ZQP-11154-08454

3 vaccinations 7 coded responses 26 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 193 / PA
Registered: 2020-12-29

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

2020-12-28
Dose 1 — Pfizer-BioNTech
2020-12-29
Registered in v-safe
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site urticaria — Feeling: Good · Site: Redness, Itching

Free text: Hives around injection site x 3 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site reaction, Urticaria — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Significant welts at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-04
Survey response — day 7, dose 1
MedDRA: Injection site pain, Neuralgia, Pain in extremity, Unevaluable event — Feeling: Good · Site: Pain · Joint pains · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Shingles like pain at injection site and down arm · Healthcare visit (other): Need to be seen my allergy doctor before getting second dose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-11
Survey response — day 14, dose 1
MedDRA: Paraesthesia — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Paresthesias to extremities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-18
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-25
Dose 2 — Pfizer-BioNTech
2021-01-25
Health check-in — day 0, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Redness

Free text: Dizziness x 1 hour

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Itching · Rash, not including the immediate area around the injection site

Adult check-in
2021-02-01
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-02
Call 1 — Left Voicemail
2021-02-05
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-02-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-26
Survey response — 6 months, dose 2
MedDRA: Abortion spontaneous, Complement deficiency disease — Feeling: Good

Free text: Complement deficiency Miscarriage

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-11
Dose 3 — Pfizer-BioNTech
2022-01-25
Survey response — 12 months, dose 2
MedDRA: Complement deficiency disease — Feeling: Good

Free text: Complement deficiency

MedDRA releases: 2024-11 · check-in free text available
2022-10-13
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Pfizer-BioNTech
2	2021-01-25	Pfizer-BioNTech
3	2021-10-11	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-03	Successful	Reported to VAERS voluntarily prior to GDIT contact
2021-01-04	Successful	Reported to VAERS voluntarily prior to GDIT contact
2021-01-11	Successful 2021-02-05	Reported to VAERS voluntarily prior to GDIT contact

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-31

Systemic reaction (other): Hives around injection site x 3 days

2021-01-03

Systemic reaction (other): Significant welts at injection site

Release 1 — day 7, dose 1

2021-01-04

Systemic reaction (other): Shingles like pain at injection site and down arm

Healthcare visit (other): Need to be seen my allergy doctor before getting second dose

Release 1 — day 14, dose 1

2021-01-11

Symptoms: Paresthesias to extremities

Release 2 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): Dizziness x 1 hour

Release 9 — 6 months, dose 2

2021-07-26

Symptoms: Complement deficiency Miscarriage

Release 11 — 12 months, dose 2

2022-01-25

Symptoms: Complement deficiency

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	Unevaluable event	✓	✓	✓
SD	Abortion spontaneous	✓	·	✓
SD	Complement deficiency disease	✓	·	✓
SD	Paraesthesia	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site reaction	✓	✓	✓
SRO	Injection site urticaria	✓	✓	✓
SRO	Neuralgia	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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