ZPG-63448-46353

4 vaccinations 16 coded responses 40 check-ins 15 free-text entries 6 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 852 / AZ
Registered: 2021-01-11

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

2020-12-21
Dose 1 — Pfizer-BioNTech
2021-01-11
Registered in v-safe
2021-01-11
Dose 2 — Pfizer-BioNTech
2021-01-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-14
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain upper, Pre-existing disease — Feeling: Fair · Chills, Headache, Diarrhea, Abdominal pain

Free text: Upper stomach pain and I believe my symptoms though are caused by my IBS dont know if the vaccine might have irritated it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Headache, Muscle or body aches, Diarrhea, Abdominal pain

Adult check-in
2021-01-16
Survey response — days 1–6 daily, dose 2
MedDRA: Diarrhoea, Pre-existing disease — Feeling: Good · Diarrhea

Free text: I believe the diarrhea that Im having is my flareup from my IBS not sure if this vaccine exacerbated it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Diarrhea

Adult check-in
2021-01-18
Survey response — day 7, dose 2
MedDRA: Abdominal discomfort, Diarrhoea — Feeling: Good · Headache

Free text: Acid reflux symptoms and diarrhea is slowing down

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-15
Survey response — day 35, dose 2
MedDRA: Back pain, Chest pain, Eye irritation, Rhinorrhoea — Feeling: Fair

Free text: Runny nose and irritated eyes but I think its just severe allergies. Back pain and thoracic pain. Going for an MRI on Friday but I believe this is due only to my car accident in October.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-04-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-12
Survey response — 6 months, dose 2
MedDRA: Fatigue, Headache, Myalgia, Nasal congestion, Oropharyngeal pain — Feeling: Fair

Free text: Im sure that everything is because of my allergies the stuffy nose sore throat, tiredness, slight headaches and muscle aches and pains.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-28
Dose 3 — Pfizer-BioNTech
2021-09-28
Health check-in — day 0, dose 3
Feeling: Fair · None

Adult check-in
2021-09-29
Survey response — days 1–6 daily, dose 3
MedDRA: No adverse event — Feeling: Good · Headache, Muscle or body aches

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Survey response — days 1–6 daily, dose 3
MedDRA: Office visit, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Runny nose and sore throat · Healthcare visit (other): At my doctors office

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain — Feeling: Fair · Chills, Headache, Muscle or body aches

Free text: Sore throat,

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · None

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · None

Adult check-in
2021-10-05
Health check-in — day 7, dose 3
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-19
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-10-26
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-02
Survey response — day 35, dose 3
MedDRA: Gastrointestinal disorder, Myalgia, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Muscle aches in my arm back and my lower back. Upper stomach issues · Healthcare visit (other): My internist doctor

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Report sent to call center — day 35, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-04
Call 3 — Left Voicemail
2021-11-09
Survey response — day 42, dose 3
MedDRA: Headache, Musculoskeletal stiffness, Office visit, Pain — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Severe headache, body aches and pains, stiff neck · Healthcare visit (other): Internal Dr.

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-10
Call 3 — Left Voicemail
2021-12-28
Survey response — 3 months, dose 3
MedDRA: Headache, Irritable bowel syndrome — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: My IBS symptoms and headaches

MedDRA releases: 2024-11 · check-in free text available
2021-12-28
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-29
Call 3 — Left Voicemail
2022-03-31
Survey response — 6 months, dose 3
MedDRA: Pancreatic failure — Feeling: Good

Free text: Exocrine pancreatic insufficiency

MedDRA releases: 2024-11 · check-in free text available
2022-04-10
Dose 4 — Pfizer-BioNTech
2022-04-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Chills, Muscle or body aches, Abdominal pain

Adult check-in
2022-04-15
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-16
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-17
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-24
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-01
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-08
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-15
Survey response — day 35, dose 4
MedDRA: Arthralgia, Bone pain, Muscular weakness — Feeling: Fair

Free text: Muscle weakness and bone pain and hip pain probably not related to the variant

MedDRA releases: 2024-11 · check-in free text available
2022-05-24
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-10
Survey response — 3 months, dose 4
MedDRA: Blood pressure abnormal, Dizziness, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Blood pressure issues and dizziness and lightheadedness under the care of a doctor not associated with Covid I don't believe · Healthcare visit (other): Met with primary doctor

