ZPG-22167-82741

2 vaccinations 7 coded responses 19 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 392 / MS
Registered: 2020-12-28

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2020-12-28
Registered in v-safe
2020-12-28
Dose 1 — Pfizer-BioNTech
2020-12-28
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-29
Survey response — days 1–6 daily, dose 1
MedDRA: Nightmare, Pre-existing disease — Feeling: Fair · Site: Pain · Fever · Headache

Free text: Wheezing from asthma and multiple nightmares

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Survey response — days 1–6 daily, dose 1
MedDRA: Eyelid ptosis, Ocular hyperaemia, Pre-existing disease — Feeling: Fair · Site: Itching · Fever · Fatigue or tiredness

Free text: Two weeks post cataract surgery, eye is redden and upper eye lid drooping a little. This is new.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-05
Survey response — day 7, dose 1
MedDRA: Eye pain, Headache, Specialist consultation — Feeling: Fair · Headache · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Headache and severe eye pain - three weeks after cataract surgery · Healthcare visit (other): Eye doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-15
Dose 2 — Pfizer-BioNTech
2021-01-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-18
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-19
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling hot, Hyperhidrosis — Feeling: Fair · Fever · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My temp is normally 97 - I was perspiring and feeling g hot last night and today when temp was 98.8

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-22
Survey response — day 7, dose 2
MedDRA: Cough — Feeling: Good

Free text: Still have a mild cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-04
Call 1 — Left Voicemail
2021-02-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-15
Survey response — day 28, dose 2
MedDRA: Asthma, Cough, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I developed a slight cough after the second vaccine- finally sought medical attention. I have asthma that has been controlled until recently- may be a combination of factors

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-15
Call successful
Participant prefers to complete VAERS report online
2021-02-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-17
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-15
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Arthropathy, Back pain, Muscular weakness, Office visit, Pain in extremity, Physiotherapy, Sciatica, Unevaluable event — Feeling: Good · 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: Symptoms: Muscular weakness and deep tissue soreness in left arm. Started around July- I kept thinking it w look I'd go away. Also deep tissue soreness left hip and back - dr said sciatic for hip- going to spine dr for back · Healthcare visit (other): Took physical therapy for hip. Have not sought help for left arm

MedDRA releases: 2024-11 · check-in free text available
2022-01-15
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-17
Call 1 — Could Not Reach Participant
2022-01-20
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Pfizer-BioNTech
2	2021-01-15	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-01-05	Successful	Participant prefers to complete VAERS report online
2021-01-18	Successful 2021-02-15	Participant prefers to complete VAERS report online
2021-02-15	Successful	Participant prefers to complete VAERS report online
2022-01-15	Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-29

Systemic reaction (other): Wheezing from asthma and multiple nightmares

2020-12-30

Systemic reaction (other): Two weeks post cataract surgery, eye is redden and upper eye lid drooping a little. This is new.

Release 1 — day 7, dose 1

2021-01-05

Systemic reaction (other): Headache and severe eye pain - three weeks after cataract surgery

Healthcare visit (other): Eye doctor

Release 2 — days 1–6 daily, dose 2

2021-01-19

Systemic reaction (other): My temp is normally 97 - I was perspiring and feeling g hot last night and today when temp was 98.8

Release 2 — day 7, dose 2

2021-01-22

Systemic reaction (other): Still have a mild cough

Release 4 — day 28, dose 2

2021-02-15

Symptoms: I developed a slight cough after the second vaccine- finally sought medical attention. I have asthma that has been controlled until recently- may be a combination of factors

Release 10 — 12 months, dose 2

2022-01-15

Symptoms: Muscular weakness and deep tissue soreness in left arm. Started around July- I kept thinking it w look I'd go away. Also deep tissue soreness left hip and back - dr said sciatic for hip- going to spine dr for back

Healthcare visit (other): Took physical therapy for hip. Have not sought help for left arm

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	Arthropathy	·	·	✓
HCVO	Physiotherapy	·	·	✓
HCVO	Specialist consultation	✓	✓	✓
HCVO	Unevaluable event	·	·	✓
SD	Arthralgia	·	·	✓
SD	Asthma	✓	✓	✓
SD	Back pain	·	·	✓
SD	Cough	✓	✓	✓
SD	Muscular weakness	·	·	✓
SD	Office visit	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Sciatica	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Eyelid ptosis	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Nightmare	✓	✓	✓
SRO	Ocular hyperaemia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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