ZRT-18272-09361

2 vaccinations 12 coded responses 16 check-ins 12 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 376 / TN
Registered: 2021-01-22

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

2021-01-21
Dose 1 — Pfizer-BioNTech
2021-01-22
Registered in v-safe
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Palpitations — Feeling: Fair · Fever · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Heart racing when I get around much

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Dyspnoea, Palpitations — Feeling: Fair · Fever · Headache, Fatigue or tiredness, Nausea

Free text: Short of breath, heart racing, dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea, Palpitations — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Heart racing short of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea, Oropharyngeal pain, Palpitations — Feeling: Fair · Fever · Headache, Fatigue or tiredness

Free text: Sore throat short of breath heart beating hard

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — day 7, dose 1
MedDRA: Dyspnoea — Feeling: Good · Headache

Free text: Short of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — day 14, dose 1
MedDRA: Abdominal distension, Abdominal pain, Discomfort, Dyspnoea, Eructation, Fatigue, Flank pain, Heart rate increased — Feeling: Poor

Free text: Fullness in abdomen, pain in abdomen and left flank, tiredness low grade temperature, belching, uncomfortable in torso, short of breath, heart beating hard occasionally, all seems more present as the day goes on.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — day 21, dose 1
MedDRA: Abdominal distension, Abdominal pain upper, Diarrhoea, Nausea — Feeling: Fair

Free text: Stomach pain nausea diarrhea bloating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Dose 2 — Pfizer-BioNTech
2021-02-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-05
Survey response — day 21, dose 2
MedDRA: Abdominal pain, Diarrhoea, Nausea, Weight decreased — Feeling: Fair · Be unable to do your normal daily activities

Free text: Nausea diarrhea abdominal pain weight loss

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — day 28, dose 2
MedDRA: Abdominal distension, Abdominal pain upper, Dysphagia, Nausea — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Nausea trouble swallowing bloatingStomach ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-19
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-26
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-14
Survey response — 3 months, dose 2
MedDRA: Chest discomfort, Dysphagia, Fatigue, Gluten sensitivity — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Difficutly swallowing, chest tightness, just found out I have a gluten intolerance out of no where, possible autoimmune issue, and fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-13
Survey response — 6 months, dose 2
MedDRA: Dysphagia, Gastrooesophageal reflux disease, Oesophageal spasm, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Esophagus spasms, dysphagia, GERD · Healthcare visit (other): In person endoscopy and colonoscopy and scans and blood work and looking for celiac disease

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-13
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-19
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Pfizer-BioNTech
2	2021-02-12	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-03-12	Unsuccessful
2021-05-14	Unsuccessful
2021-08-13	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): Dizzy

2021-01-24

Systemic reaction (other): Heart racing when I get around much

2021-01-25

Systemic reaction (other): Short of breath, heart racing, dizzy

2021-01-26

Systemic reaction (other): Heart racing short of breath

2021-01-27

Systemic reaction (other): Sore throat short of breath heart beating hard

Release 3 — day 7, dose 1

2021-01-30

Systemic reaction (other): Short of breath

Release 3 — day 14, dose 1

2021-02-04

Symptoms: Fullness in abdomen, pain in abdomen and left flank, tiredness low grade temperature, belching, uncomfortable in torso, short of breath, heart beating hard occasionally, all seems more present as the day goes on.

Release 4 — day 21, dose 1

2021-02-11

Symptoms: Stomach pain nausea diarrhea bloating

Release 5 — day 21, dose 2

2021-03-05

Symptoms: Nausea diarrhea abdominal pain weight loss

Release 5 — day 28, dose 2

2021-03-12

Symptoms: Nausea trouble swallowing bloatingStomach ache

Release 8 — 3 months, dose 2

2021-05-14

Symptoms: Difficutly swallowing, chest tightness, just found out I have a gluten intolerance out of no where, possible autoimmune issue, and fatigue

Release 9 — 6 months, dose 2

2021-08-13

Symptoms: Esophagus spasms, dysphagia, GERD

Healthcare visit (other): In person endoscopy and colonoscopy and scans and blood work and looking for celiac disease

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	Unevaluable event	✓	·	✓
SD	Abdominal distension	✓	✓	✓
SD	Abdominal pain	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Discomfort	✓	✓	✓
SD	Dysphagia	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Eructation	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Flank pain	✓	✓	✓
SD	Gastrooesophageal reflux disease	✓	·	✓
SD	Gluten sensitivity	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Oesophageal spasm	✓	·	✓
SD	Weight decreased	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Palpitations	✓	✓	✓

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