ZNW-29575-51364

4 vaccinations 12 coded responses 27 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 16-20
ZIP prefix: 940 / CA
Registered: 2021-04-15

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

2021-04-15
Registered in v-safe
2021-04-15
Dose 1 — Pfizer-BioNTech
2021-04-16
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Pre-existing disease — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Headache but I have a headache condition and this is no worse than a typical day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Headache

Free text: I have a headache condition and my headache is slightly worse than a typical day, but within standard deviation. Probably due to an environmental condition and not the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Pre-existing disease — Feeling: Good

Free text: I have a mild headache I have a headache condition and its no worse than a typical day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Good · Headache

Free text: I have a headache condition and this is a typical day for me :). Im so sorry if someone has to clean my answers every time but Im just trying to answer the question as honestly as possible.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 7, dose 1
MedDRA: Headache — Feeling: Good · Headache

Free text: I have chronic headaches and this is a typical day for me

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-06
Dose 2 — Pfizer-BioNTech
2021-05-06
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Pre-existing disease — Feeling: Good · Headache

Free text: I have a headache condition and recent oral surgery that are much more likely sources for my headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Headache

Free text: I have a chronic headache condition

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — day 7, dose 2
MedDRA: Headache — Feeling: Good · Headache

Free text: I have a chronic headache condition

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-07
Survey response — 3 months, dose 2
MedDRA: Nasopharyngitis — Feeling: Good

Free text: Mild head cold

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-22
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2022-05-08
Survey response — 12 months, dose 2
MedDRA: Attention deficit hyperactivity disorder, Generalised anxiety disorder, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: I was diagnosed with Generalized Anxiety Disorder and ADHD combined type, and those symptoms have changed on medication. · Healthcare visit (other): In person specialist visit

MedDRA releases: 2024-11 · check-in free text available
2022-05-08
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-05-09
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-28
Dose 4 — Moderna
Co-administered: Flu
2022-09-29
Survey response — days 1–6 daily, dose 4
MedDRA: Asthenia, Dizziness — Feeling: Poor · Site: Pain · Fever · Headache, 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: Light headedness, dizziness, weakness

MedDRA releases: 2024-11 · check-in free text available
2022-09-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2022-10-02
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-03
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache

Adult check-in
2022-10-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache, Joint pains

Adult check-in
2022-10-12
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-11-03
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-28
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-04-01
Survey response — 6 months, dose 4
MedDRA: Ligament sprain — 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 · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-01
Report sent to call center — 6 months, dose 4
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)
2023-04-04
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-15	Pfizer-BioNTech
2	2021-05-06	Pfizer-BioNTech
3	2021-11-22	Pfizer-BioNTech	Flu
4	2022-09-28	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2022-05-08	Successful 2022-05-09	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-01	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-16

Systemic reaction (other): Headache but I have a headache condition and this is no worse than a typical day.

2021-04-17

Systemic reaction (other): I have a headache condition and my headache is slightly worse than a typical day, but within standard deviation. Probably due to an environmental condition and not the vaccine

2021-04-19

Systemic reaction (other): I have a mild headache I have a headache condition and its no worse than a typical day.

2021-04-21

Systemic reaction (other): I have a headache condition and this is a typical day for me :). Im so sorry if someone has to clean my answers every time but Im just trying to answer the question as honestly as possible.

Release 7 — day 7, dose 1

2021-04-22

Systemic reaction (other): I have chronic headaches and this is a typical day for me

Release 8 — days 1–6 daily, dose 2

2021-05-08

Systemic reaction (other): I have a headache condition and recent oral surgery that are much more likely sources for my headache

2021-05-09

Systemic reaction (other): I have a chronic headache condition

Release 8 — day 7, dose 2

2021-05-13

Systemic reaction (other): I have a chronic headache condition

Release 9 — 3 months, dose 2

2021-08-07

Symptoms: Mild head cold

Release 11 — 12 months, dose 2

2022-05-08

Symptoms: I was diagnosed with Generalized Anxiety Disorder and ADHD combined type, and those symptoms have changed on medication.

Healthcare visit (other): In person specialist visit

Release 12 — days 1–6 daily, dose 4

2022-09-29

Systemic reaction (other): Light headedness, dizziness, 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	Office visit	·	·	✓
SD	Attention deficit hyperactivity disorder	·	·	✓
SD	Generalised anxiety disorder	·	·	✓
SD	Ligament sprain	·	·	✓
SD	Nasopharyngitis	✓	·	✓
SRO	Asthenia	·	·	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Dizziness	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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