ZPL-13140-16009

2 vaccinations 9 coded responses 22 check-ins 9 free-text entries 5 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 731 / OK
Registered: 2021-02-22

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

2021-02-22
Registered in v-safe
2021-02-22
Dose 1 — Pfizer-BioNTech
2021-02-22
Health check-in — day 0, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Nausea, Vomiting · Be unable to do your normal daily activities

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-01
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Survey response — day 14, dose 1
MedDRA: Muscle spasms — Feeling: Fair · Be unable to do your normal daily activities

Free text: Muscle spasms in the middle of my back.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Dose 2 — Pfizer-BioNTech
2021-03-15
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Bad pain in my arm where I got the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Nephrolithiasis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Kidney stone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-29
Survey response — day 14, dose 2
MedDRA: Blood urea increased, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Creating and BUN levels are high · Healthcare visit (other): PCP

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-19
Survey response — day 35, dose 2
MedDRA: Abdominal pain upper, Diarrhoea, Office visit, Sinusitis, Vomiting — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Sinus infection, diarrhea, vomiting stomach pain. · Healthcare visit (other): PCP office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
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)
2021-04-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-14
Survey response — 3 months, dose 2
MedDRA: Office visit, Renal failure — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Stage 3 kidney failure · Healthcare visit (other): Primary Care Doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-14
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-17
Call 1 — Left Voicemail
2021-09-13
Survey response — 6 months, dose 2
MedDRA: COVID-19 — 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

Free text: I have COVID.

MedDRA releases: 2024-11 · check-in free text available
2021-09-13
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-09-14
Call 1 — Left Voicemail
2022-03-15
Survey response — 12 months, dose 2
MedDRA: Dyspnoea, Gait disturbance, Headache, Hypoaesthesia, Nausea, Office visit, Peripheral swelling, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: My doctor thinks that I have heart damage from having Covid. Since having Covid I have been having shortness of breath, more chest pains, difficulty walking and especially climbing stairs, nausea, a lot, and numbness and swelling in my legs and feet. · Healthcare visit (other): Office visit

MedDRA releases: 2024-11 · check-in free text available
2022-03-15
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

1 call case(s)
2022-03-16
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-22	Pfizer-BioNTech
2	2021-03-15	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-03-29	Unsuccessful
2021-04-19	Unsuccessful
2021-06-14	Unsuccessful
2021-09-13	Unsuccessful
2022-03-15	Unsuccessful

Free text

Release 5 — day 14, dose 1

2021-03-08

Symptoms: Muscle spasms in the middle of my back.

Release 5 — days 1–6 daily, dose 2

2021-03-16

Systemic reaction (other): Bad pain in my arm where I got the vaccine.

2021-03-18

Systemic reaction (other): Dizziness

Release 6 — days 1–6 daily, dose 2

2021-03-21

Systemic reaction (other): Kidney stone

Release 6 — day 14, dose 2

2021-03-29

Symptoms: Creating and BUN levels are high

Healthcare visit (other): PCP

Release 7 — day 35, dose 2

2021-04-19

Symptoms: Sinus infection, diarrhea, vomiting stomach pain.

Healthcare visit (other): PCP office visit

Release 9 — 3 months, dose 2

2021-06-14

Symptoms: Stage 3 kidney failure

Healthcare visit (other): Primary Care Doctor

Release 9 — 6 months, dose 2

2021-09-13

Symptoms: I have COVID.

Release 11 — 12 months, dose 2

2022-03-15

Symptoms: My doctor thinks that I have heart damage from having Covid. Since having Covid I have been having shortness of breath, more chest pains, difficulty walking and especially climbing stairs, nausea, a lot, and numbness and swelling in my legs and feet. cut off by CDC

Healthcare visit (other): Office visit

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	Abdominal pain upper	✓	✓	✓
SD	Blood urea increased	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Gait disturbance	·	·	✓
SD	Headache	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Muscle spasms	✓	✓	✓
SD	Nausea	·	·	✓
SD	Peripheral swelling	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Renal failure	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Nephrolithiasis	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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