ZMH-14095-91244

3 vaccinations 11 coded responses 36 check-ins 11 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 875 / NM
Registered: 2021-02-27

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

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

2021-02-26
Dose 1 — Pfizer-BioNTech
2021-02-27
Registered in v-safe
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-03-04
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-05
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-19
Dose 2 — Pfizer-BioNTech
2021-03-19
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Nausea · Be unable to do your normal daily activities

Free text: Slight dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia — Feeling: Poor · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Weak

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

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

Adult check-in
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Depressed mood, Stress — Feeling: Poor · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: High stress, sad

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-02
Survey response — day 14, dose 2
MedDRA: Noninfective gingivitis, Stomatitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: The gumsof my teeth & roof of my mouth are inflamed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-16
Survey response — day 28, dose 2
MedDRA: Headache — Feeling: Fair

Free text: Headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — day 35, dose 2
MedDRA: Headache, Tooth disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Issues w my teeth includes a headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-19
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-29
Dose 3 — Pfizer-BioNTech
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · None

Adult check-in
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · None

Adult check-in
2021-10-06
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-19
Call 2 — Left Voicemail
2021-10-21
Survey response — day 21, dose 3
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Numbing $ tingling n my face & extremities

MedDRA releases: 2024-11 · check-in free text available
2021-10-27
Survey response — day 28, dose 3
MedDRA: Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Much tingling all over my face, legs ' arms

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-11-12
Survey response — day 42, dose 3
MedDRA: Office visit, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Tingling all over my face & body · Healthcare visit (other): Dr office visit

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Report sent to call center — day 42, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-15
Call 2 — Could Not Reach Participant
2021-11-23
Call 3 — Left Voicemail
2021-12-31
Survey response — 3 months, dose 3
MedDRA: Asthenia, Hypoaesthesia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Numbness & weakness

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-04
Call 1 — Left Voicemail
2022-04-01
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-09-29
Survey response — 12 months, dose 3
MedDRA: Condition aggravated, Office visit, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: After my first booster my neurological disorder( CIDP) began to relapse. As a result I have not had my second booster- that s on my neurologist's recommendation.

MedDRA releases: 2024-11 · check-in free text available
2022-09-29
Report sent to call center — 12 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-30
Call 1 — Left Voicemail
2022-09-30
Call 1 — Left Voicemail
2022-09-30
Call 2 — Left Voicemail
2022-09-30
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Pfizer-BioNTech
2	2021-03-19	Pfizer-BioNTech
3	2021-09-29	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-04	Unsuccessful
2021-11-12	Unsuccessful
2021-12-31	Unsuccessful
2022-09-29	Unsuccessful

Free text

Release 5 — day 0, dose 2

2021-03-19

Systemic reaction (other): Slight dizziness

Release 6 — days 1–6 daily, dose 2

2021-03-22

Systemic reaction (other): Weak

2021-03-25

Systemic reaction (other): High stress, sad

Release 6 — day 14, dose 2

2021-04-02

Symptoms: The gumsof my teeth & roof of my mouth are inflamed

Release 7 — day 28, dose 2

2021-04-16

Symptoms: Headache

Release 7 — day 35, dose 2

2021-04-23

Symptoms: Issues w my teeth includes a headache

Release 10 — day 21, dose 3

2021-10-21

Symptoms: Numbing $ tingling n my face & extremities

Release 10 — day 28, dose 3

2021-10-27

Symptoms: Much tingling all over my face, legs ' arms

Release 10 — day 42, dose 3

2021-11-12

Symptoms: Tingling all over my face & body

Healthcare visit (other): Dr office visit

Release 10 — 3 months, dose 3

2021-12-31

Symptoms: Numbness & weakness

Release 12 — 12 months, dose 3

2022-09-29

Symptoms: After my first booster my neurological disorder( CIDP) began to relapse. As a result I have not had my second booster- that s on my neurologist's recommendation.

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	Office visit	·	·	✓
SD	Asthenia	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	·	·	✓
SD	Noninfective gingivitis	✓	✓	✓
SD	Office visit	·	·	✓
SD	Paraesthesia	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Stomatitis	✓	✓	✓
SD	Tooth disorder	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Depressed mood	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Stress	✓	✓	✓

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