ZNU-27731-57725

3 vaccinations 8 coded responses 27 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 272 / NC
Registered: 2021-03-17

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

2021-03-17
Registered in v-safe
2021-03-17
Dose 1 — Pfizer-BioNTech
2021-03-17
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Fatigue or tiredness

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Mild shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — day 7, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-31
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-07
Dose 2 — Pfizer-BioNTech
2021-04-07
Survey response — day 0, dose 2
MedDRA: Pain in jaw, Paraesthesia oral — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Sore right jaw and tingling lips

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling cold, Peripheral coldness — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Free text: Cold sensation in my upper right arm and the upper right quadrant of my back and my neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-14
Health check-in — day 7, dose 2
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-21
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-05
Survey response — day 28, dose 2
MedDRA: Laboratory test abnormal — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Low thyroid levels

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-12
Survey response — day 35, dose 2
MedDRA: Hypersensitivity — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Severe allergic reation with recurrent reaction

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Report sent to call center — day 35, dose 2
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)
2021-05-19
Health check-in — day 42, dose 2
Feeling: Good

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

Adult check-in
2021-08-23
Dose 3 — Pfizer-BioNTech
2021-10-06
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-07
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-11-22
Survey response — 3 months, dose 3
MedDRA: Condition aggravated, Dysstasia, Gait inability, Hospitalisation, Pre-existing disease — 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 · Emergency room or emergency department visit, Hospitalization

Free text: I have an autoimmune disorder and had a major flare which caused me to be unable to walk or even stand up. It required hospitalization and fluids and prednisone which I am still on to settle the flare.

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Report sent to call center — 3 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

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2021-11-23
Call 2 — Left Voicemail
2021-11-23
Call 2 — Left Voicemail
2021-11-23
Call 2 — Left Voicemail
2022-02-23
Survey response — 6 months, dose 3
MedDRA: Asthenia, Condition aggravated, Dyspnoea, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: lung volume has decreased and my CPAP is not working effectively like it used to. I get winded more easily and my stamina is almost non existent.

MedDRA releases: 2024-11 · check-in free text available
2022-08-23
Survey response — 12 months, dose 3
MedDRA: Immune system disorder, Major depression, Malaise, Pre-existing disease, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Chronic covid like symptoms with negative test results and covid long hauler and a major depression episode that I can't get out of. Systemic Inflammatory Immune Response Syndrome

MedDRA releases: 2024-11 · check-in free text available
2022-08-23
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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-08-24
Call 1 — Left Voicemail
2022-08-24
Call 1 — Left Voicemail
2022-08-24
Call 1 — Left Voicemail
2022-08-24
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Pfizer-BioNTech
2	2021-04-07	Pfizer-BioNTech
3	2021-08-23	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-05	Unsuccessful
2021-05-12	Unsuccessful
2021-11-22	Unsuccessful
2022-08-23	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-18

Systemic reaction (other): Mild shortness of breath

Release 7 — day 0, dose 2

2021-04-07

Systemic reaction (other): Sore right jaw and tingling lips

Release 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): Cold sensation in my upper right arm and the upper right quadrant of my back and my neck

Release 8 — day 28, dose 2

2021-05-05

Symptoms: Low thyroid levels

Release 8 — day 35, dose 2

2021-05-12

Symptoms: Severe allergic reation with recurrent reaction

Release 10 — 3 months, dose 3

2021-11-22

Symptoms: I have an autoimmune disorder and had a major flare which caused me to be unable to walk or even stand up. It required hospitalization and fluids and prednisone which I am still on to settle the flare.

Release 11 — 6 months, dose 3

2022-02-23

Symptoms: lung volume has decreased and my CPAP is not working effectively like it used to. I get winded more easily and my stamina is almost non existent.

Release 12 — 12 months, dose 3

2022-08-23

Symptoms: Chronic covid like symptoms with negative test results and covid long hauler and a major depression episode that I can't get out of. Systemic Inflammatory Immune Response Syndrome

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	Asthenia	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Dysstasia	·	·	✓
SD	Gait inability	·	·	✓
SD	Hospitalisation	·	·	✓
SD	Hypersensitivity	✓	✓	✓
SD	Immune system disorder	·	·	✓
SD	Laboratory test abnormal	✓	✓	✓
SD	Major depression	·	·	✓
SD	Malaise	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Peripheral coldness	✓	✓	✓

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