ZMK-29033-02657

4 vaccinations 22 coded responses 41 check-ins 22 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 495 / MI
Registered: 2021-01-11

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

2021-01-11
Registered in v-safe
2021-01-11
Dose 1 — Pfizer-BioNTech
2021-01-11
Health check-in — day 0, dose 1
Feeling: Good · Nausea

Adult check-in
2021-01-12
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Nasal congestion, Nausea — Feeling: Good · Headache, Nausea

Free text: Mild headache, nausea, and stuffiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea

Adult check-in
2021-01-14
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Good

Free text: Runny nose, sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion, Rhinorrhoea — Feeling: Good

Free text: Runny nose and stuffed up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Eye pruritus, Periorbital swelling — Feeling: Good

Free text: Itching around eyes and slight puffiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Survey response — day 7, dose 1
MedDRA: Eye pruritus, Periorbital swelling — Feeling: Good

Free text: Slight itching and puffiness of wyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-01
Dose 2 — Pfizer-BioNTech
2021-02-01
Survey response — day 0, dose 2
MedDRA: Pharyngeal paraesthesia, Throat irritation — Feeling: Good

Free text: Slight throat irritation/tinglimg

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
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

Adult check-in
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: Nasal congestion — Feeling: Fair · Site: Pain · Muscle or body aches, Nausea

Free text: Stuffines

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Muscular weakness — Feeling: Good

Free text: Muscle weakness and fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Respiratory tract congestion — Feeling: Fair · Fatigue or tiredness

Free text: Congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-02-08
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-02
Survey response — 6 months, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Fatigue

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-24
Dose 3 — Pfizer-BioNTech
2021-09-26
Survey response — days 1–6 daily, dose 3
MedDRA: Chest discomfort, Eructation, Hypoaesthesia — Feeling: Poor · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Chest pressure, numbness left lower face and belchimg

MedDRA releases: 2024-11 · check-in free text available
2021-09-27
Survey response — days 1–6 daily, dose 3
MedDRA: Dyspepsia — Feeling: Fair · Chills, Fatigue or tiredness

Free text: Indigestion

MedDRA releases: 2024-11 · check-in free text available
2021-09-28
Survey response — days 1–6 daily, dose 3
MedDRA: Chest discomfort, Eructation, Gastrointestinal disorder, Thirst — Feeling: Fair

Free text: Some chest pressure, GI alterations - thirsty and belching

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Survey response — day 7, dose 3
MedDRA: Chest discomfort, Hypoaesthesia — Feeling: Fair · Fatigue or tiredness

Free text: Some chest pressure and numbness on left side of face

MedDRA releases: 2024-11 · check-in free text available
2021-10-09
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-10-17
Survey response — day 21, dose 3
MedDRA: Asthenia, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue and weakness

MedDRA releases: 2024-11 · check-in free text available
2021-10-24
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-10-29
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-11-07
Survey response — day 42, dose 3
MedDRA: Asthenia, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue and weakness

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Survey response — 3 months, dose 3
MedDRA: Facial paresis, Hypoaesthesia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Weakness and intermittent numbness on left side of face

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-27
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-26
Survey response — 6 months, dose 3
MedDRA: Balance disorder, Muscular weakness, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Weakness in arms and increased balance instability · Healthcare visit (other): Have a scheduled physical exam

MedDRA releases: 2024-11 · check-in free text available
2022-03-26
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-29
Call successful
Participant prefers to complete VAERS report online
2022-09-30
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in
2022-10-01
Dose 4 — Pfizer-BioNTech
2022-10-10
Survey response — day 7, dose 4
MedDRA: Sinus congestion — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Sinus congestion

MedDRA releases: 2024-11 · check-in free text available
2022-10-17
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-10-25
Survey response — day 21, dose 4
MedDRA: Muscular weakness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscle weakness

MedDRA releases: 2024-11 · check-in free text available
2022-10-29
Survey response — day 28, dose 4
MedDRA: Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Have a sinus imfection

MedDRA releases: 2024-11 · check-in free text available
2022-10-29
Report sent to call center — day 28, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-31
Call successful
Not applicable - Accidental Reporting
2022-11-05
Survey response — day 35, dose 4
MedDRA: Muscular weakness, Sinusitis — Feeling: Fair

Free text: Sinusitis and muscle weakness

MedDRA releases: 2024-11 · check-in free text available
2022-11-14
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2023-01-02
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-11	Pfizer-BioNTech
2	2021-02-01	Pfizer-BioNTech
3	2021-09-24	Pfizer-BioNTech	No
4	2022-10-01	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-12-24	Successful 2021-12-27	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-26	Successful 2022-03-29	Participant prefers to complete VAERS report online
2022-10-29	Successful 2022-10-31	Not applicable - Accidental Reporting

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-12

Systemic reaction (other): Mild headache, nausea, and stuffiness

Release 2 — days 1–6 daily, dose 1

2021-01-14

Systemic reaction (other): Runny nose, sore throat

2021-01-16

Systemic reaction (other): Runny nose and stuffed up

2021-01-17

Systemic reaction (other): Itching around eyes and slight puffiness

Release 2 — day 7, dose 1

2021-01-18

Systemic reaction (other): Slight itching and puffiness of wyes

Release 3 — day 0, dose 2

2021-02-01

Systemic reaction (other): Slight throat irritation/tinglimg

Release 3 — days 1–6 daily, dose 2

2021-02-03

Systemic reaction (other): Stuffines

2021-02-05

Systemic reaction (other): Muscle weakness and fatigue

2021-02-06

Systemic reaction (other): Congestion

Release 9 — 6 months, dose 2

2021-08-02

Symptoms: Fatigue

Release 9 — days 1–6 daily, dose 3

2021-09-26

Systemic reaction (other): Chest pressure, numbness left lower face and belchimg

2021-09-27

Systemic reaction (other): Indigestion

2021-09-28

Systemic reaction (other): Some chest pressure, GI alterations - thirsty and belching

Release 9 — day 7, dose 3

2021-10-01

Systemic reaction (other): Some chest pressure and numbness on left side of face

Release 10 — day 21, dose 3

2021-10-17

Symptoms: Fatigue and weakness

Release 10 — day 42, dose 3

2021-11-07

Symptoms: Fatigue and weakness

Release 10 — 3 months, dose 3

2021-12-24

Symptoms: Weakness and intermittent numbness on left side of face

Release 11 — 6 months, dose 3

2022-03-26

Symptoms: Weakness in arms and increased balance instability

Healthcare visit (other): Have a scheduled physical exam

Release 12 — day 7, dose 4

2022-10-10

Systemic reaction (other): Sinus congestion

Release 12 — day 21, dose 4

2022-10-25

Symptoms: Muscle weakness

Release 12 — day 28, dose 4

2022-10-29

Symptoms: Have a sinus imfection

Release 12 — day 35, dose 4

2022-11-05

Symptoms: Sinusitis and muscle weakness

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	Unevaluable event	·	·	✓
SD	Asthenia	·	·	✓
SD	Balance disorder	·	·	✓
SD	Facial paresis	·	·	✓
SD	Fatigue	✓	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Sinusitis	·	·	✓
SRO	Chest discomfort	·	·	✓
SRO	Dyspepsia	·	·	✓
SRO	Eructation	·	·	✓
SRO	Eye pruritus	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Gastrointestinal disorder	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Hypoaesthesia	·	·	✓
SRO	Muscular weakness	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Periorbital swelling	✓	✓	✓
SRO	Pharyngeal paraesthesia	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sinus congestion	·	·	✓
SRO	Thirst	·	·	✓
SRO	Throat irritation	✓	✓	✓

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