ZPH-16796-99816

4 vaccinations 19 coded responses 34 check-ins 15 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 146 / NY
Registered: 2021-03-24

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

2021-03-24
Registered in v-safe
2021-03-24
Dose 1 — Pfizer-BioNTech
2021-03-24
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Pain, Swelling

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Contusion, Erythema — Feeling: Good · Site: Redness

Free text: The redness is actually a small bruise

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising — Feeling: Good

Free text: Bruise at injection site has faded

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-14
Dose 2 — Pfizer-BioNTech
2021-04-14
Survey response — day 0, dose 2
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Arthritis, Contusion, Erythema, Oropharyngeal pain, Pre-existing disease — Feeling: Good · Site: Pain, Redness · Joint pains, Muscle or body aches

Free text: The redness is actually a bruise. This happened with the first injection. Also I have arthritis, but the my joints seem to feel a little worse than usual. I continue to have a bit of a sore throat.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site bruising, Oropharyngeal pain — Feeling: Good · Site: Pain

Free text: Sore throat, bruise at injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site bruising, Injection site discolouration, Oropharyngeal pain — Feeling: Good · Site: Pain

Free text: Sore throat is better. Bruise at injection site yellowing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Contusion, Migraine, Oropharyngeal pain — Feeling: Fair · Site: Pain · Headache · Be unable to work, Be unable to do your normal daily activities

Free text: My sore throat is gone. My bruise continues to yellow. I have a migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 7, dose 2
MedDRA: Injection site bruising — Feeling: Fair · Site: Pain · Chills

Free text: Bruise at injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-05
Survey response — day 21, dose 2
MedDRA: Cough — Feeling: Good

Free text: I've been coughing a lot, but I'm guessing it has something to do with tree pollen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-26
Survey response — day 42, dose 2
MedDRA: Cough — Feeling: Good

Free text: Continuing cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-14
Survey response — 3 months, dose 2
MedDRA: Ankle fracture, Syncope — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I fainted twice and broke my ankle in three places.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-13
Survey response — 6 months, dose 2
MedDRA: Ankle fracture, Syncope, Tricuspid valve incompetence — Feeling: Fair · 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: I fainted broke my ankle, had a bunch of tests, and learned that I have mild to moderate leakage around my tricuspid Valve but none of thatIs related to Covid or my fainting.

MedDRA releases: 2024-11 · check-in free text available
2021-10-13
Report sent to call center — 6 months, dose 2
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 · 1 call case(s)
2021-10-14
Call 1 — Left Voicemail
2021-10-14
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-14
Survey response — 12 months, dose 2
MedDRA: Loss of personal independence in daily activities, Nasal septal operation — Feeling: Good · 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

Free text: Had a septoplasty end of November, which meant some restrictions on my activities.

MedDRA releases: 2024-11 · check-in free text available
2022-04-14
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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-19
Call successful
Not applicable - Accidental Reporting
2022-11-02
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2022-11-29
Dose 4 — Pfizer-BioNTech
Co-administered: Shingles
2022-11-30
Survey response — days 1–6 daily, dose 4
MedDRA: Insomnia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Fatigue or tiredness

Free text: I literally didn't sleep at all last night, the day I took the vaccine, but insomnia doesn't appear on the list of symptoms.

MedDRA releases: 2024-11 · check-in free text available
2022-12-02
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2022-12-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-12-06
Health check-in — day 7, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-12-13
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-12-20
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-12-27
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2023-01-03
Survey response — day 35, dose 4
MedDRA: Fatigue, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-01-10
Survey response — day 42, dose 4
MedDRA: Brain fog, Cough, Fatigue, Pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-02-28
Survey response — 3 months, dose 4
MedDRA: Brain fog, COVID-19, Cough, Fatigue — 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 · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-02-28
Report sent to call center — 3 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-03-01
Call 1 — Left Voicemail
2023-06-01
Survey response — 6 months, dose 4
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Pfizer-BioNTech
2	2021-04-14	Pfizer-BioNTech
3	2022-11-02	Pfizer-BioNTech	Flu
4	2022-11-29	Pfizer-BioNTech	Shingles

Call center

Reported	Outcome	VAERS-related outcome
2021-10-13	Successful 2021-10-14	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-14	Successful 2022-04-19	Not applicable - Accidental Reporting
2023-02-28	Unsuccessful

Free text

Release 6 — day 0, dose 1

2021-03-24

Systemic reaction (other): No

Release 6 — days 1–6 daily, dose 1

2021-03-28

Systemic reaction (other): The redness is actually a small bruise

2021-03-29

Systemic reaction (other): Bruise at injection site has faded

Release 7 — day 0, dose 2

2021-04-14

Systemic reaction (other): Sore throat

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): The redness is actually a bruise. This happened with the first injection. Also I have arthritis, but the my joints seem to feel a little worse than usual. I continue to have a bit of a sore throat.

2021-04-16

Systemic reaction (other): Sore throat, bruise at injection site.

2021-04-18

Systemic reaction (other): Sore throat is better. Bruise at injection site yellowing.

2021-04-19

Systemic reaction (other): My sore throat is gone. My bruise continues to yellow. I have a migraine

Release 7 — day 7, dose 2

2021-04-21

Systemic reaction (other): Bruise at injection site.

Release 8 — day 21, dose 2

2021-05-05

Symptoms: I've been coughing a lot, but I'm guessing it has something to do with tree pollen.

Release 8 — day 42, dose 2

2021-05-26

Symptoms: Continuing cough

Release 9 — 3 months, dose 2

2021-07-14

Symptoms: I fainted twice and broke my ankle in three places.

Release 10 — 6 months, dose 2

2021-10-13

Symptoms: I fainted broke my ankle, had a bunch of tests, and learned that I have mild to moderate leakage around my tricuspid Valve but none of thatIs related to Covid or my fainting.

Release 11 — 12 months, dose 2

2022-04-14

Symptoms: Had a septoplasty end of November, which meant some restrictions on my activities.

Release 12 — days 1–6 daily, dose 4

2022-11-30

Systemic reaction (other): I literally didn't sleep at all last night, the day I took the vaccine, but insomnia doesn't appear on the list of symptoms.

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	Ankle fracture	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Brain fog	·	·	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Fatigue	·	·	✓
SD	Loss of personal independence in daily activities	·	·	✓
SD	Nasal septal operation	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Syncope	✓	✓	✓
SD	Tricuspid valve incompetence	·	·	✓
SRO	Arthritis	✓	✓	✓
SRO	Contusion	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Injection site discolouration	✓	✓	✓
SRO	Insomnia	·	·	✓
SRO	Migraine	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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