ZMM-21561-99629

3 vaccinations 8 coded responses 44 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 762 / TX
Registered: 2021-02-04

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

2021-02-04
Registered in v-safe
2021-02-04
Dose 1 — Pfizer-BioNTech
2021-02-04
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Nausea, Diarrhea

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: Amnesia — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Memory loss/issues. Was told I said things that I dont remember saying.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Headache

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Nausea

Adult check-in
2021-02-11
Health check-in — day 7, dose 1
Feeling: Good · Nausea, Abdominal pain

Adult check-in
2021-02-18
Survey response — day 14, dose 1
MedDRA: Chills, Cough, Diarrhoea, Fatigue, Headache, Nasal congestion, Nausea, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activities

Free text: Extreme fatigue, chills, headache, nausea, diarrhea, stuffy nose, congestion, cough. No fever.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-11
Survey response — day 35, dose 1
MedDRA: Diarrhoea, Headache, Nasal congestion, Nausea, Oropharyngeal pain, Pain, Pyrexia, SARS-CoV-2 test — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Starting Monday I had fever, body aches, nausea, diarrhea, stuffy nose, headaches and a sore throat. Was supposed to get my second dose on Tuesday but had to cancel. Now waiting on COVID test results. Feeling better today but not 100%. · Healthcare visit (other): Waiting on COVID test results

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Report sent to call center — day 35, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-18
Health check-in — day 42, dose 1
Feeling: Good

Adult check-in
2021-03-26
Dose 2 — Pfizer-BioNTech
2021-03-26
Survey response — day 0, dose 2
MedDRA: Hypoaesthesia — Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Left side of face and body felt a little numb for a while

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Diarrhea

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Ageusia, Anosmia — Feeling: Good · Site: Pain

Free text: Partial loss of taste and smell

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-16
Survey response — day 21, dose 2
MedDRA: Fatigue, Oropharyngeal pain, Toothache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Horrible toothache. Sore throat. Fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-25
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-21
Dose 3 — Pfizer-BioNTech
2021-10-21
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-10-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-10-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-10-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Diarrhea

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness, Diarrhea, Abdominal pain

Adult check-in
2021-10-28
Health check-in — day 7, dose 3
Feeling: Fair · Chills, Fatigue or tiredness, Diarrhea

Adult check-in
2021-11-04
Health check-in — day 14, dose 3
Feeling: Good

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

Adult check-in
2021-11-18
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-25
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-02
Survey response — day 42, dose 3
MedDRA: Cough, Nasal congestion, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Congestion, cough, fever, runny and stuffy nose, sore throat. COVID test was negative.

MedDRA releases: 2024-11 · check-in free text available
2022-01-20
Survey response — 3 months, dose 3
MedDRA: Fatigue, Headache, Nasal congestion, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Stuffy and runny nose, headaches, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-03-02
Call 1 — Left Voicemail
2022-04-21
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-23
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Pfizer-BioNTech
2	2021-03-26	Pfizer-BioNTech
3	2021-10-21	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-11	Unsuccessful	Reported to VAERS voluntarily prior to GDIT contact

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-05

Systemic reaction (other): Memory loss/issues. Was told I said things that I dont remember saying.

Release 4 — day 14, dose 1

2021-02-18

Symptoms: Extreme fatigue, chills, headache, nausea, diarrhea, stuffy nose, congestion, cough. No fever.

Release 5 — day 35, dose 1

2021-03-11

Symptoms: Starting Monday I had fever, body aches, nausea, diarrhea, stuffy nose, headaches and a sore throat. Was supposed to get my second dose on Tuesday but had to cancel. Now waiting on COVID test results. Feeling better today but not 100%.

Healthcare visit (other): Waiting on COVID test results

Release 6 — day 0, dose 2

2021-03-26

Systemic reaction (other): Left side of face and body felt a little numb for a while

Release 6 — days 1–6 daily, dose 2

2021-03-31

Systemic reaction (other): Partial loss of taste and smell

Release 7 — day 21, dose 2

2021-04-16

Symptoms: Horrible toothache. Sore throat. Fatigue.

Release 10 — day 42, dose 3

2021-12-02

Symptoms: Congestion, cough, fever, runny and stuffy nose, sore throat. COVID test was negative.

Release 10 — 3 months, dose 3

2022-01-20

Symptoms: Stuffy and runny nose, headaches, fatigue

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	SARS-CoV-2 test	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Toothache	✓	✓	✓
SRO	Ageusia	✓	✓	✓
SRO	Amnesia	✓	✓	✓
SRO	Anosmia	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓

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