ZRC-29338-89358

2 vaccinations 10 coded responses 20 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 799 / TX
Registered: 2020-12-18

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2020-12-17
Dose 1 — Pfizer-BioNTech
2020-12-18
Registered in v-safe
2020-12-18
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2020-12-18
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2020-12-20
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Forgot to mention yesterday I had moderate axillary pain on same arm injection was given.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2020-12-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2020-12-26
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2020-12-31
Survey response — day 14, dose 1
MedDRA: Headache, Self-medication — Feeling: Fair

Free text: I have moderate headaches on daily bases. I had Covid back in October and had headaches as well but had gone away. I had headaches among other symptoms which I encountered post vaccine administration. I take Advil to reduce headaches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Survey response — day 21, dose 1
MedDRA: Headache, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Moderate headaches everyday · Healthcare visit (other): Visit to PCP office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

no matching call case
2021-01-09
Dose 2 — Pfizer-BioNTech
2021-01-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Headache

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-01-18
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-01-23
Survey response — day 14, dose 2
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches continue some days mild other days moderate to severe that causes me to go to bed due its severity.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — day 21, dose 2
MedDRA: Headache, Rash — Feeling: Good · Be unable to do your normal daily activities

Free text: Rash on legs and arms, still experiencing headaches although not as intense as before.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Survey response — day 28, dose 2
MedDRA: Headache — Feeling: Fair

Free text: Still experiencing headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — day 35, dose 2
MedDRA: Diarrhoea, Headache — Feeling: Fair

Free text: Headaches and loose stools

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Survey response — day 42, dose 2
MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — 3 months, dose 2
MedDRA: Feeling abnormal, Headache, Rash — Feeling: Fair

Free text: Still have some brain fog, headaches, and rash for one week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-11
Survey response — 6 months, dose 2
MedDRA: Antinuclear antibody positive, Fatigue, Laboratory test abnormal, Office visit, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Rash, fatigue lab work positive ANA and positive centromere antibodies. · Healthcare visit (other): Specialist due to abnormal labs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-11
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-20
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-17	Pfizer-BioNTech
2	2021-01-09	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2020-12-18	priority 2/3
2021-07-11	Unsuccessful

1 report(s) with no call case — see the timeline.

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-20

Systemic reaction (other): Forgot to mention yesterday I had moderate axillary pain on same arm injection was given.

Release 1 — day 14, dose 1

2020-12-31

Symptoms: I have moderate headaches on daily bases. I had Covid back in October and had headaches as well but had gone away. I had headaches among other symptoms which I encountered post vaccine administration. I take Advil to reduce headaches.

Release 1 — day 21, dose 1

2021-01-07

Symptoms: Moderate headaches everyday

Healthcare visit (other): Visit to PCP office

Release 2 — day 14, dose 2

2021-01-23

Symptoms: Headaches continue some days mild other days moderate to severe that causes me to go to bed due its severity.

Release 3 — day 21, dose 2

2021-01-30

Symptoms: Rash on legs and arms, still experiencing headaches although not as intense as before.

Release 3 — day 28, dose 2

2021-02-07

Symptoms: Still experiencing headaches

Release 4 — day 35, dose 2

2021-02-14

Symptoms: Headaches and loose stools

Release 4 — day 42, dose 2

2021-02-21

Symptoms: Headaches

Release 7 — 3 months, dose 2

2021-04-15

Symptoms: Still have some brain fog, headaches, and rash for one week.

Release 9 — 6 months, dose 2

2021-07-11

Symptoms: Rash, fatigue lab work positive ANA and positive centromere antibodies.

Healthcare visit (other): Specialist due to abnormal labs

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	Laboratory test abnormal	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Specialist consultation	○	○	○
SD	Antinuclear antibody positive	✓	✓	✓
SD	COVID-19	○	○	○
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Laboratory test abnormal	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Self-medication	✓	✓	✓
SRO	Axillary pain	✓	✓	✓

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