ZMH-17573-14461

2 vaccinations 7 coded responses 22 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 928 / CA
Registered: 2020-12-30

Relationship: Self
Race: Native Hawaiian or other Pacific Islander
Ethnicity: Not Hispanic or Latino

Timeline

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

2020-12-30
Registered in v-safe
2020-12-30
Dose 1 — Pfizer-BioNTech
2020-12-30
Survey response — day 0, dose 1
MedDRA: Feeling abnormal, Head discomfort, Immediate post-injection reaction, Metamorphopsia — Feeling: Fair · Site: Pain, Redness

Free text: Within the first 15 minutes after getting the vaccine I felt pressure in my head. My vision also warped and made me feel like I was in a fish bowl. These symptoms subsided within those first 15 minutes and after getting up to walk.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-02
Survey response — days 1–6 daily, dose 1
MedDRA: Breast pain, Chest discomfort, Chest pain, Lymph node pain — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Soreness in my left chest/breast area feels worse. It hurts to sniffle or sneeze. It also hurts to lay on my right side, feels like more pressure is being put on my left chest. The pain seems to follow a pathway of lymph nodes in the area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Musculoskeletal chest pain, Painful respiration — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The same soreness in my left upper chest/breast area is still present. I'm working today as a resource nurse for our COVID patients and I feel pretty exerted just trying to help out wherever I can. It still hurts to deep breath, laugh, and talk for long amounts of time. The site on my upper chest/breast area is tender to touch. I'll be trying to see my doctor tomorrow to follow-up.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-05
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Painful respiration — Feeling: Fair · Muscle or body aches · Be unable to work

Free text: Still feeling the same chest pain, most especially when deep breathing or pushing myself up from a laying position.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2021-01-06
Health check-in — day 7, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-20
Dose 2 — Pfizer-BioNTech
2021-01-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-01-23
Survey response — days 1–6 daily, dose 2
MedDRA: Spinal pain — Feeling: Fair · Headache, Muscle or body aches

Free text: Back pain along my spine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-03
Survey response — day 14, dose 2
MedDRA: Gastroenteritis viral, Pyrexia — Feeling: Good · Be unable to work

Free text: Had fever of 100.6 for 1 day along with stomach flu symptoms lasting for 4 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-03
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-23
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-21
Survey response — 12 months, dose 2
MedDRA: Brain fog, COVID-19, Cough, Fatigue, Headache, Myalgia, Pain, Paranasal sinus discomfort, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Cough, congestion, sinus pressure, headaches/brain fog, body/muscle aches, fatigue-when I had COVID

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Pfizer-BioNTech
2	2021-01-20	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-01-02	priority 2/3
2021-01-03	priority 2/3
2021-01-05	priority 2/3

Free text

Release 1 — day 0, dose 1

2020-12-30

Systemic reaction (other): Within the first 15 minutes after getting the vaccine I felt pressure in my head. My vision also warped and made me feel like I was in a fish bowl. These symptoms subsided within those first 15 minutes and after getting up to walk.

Release 1 — days 1–6 daily, dose 1

2021-01-02

Systemic reaction (other): Soreness in my left chest/breast area feels worse. It hurts to sniffle or sneeze. It also hurts to lay on my right side, feels like more pressure is being put on my left chest. The pain seems to follow a pathway of lymph nodes in the area.

2021-01-03

Systemic reaction (other): The same soreness in my left upper chest/breast area is still present. I'm working today as a resource nurse for our COVID patients and I feel pretty exerted just trying to help out wherever I can. It still hurts to deep breath, laugh, and talk for long amounts of time. The site on my upper chest/breast area is tender to touch. I'll be trying to see my doctor tomorrow to follow-up.

2021-01-05

Systemic reaction (other): Still feeling the same chest pain, most especially when deep breathing or pushing myself up from a laying position.

Release 2 — days 1–6 daily, dose 2

2021-01-23

Systemic reaction (other): Back pain along my spine

Release 3 — day 14, dose 2

2021-02-03

Symptoms: Had fever of 100.6 for 1 day along with stomach flu symptoms lasting for 4 days.

Release 11 — 12 months, dose 2

2022-01-21

Symptoms: Cough, congestion, sinus pressure, headaches/brain fog, body/muscle aches, fatigue-when I had COVID

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	Brain fog	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Gastroenteritis viral	✓	✓	✓
SD	Headache	·	·	✓
SD	Myalgia	·	·	✓
SD	Pain	·	·	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SRO	Breast pain	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Head discomfort	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Metamorphopsia	✓	✓	✓
SRO	Musculoskeletal chest pain	✓	✓	✓
SRO	Painful respiration	✓	✓	✓
SRO	Spinal pain	✓	✓	✓
SRO	Tenderness	○	○	○
SRO	Visual impairment	○	○	○

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