MedDRA releases: 2024-11 · check-in free text available
2022-07-10
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-07-11
Call 2 — Left Voicemail
2022-07-11
Call 2 — Left Voicemail
2022-07-11
Call 2 — Left Voicemail
2022-07-11
Call 2 — Left Voicemail
2022-07-11
Call 2 — Left Voicemail
2022-10-09
Survey response — 6 months, dose 4
MedDRA: Fatigue, Pancreatic enzymes decreased — Feeling: Fair

Free text: Pancreatic enzymes deficiency, tiredness

MedDRA releases: 2024-11 · check-in free text available
2023-04-10
Survey response — 12 months, dose 4
MedDRA: Eye irritation, Myalgia, Office visit, Rhinorrhoea — Feeling: Good · Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-04-10
Report sent to call center — 12 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2023-04-11
Call 1 — Left Voicemail
2023-04-11
Call 1 — Left Voicemail
2023-04-11
Call 1 — Left Voicemail
2023-04-11
Call 1 — Left Voicemail
2023-04-11
Call 1 — Left Voicemail
2023-04-11
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-21	Pfizer-BioNTech
2	2021-01-11	Pfizer-BioNTech
3	2021-09-28	Pfizer-BioNTech	No
4	2022-04-10	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-10-01	Unsuccessful
2021-11-02	Unsuccessful
2021-11-09	Unsuccessful
2021-12-28	Unsuccessful
2022-07-10	Unsuccessful
2023-04-10	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 2

2021-01-14

Systemic reaction (other): Upper stomach pain and I believe my symptoms though are caused by my IBS dont know if the vaccine might have irritated it.

2021-01-16

Systemic reaction (other): I believe the diarrhea that Im having is my flareup from my IBS not sure if this vaccine exacerbated it.

Release 2 — day 7, dose 2

2021-01-18

Systemic reaction (other): Acid reflux symptoms and diarrhea is slowing down

Release 4 — day 35, dose 2

2021-02-15

Symptoms: Runny nose and irritated eyes but I think its just severe allergies. Back pain and thoracic pain. Going for an MRI on Friday but I believe this is due only to my car accident in October.

Release 9 — 6 months, dose 2

2021-07-12

Symptoms: Im sure that everything is because of my allergies the stuffy nose sore throat, tiredness, slight headaches and muscle aches and pains.

Release 9 — days 1–6 daily, dose 3

2021-09-29

Systemic reaction (other): No

2021-10-01

Systemic reaction (other): Runny nose and sore throat

Healthcare visit (other): At my doctors office

2021-10-02

Systemic reaction (other): Sore throat,

Release 10 — day 35, dose 3

2021-11-02

Symptoms: Muscle aches in my arm back and my lower back. Upper stomach issues

Healthcare visit (other): My internist doctor

Release 10 — day 42, dose 3

2021-11-09

Symptoms: Severe headache, body aches and pains, stiff neck

Healthcare visit (other): Internal Dr.

Release 10 — 3 months, dose 3

2021-12-28

Symptoms: My IBS symptoms and headaches

Release 11 — 6 months, dose 3

2022-03-31

Symptoms: Exocrine pancreatic insufficiency

Release 11 — day 35, dose 4

2022-05-15

Symptoms: Muscle weakness and bone pain and hip pain probably not related to the variant

Release 12 — 3 months, dose 4

2022-07-10

Symptoms: Blood pressure issues and dizziness and lightheadedness under the care of a doctor not associated with Covid I don't believe

Healthcare visit (other): Met with primary doctor

Release 12 — 6 months, dose 4

2022-10-09

Symptoms: Pancreatic enzymes deficiency, tiredness

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	Arthralgia	·	·	✓
SD	Back pain	✓	✓	✓
SD	Blood pressure abnormal	·	·	✓
SD	Bone pain	·	·	✓
SD	Chest pain	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Eye irritation	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	✓	✓	✓
SD	Irritable bowel syndrome	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Office visit	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	○	○	✓
SD	Pancreatic enzymes decreased	·	·	✓
SD	Pancreatic failure	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	No adverse event	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rhinorrhoea	·	·	✓

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