ZLY-30203-07126

2 vaccinations 7 coded responses 22 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 639 / MO
Registered: 2021-04-02

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

2021-03-31
Dose 1 — Pfizer-BioNTech
2021-04-02
Registered in v-safe
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Above symptoms caused by autonomic dysreflexia flare from bowel issues not the shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Autonomic dysreflexia, Autonomic nervous system imbalance, Fatigue, Pre-existing disease, Unevaluable event — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Fatigue due to dysreflexia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — day 7, dose 1
MedDRA: Condition aggravated, Pre-existing disease, Sensitivity to weather change — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Above due to crps/ dysreflexia/ weather

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

Adult check-in
2021-04-28
Dose 2 — Pfizer-BioNTech
2021-04-28
Health check-in — day 0, dose 2
Feeling: Fair · Site: Redness · Headache, Joint pains

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Pain, Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Crps bothering me last 2 days due to bad weather/ storms. Im a human barometer. Haha

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — day 7, dose 2
MedDRA: Thinking abnormal, Unevaluable event — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Think symptoms now just my crps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-09
Survey response — day 42, dose 2
MedDRA: Chills, Diarrhoea, Malaise, Pyrexia, Self-medication, Vomiting — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Woke 5:30 am feeling bad. Vomiting, diarrhea. Temp 101.7. Think I caught a bug. Took 12 mg prometh at 10 am and now feeling somewhat better. Do not believe it has anything to do with the vaccine or Covid. My household still wears masks in public.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-27
Survey response — 6 months, dose 2
MedDRA: Burning sensation, Condition aggravated, Fall, Hypoaesthesia, Pain in extremity, Pre-existing disease, Weight bearing difficulty — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: My crps/ cervical spine damage. My right hand burns and is numb all the time now instead or periodically. My left arm now hurts and burns all the time and is mostly numb. Increased problems with my right leg and falling more. Not Covid shot related

MedDRA releases: 2024-11 · check-in free text available
2021-10-27
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-29
Call 1 — Left Voicemail
2022-04-28
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Pfizer-BioNTech
2	2021-04-28	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-10-27	Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-05

Systemic reaction (other): Above symptoms caused by autonomic dysreflexia flare from bowel issues not the shot

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): Fatigue due to dysreflexia

Release 7 — day 7, dose 1

2021-04-07

Systemic reaction (other): Above due to crps/ dysreflexia/ weather

Release 8 — days 1–6 daily, dose 2

2021-05-04

Systemic reaction (other): Crps bothering me last 2 days due to bad weather/ storms. Im a human barometer. Haha

Release 8 — day 7, dose 2

2021-05-05

Systemic reaction (other): Think symptoms now just my crps

Release 9 — day 42, dose 2

2021-06-09

Symptoms: Woke 5:30 am feeling bad. Vomiting, diarrhea. Temp 101.7. Think I caught a bug. Took 12 mg prometh at 10 am and now feeling somewhat better. Do not believe it has anything to do with the vaccine or Covid. My household still wears masks in public.

Release 10 — 6 months, dose 2

2021-10-27

Symptoms: My crps/ cervical spine damage. My right hand burns and is numb all the time now instead or periodically. My left arm now hurts and burns all the time and is mostly numb. Increased problems with my right leg and falling more. Not Covid shot related 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	Burning sensation	·	·	✓
SD	Chills	✓	✓	✓
SD	Condition aggravated	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Fall	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Malaise	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Vomiting	✓	✓	✓
SD	Weight bearing difficulty	·	·	✓
SRO	Autonomic dysreflexia	✓	·	✓
SRO	Autonomic nervous system imbalance	○	✓	○
SRO	Condition aggravated	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Sensitivity to weather change	✓	✓	✓
SRO	Thinking abnormal	✓	✓	○
SRO	Unevaluable event	○	✓	✓

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