ZRZ-15725-10253

4 vaccinations 16 coded responses 52 check-ins 15 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 980 / WA
Registered: 2020-12-21

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2020-12-21
Registered in v-safe
2020-12-21
Dose 1 — Pfizer-BioNTech
2020-12-21
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2020-12-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Redness · None

Adult check-in
2020-12-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2020-12-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2020-12-27
Survey response — days 1–6 daily, dose 1
MedDRA: Rectal haemorrhage — Feeling: Good

Free text: Had a new to me rectal bleed on 24th, probably unrelated to shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-28
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-11
Dose 2 — Pfizer-BioNTech
2021-01-11
Health check-in — day 0, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-01-12
Survey response — days 1–6 daily, dose 2
MedDRA: Rash, Rash erythematous — Feeling: Fair · Site: Pain, Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work

Free text: Rash on hands, dark red deep large areas

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Report sent to call center — days 1–6 daily, dose 2
Be unable to work

1 call case(s)
2021-01-13
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Rash macular — Feeling: Good · Site: Itching · Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Joint pain and deep red blotches on hands mostly disappeared today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Purpura — Feeling: Fair · Site: Redness, Itching · Headache

Free text: Serious purpura is mostly cleared up. Joint pain cleared too.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Purpura — Feeling: Good · Site: Itching · Headache, Rash, not including the immediate area around the injection site

Free text: Purpura on hands gone, joint pain gone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-04-12
Survey response — 3 months, dose 2
MedDRA: Haemorrhage, Thrombosis — Feeling: Good

Free text: I now wonder if bleeding after Pfizer vaccine in December was related, especially since I had clotting after the second dose. It was very unusual and nothing I had before the shots. I did have a similar clot 20+ years before. Now Im just fine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-12
Survey response — 6 months, dose 2
MedDRA: Haemorrhage, Oxygen saturation decreased, Thrombosis — Feeling: Good · 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: SpO2 going down as low as 85% during the day (on apple watch). I dont know if thats new. Had bleeding and a clot after vax, reported those earlier on vsafe. Im a NP.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-12
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-14
Call 1 — Could Not Reach Participant
2021-07-19
Call successful
Participant prefers to complete VAERS report online
2021-10-23
Dose 3 — Pfizer-BioNTech
2021-10-24
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-10-25
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling, Itching · Headache

Adult check-in
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling, Itching · None

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Swelling, Itching · None

Adult check-in
2021-10-30
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-06
Survey response — day 14, dose 3
MedDRA: Headache — Feeling: Good

Free text: Headache back in a place I don't usually get them. On and off especially with exercise.

MedDRA releases: 2024-11 · check-in free text available
2021-11-13
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-21
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-27
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-04
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-22
Survey response — 3 months, dose 3
MedDRA: Diarrhoea, Nausea — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Diarrhea for 3 days. Some nausea. Possible covid exposure as a healthcare provider.

MedDRA releases: 2024-11 · check-in free text available
2022-04-25
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-14
Dose 4 — Pfizer-BioNTech
2022-09-15
Survey response — days 1–6 daily, dose 4
MedDRA: Joint noise — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Popping of all my joints including fingers and wrists

MedDRA releases: 2024-11 · check-in free text available
2022-09-16
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Joint pains · Be unable to do your normal daily activities

Adult check-in
2022-09-17
Survey response — days 1–6 daily, dose 4
MedDRA: Medical counselling — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Joint pains · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: message my provider

MedDRA releases: 2024-11 · check-in free text available
2022-09-17
Report sent to call center — days 1–6 daily, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-09-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Swelling, Itching · Headache

Adult check-in
2022-09-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Swelling, Itching · Headache, Joint pains

Adult check-in
2022-09-19
Call successful
Participant prefers to complete VAERS report online
2022-09-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Swelling, Itching · Joint pains

Adult check-in
2022-09-21
Survey response — day 7, dose 4
MedDRA: Joint noise — Feeling: Good · Site: Swelling · Joint pains

Free text: Mild popping of larger joints. Small joints now better

MedDRA releases: 2024-11 · check-in free text available
2022-09-28
Survey response — day 14, dose 4
MedDRA: Contusion, Limb mass, Rash, Splenomegaly — Feeling: Good

Free text: Enlarged spleen better. Still a bruise about 7" diameter but lump improved in arm. Rash mostly improved but scabbing.

