ZRF-23176-30342

3 vaccinations 11 coded responses 32 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 024 / MA
Registered: 2021-03-31

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

2021-03-31
Registered in v-safe
2021-03-31
Dose 1 — Pfizer-BioNTech
2021-03-31
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Vision blurred — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Blurry vision

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Palpitations — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Heart palpitation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

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

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-07
Health check-in — day 7, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

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

Adult check-in
2021-04-21
Dose 2 — Pfizer-BioNTech
2021-04-21
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Nausea

Adult check-in
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Free text: Chest pain from time to time : first was at 1:15 am and around noon today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Urticaria — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Free text: Hives or breakouts on upper chest on vaccine side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Joint pains, Fatigue or tiredness

Adult check-in
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-28
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-05-05
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-12
Survey response — day 21, dose 2
MedDRA: Arthralgia, Dizziness — Feeling: Fair

Free text: Dizziness and joint pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-26
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-02
Survey response — day 42, dose 2
MedDRA: Abdominal pain, Arthralgia, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache, joints and abdominal pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-21
Health check-in — 3 months, dose 2
Feeling: Poor

Adult check-in
2021-08-31
Dose 3 — Pfizer-BioNTech
2021-09-07
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-09-14
Survey response — day 14, dose 3
MedDRA: Abdominal pain, Back pain, Headache, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Little fever and headache, abdominal pain , back pain

MedDRA releases: 2024-11 · check-in free text available
2021-09-21
Survey response — day 21, dose 3
MedDRA: Chest pain, Palpitations, Vascular pain — Feeling: Fair

Free text: Heart palpitations and chest pain, veins hurt

MedDRA releases: 2024-11 · check-in free text available
2021-09-28
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-10-05
Survey response — day 35, dose 3
MedDRA: Fatigue, Vascular pain, Vasodilatation — Feeling: Poor

Free text: Veins and capillaries on a legs became more visible and veins hurting. Got very tired

MedDRA releases: 2024-11 · check-in free text available
2021-10-12
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-12-01
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-03-03
Survey response — 6 months, dose 3
MedDRA: Back pain, Dizziness, Fatigue, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Dizziness and tiredness , back pain · Healthcare visit (other): Chiropractor

MedDRA releases: 2024-11 · check-in free text available
2022-03-03
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-04
Call successful
Does not wish to fill out VAERS report
2022-08-31
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Pfizer-BioNTech
2	2021-04-21	Pfizer-BioNTech
3	2021-08-31	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-03-03	Successful 2022-03-04	Does not wish to fill out VAERS report

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-01

Systemic reaction (other): Blurry vision

2021-04-02

Systemic reaction (other): Heart palpitation

Release 7 — days 1–6 daily, dose 2

2021-04-23

Systemic reaction (other): Chest pain from time to time : first was at 1:15 am and around noon today

2021-04-24

Systemic reaction (other): Hives or breakouts on upper chest on vaccine side

2021-04-26

Systemic reaction (other): Dizziness

Release 8 — day 21, dose 2

2021-05-12

Symptoms: Dizziness and joint pain

Release 8 — day 42, dose 2

2021-06-02

Symptoms: Headache, joints and abdominal pain

Release 9 — day 14, dose 3

2021-09-14

Symptoms: Little fever and headache, abdominal pain , back pain

Release 9 — day 21, dose 3

2021-09-21

Symptoms: Heart palpitations and chest pain, veins hurt

Release 10 — day 35, dose 3

2021-10-05

Symptoms: Veins and capillaries on a legs became more visible and veins hurting. Got very tired

Release 11 — 6 months, dose 3

2022-03-03

Symptoms: Dizziness and tiredness , back pain

Healthcare visit (other): Chiropractor

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	Abdominal pain	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	·	·	✓
SD	Chest pain	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Palpitations	·	·	✓
SD	Pyrexia	·	·	✓
SD	Vascular pain	·	·	✓
SD	Vasodilatation	·	·	✓
SRO	Chest pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Urticaria	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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