ZRW-24812-88466

4 vaccinations 13 coded responses 45 check-ins 12 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 331 / FL
Registered: 2021-01-10

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

2021-01-09
Dose 1 — Pfizer-BioNTech
2021-01-10
Registered in v-safe
2021-01-10
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches

Free text: Immunocompromised (Lupus). I take azathioprine 50 mg.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Fatigue or tiredness

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

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Fatigue or tiredness

Adult check-in
2021-01-16
Health check-in — day 7, dose 1
Feeling: Good · Fever · None

Adult check-in
2021-01-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-30
Survey response — day 21, dose 1
MedDRA: Body temperature increased, Pain, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: Today I have body aches and a temperature of 100.8 I may be suffering from a lupus flare up. This happens on occasions.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Dose 2 — Pfizer-BioNTech
2021-02-02
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Muscle or body aches

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Survey response — day 14, dose 2
MedDRA: Vertigo — Feeling: Good · Be unable to do your normal daily activities

Free text: VÃ©rtigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-16
Survey response — day 42, dose 2
MedDRA: Office visit, Pre-existing disease, Systemic lupus erythematosus — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: I have lupus. Vaccine accelerated my immune system. It did what it was supposed to do in order to create antibodies but now lupus has activated. · Healthcare visit (other): Doctors office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-04
Survey response — 3 months, dose 2
MedDRA: Office visit, SARS-CoV-2 test negative, Upper respiratory tract infection — Feeling: Good · 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: About a month ago I had COVID symptoms so I was tested at an urgent care. Test results were negative. Maybe related to lupus. Upper respiratory infection.

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

1 call case(s)
2021-08-03
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-22
Call 2 — Left Voicemail
2021-12-30
Dose 3 — Pfizer-BioNTech
2022-01-03
Survey response — days 1–6 daily, dose 3
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I have lupus

MedDRA releases: 2024-11 · check-in free text available
2022-01-04
Survey response — days 1–6 daily, dose 3
MedDRA: Platelet count decreased, Systemic lupus erythematosus, White blood cell count decreased — Feeling: Fair · Fever · Fatigue or tiredness

Free text: Lupus, low white blood count and low platelet count

MedDRA releases: 2024-11 · check-in free text available
2022-01-06
Survey response — day 7, dose 3
MedDRA: Systemic lupus erythematosus — Feeling: Fair · Fever · Fatigue or tiredness

Free text: Lupus

MedDRA releases: 2024-11 · check-in free text available
2022-01-15
Survey response — day 14, dose 3
MedDRA: Headache, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Continue to have low grade fever and headache.

MedDRA releases: 2024-11 · check-in free text available
2022-01-22
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-03
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-10
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-31
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-30
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-24
Dose 4 — Pfizer-BioNTech
2022-10-24
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-10-25
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-26
Survey response — days 1–6 daily, dose 4
MedDRA: Systemic lupus erythematosus — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Free text: Lupus

MedDRA releases: 2024-11 · check-in free text available
2022-10-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-28
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-31
Survey response — day 7, dose 4
MedDRA: Systemic lupus erythematosus — Feeling: Fair · Fever · Nausea · Be unable to do your normal daily activities

Free text: Lupus

MedDRA releases: 2024-11 · check-in free text available
2022-11-07
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-11-15
Survey response — day 21, dose 4
MedDRA: Pyrexia, Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: UTI, fevers

MedDRA releases: 2024-11 · check-in free text available
2022-11-15
Report sent to call center — day 21, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-11-16
Call 1 — Left Voicemail
2022-11-16
Call 1 — Left Voicemail
2022-11-16
Call 1 — Left Voicemail
2022-11-22
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-28
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-05
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-01-23
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-04-24
Survey response — 6 months, dose 4
MedDRA: Acne, Rash — Feeling: Good

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-09	Pfizer-BioNTech
2	2021-02-02	Pfizer-BioNTech
3	2021-12-30	Pfizer-BioNTech	No
4	2022-10-24	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-16	Unsuccessful
2021-05-04	Unsuccessful
2022-11-15	Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-10

Systemic reaction (other): Immunocompromised (Lupus). I take azathioprine 50 mg.

Release 3 — day 21, dose 1

2021-01-30

Symptoms: Today I have body aches and a temperature of 100.8 I may be suffering from a lupus flare up. This happens on occasions.

Release 4 — day 14, dose 2

2021-02-16

Symptoms: VÃ©rtigo

Release 5 — day 42, dose 2

2021-03-16

Symptoms: I have lupus. Vaccine accelerated my immune system. It did what it was supposed to do in order to create antibodies but now lupus has activated.

Healthcare visit (other): Doctors office

Release 8 — 3 months, dose 2

2021-05-04

Symptoms: About a month ago I had COVID symptoms so I was tested at an urgent care. Test results were negative. Maybe related to lupus. Upper respiratory infection.

Release 10 — days 1–6 daily, dose 3

2022-01-03

Systemic reaction (other): I have lupus

2022-01-04

Systemic reaction (other): Lupus, low white blood count and low platelet count

Release 10 — day 7, dose 3

2022-01-06

Systemic reaction (other): Lupus

Release 10 — day 14, dose 3

2022-01-15

Symptoms: Continue to have low grade fever and headache.

Release 12 — days 1–6 daily, dose 4

2022-10-26

Systemic reaction (other): Lupus

Release 12 — day 7, dose 4

2022-10-31

Systemic reaction (other): Lupus

Release 12 — day 21, dose 4

2022-11-15

Symptoms: UTI, fevers

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	Acne	·	·	✓
SD	Body temperature increased	✓	✓	✓
SD	Headache	·	·	✓
SD	Office visit	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Rash	·	·	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Systemic lupus erythematosus	✓	✓	✓
SD	Upper respiratory tract infection	✓	✓	✓
SD	Urinary tract infection	·	·	✓
SD	Vertigo	✓	✓	✓
SRO	Immunodeficiency	○	○	○
SRO	Platelet count decreased	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Systemic lupus erythematosus	·	·	✓
SRO	White blood cell count decreased	·	·	✓

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