ZLW-20141-22375

2 vaccinations 11 coded responses 23 check-ins 11 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 294 / SC
Registered: 2021-07-14

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-07-14
Registered in v-safe
2021-07-14
Dose 1 — Pfizer-BioNTech
2021-07-14
Health check-in — day 0, dose 1
Feeling: Fair · Headache, Nausea

Adult check-in
2021-07-15
Survey response — days 1–6 daily, dose 1
MedDRA: Vision blurred — Feeling: Poor · Muscle or body aches, Fatigue or tiredness

Free text: Blurred vision

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-16
Survey response — days 1–6 daily, dose 1
MedDRA: Musculoskeletal chest pain — Feeling: Fair · Joint pains

Free text: Soreness around rib cage.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-07-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-07-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-07-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-07-21
Survey response — day 7, dose 1
MedDRA: Flatulence, Pain — Feeling: Poor · Abdominal pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Much gas on stomach. Painful.

MedDRA releases: 2024-11 · check-in free text available
2021-07-21
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-28
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-07-28
Call 1 — Left Voicemail
2021-08-04
Survey response — day 21, dose 1
MedDRA: Flatulence — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Gas on stomach and intestinal track. Plans to get shot on the 6th. If that not a side effect.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-04
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-05
Dose 2 — Pfizer-BioNTech
2021-08-06
Survey response — days 1–6 daily, dose 2
MedDRA: Mobility decreased, Pain — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Free text: Just hurting and can not lift arm. I csn lift better now than could at 8 am.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-07
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis — Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains

Free text: Sweats

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Joint pains, Abdominal pain

Adult check-in
2021-08-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-08-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-08-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains

Adult check-in
2021-08-12
Survey response — day 7, dose 2
MedDRA: Diarrhoea — Feeling: Fair · Diarrhea · Be unable to work or attend school

Free text: A real case of diarrhea.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-19
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-08-26
Survey response — day 21, dose 2
MedDRA: Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities

Free text: Going to restroom every time I eat anything.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-02
Survey response — day 28, dose 2
MedDRA: Urinary tract infection — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: UTI infection taking antibiotics

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-02
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-03
Call 1 — Left Voicemail
2021-09-09
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-09-16
Survey response — day 42, dose 2
MedDRA: Heart rate irregular — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Irregular heartbeat wearing monitor

MedDRA releases: 2024-11 · check-in free text available
2021-09-16
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-20
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-04
Survey response — 3 months, dose 2
MedDRA: Cardiac pacemaker insertion, Heart rate decreased — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Hospitalization

Free text: Slow pulse out of nowhere. Wore monitor for 5 days had pacemaker put in.

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
2021-11-08
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-07-14	Pfizer-BioNTech	No
2	2021-08-05	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-07-21	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-08-04	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-09-02	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-09-16	Successful 2021-09-20	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-04	Successful 2021-11-08	Does not wish to fill out VAERS report

Free text

Release 9 — days 1–6 daily, dose 1

2021-07-15

Systemic reaction (other): Blurred vision

2021-07-16

Systemic reaction (other): Soreness around rib cage.

Release 9 — day 7, dose 1

2021-07-21

Systemic reaction (other): Much gas on stomach. Painful.

Release 9 — day 21, dose 1

2021-08-04

Symptoms: Gas on stomach and intestinal track. Plans to get shot on the 6th. If that not a side effect.

Release 9 — days 1–6 daily, dose 2

2021-08-06

Systemic reaction (other): Just hurting and can not lift arm. I csn lift better now than could at 8 am.

2021-08-07

Systemic reaction (other): Sweats

Release 9 — day 7, dose 2

2021-08-12

Systemic reaction (other): A real case of diarrhea.

Release 9 — day 21, dose 2

2021-08-26

Symptoms: Going to restroom every time I eat anything.

Release 9 — day 28, dose 2

2021-09-02

Symptoms: UTI infection taking antibiotics

Release 9 — day 42, dose 2

2021-09-16

Symptoms: Irregular heartbeat wearing monitor

Release 10 — 3 months, dose 2

2021-11-04

Symptoms: Slow pulse out of nowhere. Wore monitor for 5 days had pacemaker put in.

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	Cardiac pacemaker insertion	·	·	✓
SD	Flatulence	✓	·	✓
SD	Heart rate decreased	·	·	✓
SD	Heart rate irregular	·	·	✓
SD	Unevaluable event	✓	·	✓
SD	Urinary tract infection	✓	·	✓
SRO	Diarrhoea	✓	·	✓
SRO	Flatulence	·	·	✓
SRO	Hyperhidrosis	✓	·	✓
SRO	Mobility decreased	✓	·	✓
SRO	Musculoskeletal chest pain	✓	·	✓
SRO	Pain	✓	·	✓
SRO	Vision blurred	✓	·	✓

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