ZMG-24142-91492

4 vaccinations 13 coded responses 50 check-ins 13 free-text entries 4 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 926 / CA
Registered: 2020-12-21

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

VGH-29277-76234 Child or adolescent in my care · Male · 2022-10-25

Timeline

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

2020-12-21
Registered in v-safe
2020-12-21
Dose 1 — Pfizer-BioNTech
2020-12-21
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2020-12-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2020-12-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2020-12-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills

Adult check-in
2020-12-28
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-04
Survey response — day 14, dose 1
MedDRA: Headache — Feeling: Good

Free text: Headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-12
Dose 2 — Pfizer-BioNTech
2021-01-12
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-13
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-01-15
Survey response — days 1–6 daily, dose 2
MedDRA: Contusion, Emergency care, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Swollen lymph nodes left axillary & left collar bone, bruising left axillary · Healthcare visit (other): RN examination at hospital COVID vaccine clinic (I'm an RN at this hospital and received my vaccine here)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-16
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness · Fatigue or tiredness

Free text: Swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Very slightly swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-02
Survey response — day 21, dose 2
MedDRA: Depression, Fatigue, Feeling abnormal, Irritability, Lymphadenopathy — Feeling: Good · Be unable to do your normal daily activities

Free text: Swollen lymph node left neck (left collar bone lymph node still slightly swollen), brain fog, fatigue, irritability, depression

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — day 28, dose 2
MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Ongoing fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — day 35, dose 2
MedDRA: Illness — Feeling: Fair

Free text: Seems like I'm catching a cold

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — day 42, dose 2
MedDRA: Diarrhoea, Lymphadenopathy — Feeling: Fair · Be unable to do your normal daily activities

Free text: Diarrhea for 4-5 days, lymph node under collar bone still swollen about the size of a lima bean

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Call 1 — Left Voicemail
2021-04-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-13
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-30
Dose 3 — Pfizer-BioNTech
2021-10-30
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness, Diarrhea

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness, Diarrhea

Adult check-in
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2021-11-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-06
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-20
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-27
Survey response — day 28, dose 3
MedDRA: Hypersensitivity, Pre-existing disease — Feeling: Fair

Free text: Seasonal Allergies worsened

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-11
Survey response — day 42, dose 3
MedDRA: Oral herpes — Feeling: Good

Free text: Cold sore in corner of mouth/lips

MedDRA releases: 2024-11 · check-in free text available
2022-01-29
Survey response — 3 months, dose 3
MedDRA: Pregnancy, Thrombocytopenia — 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 · Outpatient clinic or urgent care clinic visit, Hospitalization

Free text: Gestational thrombocytopenia, threatened preterm labor with positive fetal fibronectin

MedDRA releases: 2024-11 · check-in free text available
2022-01-29
Report sent to call center — 3 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
2022-01-31
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-30
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-22
Dose 4 — Pfizer-BioNTech
2022-09-26
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-09-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-09-28
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2022-09-29
Health check-in — day 7, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-06
Survey response — day 14, dose 4
MedDRA: Nasopharyngitis — Feeling: Fair

Free text: Got a cold

MedDRA releases: 2024-11 · check-in free text available
2022-10-13
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-22
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-27
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-03
Survey response — day 42, dose 4
MedDRA: Heart rate increased — Feeling: Fair

Free text: Heart rate elevated more than usual during daily walks for exercise. Usually in low 100s to 110s but has been in 120s. Could be a lot of reasons why: breastfeeding, baby still nursing overnight, allergies, went back to work (bedside RN).

MedDRA releases: 2024-11 · check-in free text available
2022-12-22
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-23
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-21	Pfizer-BioNTech
2	2021-01-12	Pfizer-BioNTech
3	2021-10-30	Pfizer-BioNTech	No
4	2022-09-22	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-13	Unsuccessful
2021-01-15	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-01-17	Unsuccessful
2022-01-29	Successful 2022-01-31	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 1 — day 14, dose 1

2021-01-04

Symptoms: Headaches

Release 2 — days 1–6 daily, dose 2

2021-01-15

Systemic reaction (other): Swollen lymph nodes left axillary & left collar bone, bruising left axillary

Healthcare visit (other): RN examination at hospital COVID vaccine clinic (I'm an RN at this hospital and received my vaccine here)

2021-01-16

Systemic reaction (other): Swollen lymph nodes

2021-01-17

Systemic reaction (other): Very slightly swollen lymph nodes

Release 3 — day 21, dose 2

2021-02-02

Symptoms: Swollen lymph node left neck (left collar bone lymph node still slightly swollen), brain fog, fatigue, irritability, depression

Release 3 — day 28, dose 2

2021-02-09

Symptoms: Ongoing fatigue

Release 4 — day 35, dose 2

2021-02-16

Symptoms: Seems like I'm catching a cold

Release 4 — day 42, dose 2

2021-02-23

Symptoms: Diarrhea for 4-5 days, lymph node under collar bone still swollen about the size of a lima bean

Release 10 — day 28, dose 3

2021-11-27

Symptoms: Seasonal Allergies worsened

Release 10 — day 42, dose 3

2021-12-11

Symptoms: Cold sore in corner of mouth/lips

Release 11 — 3 months, dose 3

2022-01-29

Symptoms: Gestational thrombocytopenia, threatened preterm labor with positive fetal fibronectin

Release 12 — day 14, dose 4

2022-10-06

Symptoms: Got a cold

Release 12 — day 42, dose 4

2022-11-03

Symptoms: Heart rate elevated more than usual during daily walks for exercise. Usually in low 100s to 110s but has been in 120s. Could be a lot of reasons why: breastfeeding, baby still nursing overnight, allergies, went back to work (bedside RN).

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	Emergency care	✓	✓	✓
SD	Depression	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heart rate increased	·	·	✓
SD	Hypersensitivity	·	·	✓
SD	Illness	✓	✓	✓
SD	Irritability	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Oral herpes	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pregnancy	·	·	✓
SD	Thrombocytopenia	·	·	✓
SRO	Contusion	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓

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