ZPW-18317-72306

4 vaccinations 14 coded responses 54 check-ins 14 free-text entries 4 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 452 / OH
Registered: 2021-03-06

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

2021-03-06
Registered in v-safe
2021-03-06
Dose 1 — Pfizer-BioNTech
2021-03-06
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Rash on my face thats peeling and could be from my face mask and new face cream.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Rash, Skin exfoliation — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Facial rash with peeling. Might be from face wearing masks or new face cream.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Dermatitis, Medical counselling, Pruritus, Rash, Skin exfoliation — Feeling: Good · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Facial rash with itching and peeling. Called my doctor. · Healthcare visit (other): Diagnosis: Contact Dermatitis probably from disposable face masks.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Rash — Feeling: Good · Headache, Rash, not including the immediate area around the injection site

Free text: Peeling facial rash.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-25
Dose 2 — Pfizer-BioNTech
2021-03-25
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-03-26
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Swollen lymph nodes under armpits and in neck.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness

Free text: Swollen and painful glands in armpits and neck.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Lymphadenopathy — Feeling: Good · Headache, Muscle or body aches

Free text: Swollen lymph nodes and pain under armpits.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-24
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Diarrhoea, Ear discomfort, Ear pain, Headache, Lymphadenopathy, Pain, Paranasal sinus discomfort, Pyrexia, Rhinorrhoea, SARS-CoV-2 test negative, Sinusitis, Sneezing — 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: Fever for three days; Body aches; Joint pain; Runny nose; Sneezing; Headache; Diarrhea; Sinus Pressure; Swollen Glands; Ear pain and pressure. Five days later, was put on Doxycycline for 7 days for a sinus infection. · Healthcare visit (other): Negative COVID test.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-28
Call 2 — Left Voicemail
2021-09-23
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-07
Dose 3 — Pfizer-BioNTech
2021-12-07
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-12-08
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Left armpit pain.

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Left underarm pain

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Left underarm pain

MedDRA releases: 2024-11 · check-in free text available
2021-12-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-14
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-21
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-28
Survey response — day 21, dose 3
MedDRA: Fatigue, Headache, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Have been exhausted/extremely wiped out for the past two days, with a headache and muscular aches.

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-11
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-18
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-08
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-07
Survey response — 6 months, dose 3
MedDRA: Medical counselling, Migraine, Rash, Rash pruritic, Sinusitis, Skin exfoliation, Viral infection — 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: I had itchy, painful, peeling rash on my face in March along with a week long migraine headache & turned into a sinus infection. Dr. said it's was probably a viral infection that went into my sinuses. Neg. PCR test. Rx for Doxycycline 2 tabs-10 days.

MedDRA releases: 2024-11 · check-in free text available
2022-06-07
Report sent to call center — 6 months, dose 3
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)
2022-06-08
Call 1 — Left Voicemail
2022-06-08
Call 1 — Left Voicemail
2022-06-08
Call 1 — Left Voicemail
2022-09-16
Dose 4 — Pfizer-BioNTech
2022-09-16
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-09-17
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-09-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache

Adult check-in
2022-09-23
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-09-30
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-07
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-14
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-21
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-28
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-16
Survey response — 3 months, dose 4
MedDRA: Abdominal pain, Arthralgia, Diarrhoea, Fatigue, Headache, Muscular weakness, Pain, SARS-CoV-2 test negative — 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 · Telehealth, virtual health, or email health consultation

Free text: Last week: Headache; Body aches (mostly in my scapular area, and under my armpits); Joint pain; Weakness in my legs and exhaustion. Then, bad abdominal cramping and diarrhea for 48 hrs. No fever and took two at home COVID tests, which were negative.

MedDRA releases: 2024-11 · check-in free text available
2022-12-16
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)
2022-12-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-19
Call successful
Does not wish to fill out VAERS report
2022-12-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-18
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-06	Pfizer-BioNTech
2	2021-03-25	Pfizer-BioNTech
3	2021-12-07	Pfizer-BioNTech	No
4	2022-09-16	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-10	Successful 2022-12-19	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-06-24	Successful 2022-12-19	Does not wish to fill out VAERS report
2022-06-07	Successful 2022-12-19	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-16	Successful 2022-12-19	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-08

Systemic reaction (other): Rash on my face thats peeling and could be from my face mask and new face cream.

2021-03-09

Systemic reaction (other): Facial rash with peeling. Might be from face wearing masks or new face cream.

2021-03-10

Systemic reaction (other): Facial rash with itching and peeling. Called my doctor.

Healthcare visit (other): Diagnosis: Contact Dermatitis probably from disposable face masks.

2021-03-11

Systemic reaction (other): Peeling facial rash.

Release 6 — days 1–6 daily, dose 2

2021-03-26

Systemic reaction (other): Swollen lymph nodes under armpits and in neck.

2021-03-27

Systemic reaction (other): Swollen and painful glands in armpits and neck.

2021-03-28

Systemic reaction (other): Swollen lymph nodes and pain under armpits.

Release 9 — 3 months, dose 2

2021-06-24

Symptoms: Fever for three days; Body aches; Joint pain; Runny nose; Sneezing; Headache; Diarrhea; Sinus Pressure; Swollen Glands; Ear pain and pressure. Five days later, was put on Doxycycline for 7 days for a sinus infection.

Healthcare visit (other): Negative COVID test.

Release 10 — days 1–6 daily, dose 3

2021-12-08

Systemic reaction (other): Left armpit pain.

2021-12-09

Systemic reaction (other): Left underarm pain

2021-12-10

Systemic reaction (other): Left underarm pain

Release 10 — day 21, dose 3

2021-12-28

Symptoms: Have been exhausted/extremely wiped out for the past two days, with a headache and muscular aches.

Release 11 — 6 months, dose 3

2022-06-07

Symptoms: I had itchy, painful, peeling rash on my face in March along with a week long migraine headache & turned into a sinus infection. Dr. said it's was probably a viral infection that went into my sinuses. Neg. PCR test. Rx for Doxycycline 2 tabs-10 days. cut off by CDC

Release 12 — 3 months, dose 4

2022-12-16

Symptoms: Last week: Headache; Body aches (mostly in my scapular area, and under my armpits); Joint pain; Weakness in my legs and exhaustion. Then, bad abdominal cramping and diarrhea for 48 hrs. No fever and took two at home COVID tests, which were negative. cut off by CDC

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	Dermatitis	✓	✓	✓
HCVO	SARS-CoV-2 test negative	✓	✓	✓
SD	Abdominal pain	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Ear discomfort	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Medical counselling	·	·	✓
SD	Migraine	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Myalgia	·	·	✓
SD	Pain	✓	✓	✓
SD	Paranasal sinus discomfort	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Rash	·	·	✓
SD	Rash pruritic	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinusitis	✓	✓	✓
SD	Skin exfoliation	·	·	✓
SD	Sneezing	✓	✓	✓
SD	Viral infection	·	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Medical counselling	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Skin exfoliation	✓	✓	✓

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