ZMM-24563-43946

3 vaccinations 6 coded responses 39 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 921 / CA
Registered: 2021-04-08

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

2021-04-08
Registered in v-safe
2021-04-08
Dose 1 — Pfizer-BioNTech
2021-04-08
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Good

Free text: A tiny, infrequent cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-15
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-29
Dose 2 — Pfizer-BioNTech
2021-04-29
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Free text: I have had a tiny rash on my face on the side of my body I received the injection for the past three days. I did not initially it was a rash I thought it might be acne.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Adult check-in
2021-05-06
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-27
Survey response — day 28, dose 2
MedDRA: Rash, Rash erythematous, Vaccination site rash — Feeling: Good

Free text: I still have a red rash on my face on the side of the body where I received the vaccination. It seems like its a little worse today than it has been for the last couple of days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-17
Dose 3 — Pfizer-BioNTech
2021-11-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-11-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-11-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-24
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-01
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-08
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-15
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-22
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-29
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-16
Survey response — 3 months, dose 3
MedDRA: Oropharyngeal pain — Feeling: Good · Be unable to work or attend school

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-05-18
Survey response — 6 months, dose 3
MedDRA: Malaise, Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activities

Free text: I am sick. I believe it is a standard cold but it is very mild.

MedDRA releases: 2024-11 · check-in free text available
2022-11-17
Survey response — 12 months, dose 3
MedDRA: Acupuncture, Cough, Malaise, Office visit — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I became sick with a prolonged cough (unproductive) for 4-5 weeks. · Healthcare visit (other): In person PCP visit; acupuncture, energetic healing

MedDRA releases: 2024-11 · check-in free text available
2022-11-17
Report sent to call center — 12 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

1 call case(s)
2022-11-18
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-08	Pfizer-BioNTech
2	2021-04-29	Pfizer-BioNTech
3	2021-11-17	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-11-17	Successful 2022-11-18	Participant prefers to complete VAERS report online

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-12

Systemic reaction (other): A tiny, infrequent cough

Release 8 — days 1–6 daily, dose 2

2021-05-04

Systemic reaction (other): I have had a tiny rash on my face on the side of my body I received the injection for the past three days. I did not initially it was a rash I thought it might be acne.

Release 8 — day 28, dose 2

2021-05-27

Symptoms: I still have a red rash on my face on the side of the body where I received the vaccination. It seems like its a little worse today than it has been for the last couple of days.

Release 11 — 3 months, dose 3

2022-02-16

Symptoms: Sore throat

Release 11 — 6 months, dose 3

2022-05-18

Symptoms: I am sick. I believe it is a standard cold but it is very mild.

Release 12 — 12 months, dose 3

2022-11-17

Symptoms: I became sick with a prolonged cough (unproductive) for 4-5 weeks.

Healthcare visit (other): In person PCP visit; acupuncture, energetic healing

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	Acupuncture	·	·	✓
HCVO	Office visit	·	·	✓
SD	Cough	·	·	✓
SD	Malaise	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Rash	✓	✓	✓
SD	Rash erythematous	✓	✓	✓
SD	Vaccination site rash	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Rash	✓	✓	✓

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