ZQN-13993-97509

2 vaccinations 9 coded responses 21 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 993 / WA
Registered: 2021-04-03

Relationship: Self
Race: American Indian or Alaska Native
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-03
Registered in v-safe
2021-04-03
Dose 1 — Pfizer-BioNTech
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness

Free text: The fatigue may have been simply that I awoke a little earlier than normal. Not sure.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness

Free text: Again, I woke up a little early so I think the fatigue is just from that.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia — Feeling: Good · Fatigue or tiredness

Free text: Again, lack of sleep is the likely culprit.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia — Feeling: Fair · Fatigue or tiredness

Free text: Again, not enough sleep, in spite of my best efforts.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-24
Dose 2 — Pfizer-BioNTech
2021-04-24
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Fatigue, Loss of personal independence in daily activities, Oropharyngeal pain, Pain — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Not convinced that any of the symptoms are due to the vaccine because I also have a mild sore throat and have had shooting pain in my left ear. Fatigue LIMITS my activity, but I push through with what I have to do.

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

Adult check-in
2021-05-01
Survey response — day 7, dose 2
MedDRA: Unevaluable event — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Not vaccine related-lots of yard work.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — day 14, dose 2
MedDRA: Chills, Fatigue, Headache, Influenza, Nausea — Feeling: Good · Be unable to work, 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: Had the flu (?) last Sunday-Tuesday. Headache, chills, extreme fatigue, body aches, occasional nausea.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Report sent to call center — day 14, 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)
2021-05-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-29
Health check-in — day 35, dose 2
Feeling: Fair

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

Adult check-in
2021-07-24
Survey response — 3 months, dose 2
MedDRA: Abdominal pain, Cough, Headache, Impaired work ability, Mobility decreased, Muscle spasms, Pain — 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 · Outpatient clinic or urgent care clinic visit

Free text: Abdominal and chest cramps so painful that I could barely move for 2 days. Missed work those days. Occasional headaches, which I almost never had before.Coughing off and on the past few days.Maybe not related-just reporting.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-24
Report sent to call center — 3 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)
2021-07-28
Call 1 — Left Voicemail
2021-10-23
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-26
Survey response — 12 months, dose 2
MedDRA: Influenza like illness — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Flu-like symptoms yesterday

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-03	Pfizer-BioNTech
2	2021-04-24	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-05-08	Unsuccessful
2021-07-24	Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-05

Systemic reaction (other): The fatigue may have been simply that I awoke a little earlier than normal. Not sure.

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): Again, I woke up a little early so I think the fatigue is just from that.

2021-04-07

Systemic reaction (other): Again, lack of sleep is the likely culprit.

2021-04-08

Systemic reaction (other): Again, not enough sleep, in spite of my best efforts.

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): Not convinced that any of the symptoms are due to the vaccine because I also have a mild sore throat and have had shooting pain in my left ear. Fatigue LIMITS my activity, but I push through with what I have to do.

Release 8 — day 7, dose 2

2021-05-01

Systemic reaction (other): Not vaccine related-lots of yard work.

Release 8 — day 14, dose 2

2021-05-08

Symptoms: Had the flu (?) last Sunday-Tuesday. Headache, chills, extreme fatigue, body aches, occasional nausea.

Release 9 — 3 months, dose 2

2021-07-24

Symptoms: Abdominal and chest cramps so painful that I could barely move for 2 days. Missed work those days. Occasional headaches, which I almost never had before.Coughing off and on the past few days.Maybe not related-just reporting.

Release 11 — 12 months, dose 2

2022-04-26

Symptoms: Flu-like symptoms yesterday

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	Abdominal pain	✓	·	✓
SD	Chills	✓	✓	✓
SD	Cough	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Impaired work ability	✓	·	✓
SD	Influenza	✓	✓	✓
SD	Influenza like illness	·	·	✓
SD	Mobility decreased	✓	·	✓
SD	Muscle spasms	✓	·	✓
SD	Nausea	✓	✓	✓
SD	Pain	✓	·	✓
SRO	Ear pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Loss of personal independence in daily activities	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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