ZRG-92442-64285

3 vaccinations 8 coded responses 35 check-ins 8 free-text entries 5 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 168 / PA
Registered: 2021-02-28

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

2021-02-27
Dose 1 — Pfizer-BioNTech
2021-02-28
Registered in v-safe
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fever · Chills, Headache, Nausea, Abdominal pain · Be unable to work

Adult check-in
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Crohn's disease — Feeling: Fair · Nausea, Abdominal pain · Be unable to work

Free text: Crohns disease

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-20
Dose 2 — Pfizer-BioNTech
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — day 7, dose 2
Feeling: Good · None

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

Adult check-in
2021-04-10
Survey response — day 21, dose 2
MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Congestion sore throat cough- clearly viral -doubtful that it is from the vaccine

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

Adult check-in
2021-04-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-19
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-18
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-05
Dose 3 — Pfizer-BioNTech
2021-10-05
Health check-in — day 0, dose 3
Feeling: Fair · None

Adult check-in
2021-10-06
Survey response — days 1–6 daily, dose 3
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Nausea

Free text: Above symptoms may be a result of Crohn's disease.

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Survey response — days 1–6 daily, dose 3
MedDRA: Office visit, Photopsia — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Flashes in periphery of vision · Healthcare visit (other): Optometrist

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Report sent to call center — days 1–6 daily, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-10-08
Survey response — days 1–6 daily, dose 3
MedDRA: Office visit, Ophthalmic migraine — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Dr confirmed ocular migraine · Healthcare visit (other): Optomitrist

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Report sent to call center — days 1–6 daily, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-10-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-10-11
Survey response — days 1–6 daily, dose 3
MedDRA: Office visit — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Visit to primary care provider

MedDRA releases: 2024-11 · check-in free text available
2021-10-11
Report sent to call center — days 1–6 daily, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-12
Survey response — day 7, dose 3
MedDRA: Office visit — Feeling: Fair · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Primary Care Provider

MedDRA releases: 2024-11 · check-in free text available
2021-10-12
Report sent to call center — day 7, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-19
Survey response — day 14, dose 3
MedDRA: Migraine, Office visit — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Migraines continue. No relief from several medications MRI several days ago and a ct scan schedule in the next week. · Healthcare visit (other): General practitioner

MedDRA releases: 2024-11 · check-in free text available
2021-10-19
Report sent to call center — day 14, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-21
Call successful
Participant prefers to complete VAERS report online
2021-10-26
Health check-in — day 21, dose 3
Feeling: Poor

Adult check-in
2021-11-02
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-09
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-11-16
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-01-06
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-27	Pfizer-BioNTech
2	2021-03-20	Pfizer-BioNTech
3	2021-10-05	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-10-07	Successful	Participant prefers to complete VAERS report online
2021-10-08	Successful	Participant prefers to complete VAERS report online
2021-10-11	Successful	Participant prefers to complete VAERS report online
2021-10-12	Successful	Participant prefers to complete VAERS report online
2021-10-19	Successful 2021-10-21	Participant prefers to complete VAERS report online

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): Crohns disease

Release 7 — day 21, dose 2

2021-04-10

Symptoms: Congestion sore throat cough- clearly viral -doubtful that it is from the vaccine

Release 10 — days 1–6 daily, dose 3

2021-10-06

Systemic reaction (other): Above symptoms may be a result of Crohn's disease.

2021-10-07

Systemic reaction (other): Flashes in periphery of vision

Healthcare visit (other): Optometrist

2021-10-08

Systemic reaction (other): Dr confirmed ocular migraine

Healthcare visit (other): Optomitrist

2021-10-11

Healthcare visit (other): Visit to primary care provider

Release 10 — day 7, dose 3

2021-10-12

Healthcare visit (other): Primary Care Provider

Release 10 — day 14, dose 3

2021-10-19

Symptoms: Migraines continue. No relief from several medications MRI several days ago and a ct scan schedule in the next week.

Healthcare visit (other): General practitioner

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	Cough	✓	✓	✓
SD	Migraine	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SRO	Adverse reaction	·	·	✓
SRO	Crohn's disease	✓	✓	✓
SRO	Office visit	·	·	✓
SRO	Ophthalmic migraine	·	·	✓
SRO	Photopsia	·	·	✓

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