ZRG-24361-04874

2 vaccinations 7 coded responses 11 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 454 / OH
Registered: 2021-03-27

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

2021-02-25
Dose 1 — Pfizer-BioNTech
2021-03-25
Dose 2 — Pfizer-BioNTech
2021-03-27
Registered in v-safe
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus, Self-medication — Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Free text: Been itchy all over. I took a benadryl.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus, Self-medication, Urticaria — Feeling: Fair · Site: Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Free text: Im itchy all over and have res welts on my body. Just been taking benadryl

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Medical counselling, Office visit, Pruritus, Self-medication, Urticaria — Feeling: Good · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Seen my doc cause of being itchy and hives. It is getting better. Dr started me on a steroid . He said it was delayed reaction to the shot · Healthcare visit (other): With primary doc. Had hives all over and itching all over. Put me on steroid and i been taking benadryl and hydroxyzine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-01
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-04-08
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-15
Survey response — day 21, dose 2
MedDRA: Alopecia, Asthenia, Depression, Fatigue, Hypoaesthesia, Poor quality sleep — Feeling: Poor · Be unable to do your normal daily activities

Free text: I had covid oct 18. I am now completely bald. All my hair has fell out. My feet still have numbness. Fatigued and weak. Depressed and not sleeping well.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 28, dose 2
MedDRA: Anxiety, Asthenia, Depression, Fatigue, Hiatus hernia, Hypoaesthesia, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: I am now completely bald. I have hiatal hernia. That pain is every day. And im still so exhausted. No energy. Numbness in my feet and legs no better. Im depressed and worried all the time. · Healthcare visit (other): Colonoscopy and endoscopy, cardin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-23
Survey response — 6 months, dose 2
MedDRA: Depressed mood, Headache, Myalgia, Pain in extremity, Rheumatoid arthritis — Feeling: Fair · Be unable to do your normal daily activities

Free text: Diagnosed with rheumatoid arthritis. Muscle pain. Headache. Extremities all are sore. Feet painful. Mood seems to be low.

MedDRA releases: 2024-11 · check-in free text available
2022-01-23
Call 1 — Left Voicemail
2022-03-25
Survey response — 12 months, dose 2
MedDRA: Arthropathy, Deafness permanent, Fatigue, Hypoaesthesia, Office visit, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Osteoporosis RA Joint problems Increasing numbness in my feet Permanent hearing loss Cataracts Fatigue · Healthcare visit (other): Appointments with specialty doctors

MedDRA releases: 2024-11 · check-in free text available
2022-03-25
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-28
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-25	Pfizer-BioNTech
2	2021-03-25	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-03-29	Successful	Does not wish to fill out VAERS report
2021-04-22	Successful	Does not wish to fill out VAERS report
2022-03-25	Successful 2022-03-28	Does not wish to fill out VAERS report

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): Been itchy all over. I took a benadryl.

2021-03-28

Systemic reaction (other): Im itchy all over and have res welts on my body. Just been taking benadryl

2021-03-29

Systemic reaction (other): Seen my doc cause of being itchy and hives. It is getting better. Dr started me on a steroid . He said it was delayed reaction to the shot

Healthcare visit (other): With primary doc. Had hives all over and itching all over. Put me on steroid and i been taking benadryl and hydroxyzine

Release 7 — day 21, dose 2

2021-04-15

Symptoms: I had covid oct 18. I am now completely bald. All my hair has fell out. My feet still have numbness. Fatigued and weak. Depressed and not sleeping well.

Release 7 — day 28, dose 2

2021-04-22

Symptoms: I am now completely bald. I have hiatal hernia. That pain is every day. And im still so exhausted. No energy. Numbness in my feet and legs no better. Im depressed and worried all the time.

Healthcare visit (other): Colonoscopy and endoscopy, cardin

Release 9 — 6 months, dose 2

2021-09-23

Symptoms: Diagnosed with rheumatoid arthritis. Muscle pain. Headache. Extremities all are sore. Feet painful. Mood seems to be low.

Release 11 — 12 months, dose 2

2022-03-25

Symptoms: Osteoporosis RA Joint problems Increasing numbness in my feet Permanent hearing loss Cataracts Fatigue

Healthcare visit (other): Appointments with specialty doctors

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	✓	✓	✓
HCVO	Pruritus	✓	✓	✓
HCVO	Self-medication	✓	✓	✓
HCVO	Urticaria	✓	✓	✓
SD	Alopecia	✓	✓	✓
SD	Anxiety	✓	✓	✓
SD	Arthropathy	·	·	✓
SD	Asthenia	✓	✓	✓
SD	Deafness permanent	·	·	✓
SD	Depressed mood	·	·	✓
SD	Depression	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Hiatus hernia	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Poor quality sleep	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Rheumatoid arthritis	·	·	✓
SRO	Medical counselling	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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