MedDRA releases: 2024-11 · check-in free text available
2022-10-05
Survey response — day 21, dose 4
MedDRA: Contusion, Peripheral swelling, Rash — Feeling: Good

Free text: Rash on arm with about 7x10" bruise same shape as when arm swelled up after shot. Sub-q swelling is gone finally. ( I'm a Nurse Practitioner)

MedDRA releases: 2024-11 · check-in free text available
2022-10-12
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-10-19
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-10-26
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-14
Survey response — 3 months, dose 4
MedDRA: Malaise, SARS-CoV-2 test positive — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Covid positive PCR and also antigen test, sick for 2weeks+

MedDRA releases: 2024-11 · check-in free text available
2022-12-14
Report sent to call center — 3 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-15
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-15
Survey response — 6 months, dose 4
MedDRA: Lymphadenopathy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-03-15
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-03-16
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-21	Pfizer-BioNTech
2	2021-01-11	Pfizer-BioNTech
3	2021-10-23	Pfizer-BioNTech	No
4	2022-09-14	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-12	priority 2/3
2021-07-12	Successful 2021-07-19	Participant prefers to complete VAERS report online
2022-09-17	Successful 2022-09-19	Participant prefers to complete VAERS report online
2022-12-14	Successful 2022-12-15	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-03-15	Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-27

Systemic reaction (other): Had a new to me rectal bleed on 24th, probably unrelated to shot.

Release 1 — days 1–6 daily, dose 2

2021-01-12

Systemic reaction (other): Rash on hands, dark red deep large areas

2021-01-13

Systemic reaction (other): Joint pain and deep red blotches on hands mostly disappeared today

Release 2 — days 1–6 daily, dose 2

2021-01-14

Systemic reaction (other): Serious purpura is mostly cleared up. Joint pain cleared too.

2021-01-15

Systemic reaction (other): Purpura on hands gone, joint pain gone

Release 7 — 3 months, dose 2

2021-04-12

Symptoms: I now wonder if bleeding after Pfizer vaccine in December was related, especially since I had clotting after the second dose. It was very unusual and nothing I had before the shots. I did have a similar clot 20+ years before. Now Im just fine.

Release 9 — 6 months, dose 2

2021-07-12

Symptoms: SpO2 going down as low as 85% during the day (on apple watch). I dont know if thats new. Had bleeding and a clot after vax, reported those earlier on vsafe. Im a NP.

Release 10 — day 14, dose 3

2021-11-06

Symptoms: Headache back in a place I don't usually get them. On and off especially with exercise.

Release 11 — 3 months, dose 3

2022-01-22

Symptoms: Diarrhea for 3 days. Some nausea. Possible covid exposure as a healthcare provider.

Release 12 — days 1–6 daily, dose 4

2022-09-15

Systemic reaction (other): Popping of all my joints including fingers and wrists

2022-09-17

Healthcare visit (other): message my provider

Release 12 — day 7, dose 4

2022-09-21

Systemic reaction (other): Mild popping of larger joints. Small joints now better

Release 12 — day 14, dose 4

2022-09-28

Symptoms: Enlarged spleen better. Still a bruise about 7" diameter but lump improved in arm. Rash mostly improved but scabbing.

Release 12 — day 21, dose 4

2022-10-05

Symptoms: Rash on arm with about 7x10" bruise same shape as when arm swelled up after shot. Sub-q swelling is gone finally. ( I'm a Nurse Practitioner)

Release 12 — 3 months, dose 4

2022-12-14

Symptoms: Covid positive PCR and also antigen test, sick for 2weeks+

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	Medical counselling	·	·	✓
SD	Contusion	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Haemorrhage	✓	✓	✓
SD	Headache	·	·	✓
SD	Limb mass	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Malaise	·	·	✓
SD	Nausea	·	·	✓
SD	Oxygen saturation decreased	✓	✓	✓
SD	Peripheral swelling	·	·	✓
SD	Rash	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Splenomegaly	·	·	✓
SD	Thrombosis	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Joint noise	·	·	✓
SRO	Purpura	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Rash erythematous	✓	✓	✓
SRO	Rash macular	✓	✓	✓
SRO	Rectal haemorrhage	✓	✓	✓

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