Could be due to chronic rheumatoid arthritis.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — day 42, dose 2
MedDRA: Arthralgia, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Pain and limited function due to inoperable rotator cuff injuries in both shoulders · Healthcare visit (other): Upcoming steroid injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-17
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-27
Dose 3 — Pfizer-BioNTech
Co-administered: yes
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal pain, Abdominal rigidity — Feeling: Good · Fatigue or tiredness

Free text: Abdominal spasms and cramping periodically for the past ten days.

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-04
Survey response — day 7, dose 3
MedDRA: Fatigue, Somnolence — Feeling: Good · Fatigue or tiredness

Free text: Feel quite tired and sleepy even after waking up in the morning. Symptoms between Mild and Moderate.

MedDRA releases: 2024-11 · check-in free text available
2022-04-13
Call 1 — Could Not Reach Participant
2022-04-18
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-24	Pfizer-BioNTech
2	2021-03-19	Pfizer-BioNTech
3	2021-09-27	Pfizer-BioNTech	Yes

Call center

Reported	Outcome	VAERS-related outcome
2021-04-30	Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-28

Systemic reaction (other): Had chills for about an hour overnight

2021-03-01

Systemic reaction (other): Nausea and dizziness

2021-03-02

Systemic reaction (other): Black American female treating (Orencia) for rheumatoid arthritis. Last tx 2/4 next tx 3/4. Pfizer shot 2/24 next 3/19.

Release 5 — day 7, dose 1

2021-03-03

Systemic reaction (other): Dizziness

Release 7 — day 21, dose 2

2021-04-09

Symptoms: Respiratory symptoms: coughing, runny nose, sneezing

Release 7 — day 28, dose 2

2021-04-16

Symptoms: Headaches

Release 7 — day 35, dose 2

2021-04-23

Symptoms: Increased shoulder pain. Could be due to chronic rheumatoid arthritis.

Release 8 — day 42, dose 2

2021-04-30

Symptoms: Pain and limited function due to inoperable rotator cuff injuries in both shoulders

Healthcare visit (other): Upcoming steroid injection

Release 9 — days 1–6 daily, dose 3

2021-10-02

Systemic reaction (other): Abdominal spasms and cramping periodically for the past ten days.

Release 9 — day 7, dose 3

2021-10-04

Systemic reaction (other): Feel quite tired and sleepy even after waking up in the morning. Symptoms between Mild and Moderate.

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	Arthralgia	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sneezing	✓	✓	✓
SRO	Abdominal pain	·	·	✓
SRO	Abdominal rigidity	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	·	·	✓
SRO	Nausea	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Somnolence	·	·	✓

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