ZQ4-14617-03499

4 vaccinations 8 coded responses 26 check-ins 7 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 303 / GA
Registered: 2021-01-26

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

2021-01-21
Dose 1 — Pfizer-BioNTech
2021-01-26
Registered in v-safe
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling hot — Feeling: Fair · Fever

Free text: Hot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-28
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-11
Dose 2 — Pfizer-BioNTech
2021-02-11
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-02-12
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fever · Fatigue or tiredness

Adult check-in
2021-02-18
Health check-in — day 7, dose 2
Feeling: Good · Fever · Fatigue or tiredness

Adult check-in
2021-02-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-11
Survey response — day 28, dose 2
MedDRA: Chest discomfort, Cough, Dyspnoea, Productive cough — Feeling: Good

Free text: Heaviness in chest and shortness of breath in late afternoon and evening. Intermittent cough with some phlegm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-25
Survey response — day 42, dose 2
MedDRA: Fatigue, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: More fatigue. I had Covid in November 2020 and feel I have continued fatigue from Covid but not due to the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — 3 months, dose 2
MedDRA: Back pain, Office visit, Self-medication — Feeling: Fair · 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: Lower Back pain started 5-6-21. Taking Aleve and Tramadol. · Healthcare visit (other): PCP in office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
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)
2021-06-15
Call 1 — Left Voicemail
2021-08-12
Survey response — 6 months, dose 2
MedDRA: Back pain, Chronic obstructive pulmonary disease, Office visit, Pulmonary hypertension — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Diagnosed with pulmonary hypertension and COPD. Also back pain severe for 1 week in May 2021 then mild back pain since then. · Healthcare visit (other): Internist and pulmonologist offices

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-12
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

1 call case(s)
2021-08-17
Call 1 — Left Voicemail
2021-10-22
Dose 3 — Pfizer-BioNTech
2021-12-03
Call 1 — Left Voicemail
2022-02-11
Survey response — 12 months, dose 2
MedDRA: Dyspnoea — Feeling: Good

Free text: Shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2022-09-09
Dose 4 — Pfizer-BioNTech
2022-09-30
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-10-07
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-14
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-10-21
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-12-09
Survey response — 3 months, dose 4
MedDRA: Dyspnoea, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Shortness of breath · Healthcare visit (other): Doctors office in person

MedDRA releases: 2024-11 · check-in free text available
2022-12-09
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-12-12
Call 2 — Left Voicemail
2022-12-12
Call 2 — Left Voicemail
2022-12-12
Call 2 — Left Voicemail
2022-12-12
Call 1 — Left Voicemail
2022-12-13
Call successful
Does not wish to fill out VAERS report
2022-12-13
Call successful
Does not wish to fill out VAERS report
2022-12-13
Call successful
Does not wish to fill out VAERS report
2022-12-13
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-10
Survey response — 6 months, dose 4
MedDRA: Heart rate increased, Office visit, Ventricular arrhythmia — Feeling: Fair · Get care from a doctor or other healthcare professional · Hospitalization

MedDRA releases: 2024-11
2023-03-10
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

Hospitalization · 1 call case(s)
2023-03-14
Call 1 — Left Voicemail
2023-03-16
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Pfizer-BioNTech
2	2021-02-11	Pfizer-BioNTech
3	2021-10-22	Pfizer-BioNTech	No
4	2022-09-09	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-02-12	Successful 2022-12-13	Does not wish to fill out VAERS report
2021-05-13	Successful 2022-12-13	Does not wish to fill out VAERS report
2021-08-12	Successful 2022-12-13	Does not wish to fill out VAERS report
2022-12-09	Successful 2022-12-13	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-10	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-26

Systemic reaction (other): Hot

Release 5 — day 28, dose 2

2021-03-11

Symptoms: Heaviness in chest and shortness of breath in late afternoon and evening. Intermittent cough with some phlegm.

Release 6 — day 42, dose 2

2021-03-25

Symptoms: More fatigue. I had Covid in November 2020 and feel I have continued fatigue from Covid but not due to the vaccine.

Release 8 — 3 months, dose 2

2021-05-13

Symptoms: Lower Back pain started 5-6-21. Taking Aleve and Tramadol.

Healthcare visit (other): PCP in office

Release 9 — 6 months, dose 2

2021-08-12

Symptoms: Diagnosed with pulmonary hypertension and COPD. Also back pain severe for 1 week in May 2021 then mild back pain since then.

Healthcare visit (other): Internist and pulmonologist offices

Release 11 — 12 months, dose 2

2022-02-11

Symptoms: Shortness of breath

Release 12 — 3 months, dose 4

2022-12-09

Symptoms: Shortness of breath

Healthcare visit (other): Doctors office in person

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	Back pain	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Chronic obstructive pulmonary disease	✓	·	✓
SD	Cough	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Heart rate increased	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Productive cough	✓	✓	✓
SD	Pulmonary hypertension	✓	·	✓
SD	Self-medication	✓	✓	✓
SD	Ventricular arrhythmia	·	·	✓
SRO	Feeling hot	✓	✓	✓

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