ZR6-28738-32525

4 vaccinations 9 coded responses 14 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 762 / TX
Registered: 2021-03-30

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

2021-03-09
Dose 1 — Pfizer-BioNTech
2021-03-30
Registered in v-safe
2021-03-30
Dose 2 — Pfizer-BioNTech
2021-03-30
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Free text: Not sure it's important but I've had lymph nodes removed (stage 4 breast cancer) and a little buildup of lymphatic fluid

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Lymphoedema — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Free text: Some lymphoedema which I suppose is to be expected. Some kind of joint pain in bad knee and hip that is unexpected.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Diarrhoea — Feeling: Fair · Site: Pain, Swelling · Chills, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Not sure if chills/diarrhea related to something I ate or to vaccine as can't tell when I should experience them.never had chills when eating something thatight cause me diarrhea.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Chills, Joint pains, Fatigue or tiredness

Adult check-in
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Vaccination site pain, Vaccination site swelling — Feeling: Fair · Site: Pain, Swelling · Joint pains

Free text: Everything thing getting better. No chills or diarrhea. Joint pain is not as bad and barely feel feel pain and swelling at vaccination site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
Survey response — 3 months, dose 2
MedDRA: Arthralgia — Feeling: Good

Free text: Aches in joints that I've never had.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-28
Survey response — 6 months, dose 2
MedDRA: Adverse reaction — Feeling: Poor

Free text: Not related to covid-19.

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Dose 3 — Pfizer-BioNTech
2022-03-30
Survey response — 12 months, dose 2
MedDRA: Vasculitis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Inflamed blood vessel in leg.

MedDRA releases: 2024-11 · check-in free text available
2022-03-30
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-31
Call 1 — Left Voicemail
2022-05-25
Dose 4 — Pfizer-BioNTech
Co-administered: Pneumonia
2022-05-25
Health check-in — day 0, dose 4
Feeling: Fair · None

Adult check-in
2022-05-26
Survey response — days 1–6 daily, dose 4
MedDRA: Adverse reaction — Feeling: Fair · Site: Redness, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I report the above but I had two different shots yesterday and bieve the issues are with the pneumonia shot not COVID booster.

MedDRA releases: 2024-11 · check-in free text available
2022-05-27
Survey response — days 1–6 daily, dose 4
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: These symptoms are related to pneumonia shot I received the same arm/same day I received 2nd booster

MedDRA releases: 2024-11 · check-in free text available
2022-05-28
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · None

Adult check-in
2022-05-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-02
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Pfizer-BioNTech
2	2021-03-30	Pfizer-BioNTech
3	2021-10-25	Pfizer-BioNTech	No
4	2022-05-25	Pfizer-BioNTech	Pneumonia

Call center

Reported	Outcome	VAERS-related outcome
2022-03-30	Successful 2022-06-02	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-31

Systemic reaction (other): Not sure it's important but I've had lymph nodes removed (stage 4 breast cancer) and a little buildup of lymphatic fluid

2021-04-01

Systemic reaction (other): Some lymphoedema which I suppose is to be expected. Some kind of joint pain in bad knee and hip that is unexpected.

2021-04-02

Systemic reaction (other): Not sure if chills/diarrhea related to something I ate or to vaccine as can't tell when I should experience them.never had chills when eating something thatight cause me diarrhea.

2021-04-04

Systemic reaction (other): Everything thing getting better. No chills or diarrhea. Joint pain is not as bad and barely feel feel pain and swelling at vaccination site.

Release 9 — 3 months, dose 2

2021-06-29

Symptoms: Aches in joints that I've never had.

Release 9 — 6 months, dose 2

2021-09-28

Symptoms: Not related to covid-19.

Release 11 — 12 months, dose 2

2022-03-30

Symptoms: Inflamed blood vessel in leg.

Release 11 — days 1–6 daily, dose 4

2022-05-26

Systemic reaction (other): I report the above but I had two different shots yesterday and bieve the issues are with the pneumonia shot not COVID booster.

2022-05-27

Systemic reaction (other): These symptoms are related to pneumonia shot I received the same arm/same day I received 2nd booster

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	Adverse reaction	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Vasculitis	·	·	✓
SRO	Adverse reaction	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Lymphoedema	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓
SRO	Vaccination site pain	✓	✓	✓
SRO	Vaccination site swelling	✓	✓	✓

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