ZNS-96545-60857

3 vaccinations 13 coded responses 36 check-ins 13 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 105 / NY
Registered: 2021-03-06

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

2021-03-06
Registered in v-safe
2021-03-06
Dose 1 — Pfizer-BioNTech
2021-03-06
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Diarrhea

Adult check-in
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Productive cough — Feeling: Fair · Fatigue or tiredness, Nausea, Diarrhea

Free text: Cough -productive

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Good

Free text: Cough/loose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Oropharyngeal pain — Feeling: Good

Free text: Cough slight sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-27
Dose 2 — Pfizer-BioNTech
2021-03-27
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pruritus, Respiratory tract congestion, Sneezing — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Congestion, itchy eyes, sneezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-17
Survey response — day 21, dose 2
MedDRA: Urinary tract infection — Feeling: Fair · Be unable to work

Free text: Urinary tract infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-25
Survey response — 6 months, dose 2
MedDRA: Pre-existing disease, SARS-CoV-2 test negative, Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Allergies and sinusitis. Thought possibly COVID. Tested neg

MedDRA releases: 2024-11 · check-in free text available
2021-09-25
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-09-29
Call 1 — Left Voicemail
2021-10-01
Dose 3 — Pfizer-BioNTech
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Axillary pain, Injection site pain — Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Pain from injection site up to shoulder and into armpit

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Axillary pain, Chest pain, Neck pain, Pain — Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Neck and shoulder pain radiating into chest and armpit on injection side

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-08
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-15
Survey response — day 14, dose 3
MedDRA: Chest pain, Fatigue, Neck pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Pain went away in arm for 2 days and then came back full force. All the way to hang and ip into chest/neck. Very bad at night. Also lingering tiredness.

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Survey response — day 21, dose 3
MedDRA: Neuralgia, Office visit — Feeling: Fair · Be unable to work or attend school, 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: Nerve pain down arm and into neck. Side if injection. Went to doctor. Got meds for pain.

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Report sent to call center — day 21, 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-25
Call 1 — Left Voicemail
2021-11-01
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-05
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-31
Survey response — 3 months, dose 3
MedDRA: Influenza, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good

Free text: Flu/cold. Tested negative for COVID

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

Adult check-in
2022-10-03
Survey response — 12 months, dose 3
MedDRA: Brain fog, COVID-19, Fatigue — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Continued fatigue and brain fog after 3rd time having Covid in June 2022

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-06	Pfizer-BioNTech
2	2021-03-27	Pfizer-BioNTech
3	2021-10-01	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-09-25	Unsuccessful
2021-10-22	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-10

Systemic reaction (other): Cough -productive

2021-03-11

Systemic reaction (other): Cough/loose

2021-03-12

Systemic reaction (other): Cough slight sore throat

Release 6 — days 1–6 daily, dose 2

2021-03-30

Systemic reaction (other): Cough

2021-04-01

Systemic reaction (other): Congestion, itchy eyes, sneezing

Release 7 — day 21, dose 2

2021-04-17

Symptoms: Urinary tract infection

Release 9 — 6 months, dose 2

2021-09-25

Symptoms: Allergies and sinusitis. Thought possibly COVID. Tested neg

Release 9 — days 1–6 daily, dose 3

2021-10-03

Systemic reaction (other): Pain from injection site up to shoulder and into armpit

2021-10-04

Systemic reaction (other): Neck and shoulder pain radiating into chest and armpit on injection side

Release 10 — day 14, dose 3

2021-10-15

Symptoms: Pain went away in arm for 2 days and then came back full force. All the way to hang and ip into chest/neck. Very bad at night. Also lingering tiredness.

Release 10 — day 21, dose 3

2021-10-22

Symptoms: Nerve pain down arm and into neck. Side if injection. Went to doctor. Got meds for pain.

Release 10 — 3 months, dose 3

2021-12-31

Symptoms: Flu/cold. Tested negative for COVID

Release 12 — 12 months, dose 3

2022-10-03

Symptoms: Continued fatigue and brain fog after 3rd time having Covid in June 2022

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	Chest pain	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Influenza	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Neck pain	·	·	✓
SD	Neuralgia	·	·	✓
SD	Office visit	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinusitis	·	·	✓
SD	Urinary tract infection	✓	✓	✓
SRO	Arthralgia	·	·	✓
SRO	Axillary pain	·	·	✓
SRO	Chest pain	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Eye pruritus	✓	✓	✓
SRO	Injection site pain	·	·	✓
SRO	Neck pain	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	·	·	✓
SRO	Productive cough	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Sneezing	✓	✓	✓

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