ZS2-14344-87800

2 vaccinations 5 coded responses 20 check-ins 5 free-text entries 3 call cases

Sex: —
Age at first dose: 36-40
ZIP prefix: 559 / MN
Registered: 2021-01-05

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-05
Registered in v-safe
2021-01-05
Dose 1 — Pfizer-BioNTech
2021-01-05
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Headache

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-01-10
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Fair · Site: Pain, Swelling · Fever · Rash, not including the immediate area around the injection site

Free text: Had a brief spell of difficulty breathing through my N95 mask at the hospital while working

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-29
Dose 2 — Pfizer-BioNTech
2021-01-29
Survey response — day 0, dose 2
MedDRA: Dyspnoea, Office visit — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Trouble breathing · Healthcare visit (other): Attendance by EMT staff at vaccination clinic

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Report sent to call center — day 0, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Rash, not including the immediate area around the injection site

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Rash, not including the immediate area around the injection site

Adult check-in
2021-02-05
Health check-in — day 7, dose 2
Feeling: Fair · Chills

Adult check-in
2021-02-12
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-27
Survey response — day 28, dose 2
MedDRA: Abdominal pain — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Abdominal pain of unknown origin. Confirmed not to be pregnancy or any form of UTI. nothing showed on CT scan. Kidney function seemed fine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Report sent to call center — day 28, 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)
2021-03-12
Survey response — day 42, dose 2
MedDRA: Abdominal pain, Back pain, Fatigue, Malaise — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Unexplained abdominal & back pain. Determined not to be any UTI. Unable to diagnose source despite blood, urine (via catheter), & contrast CT scan tests. Also, overall feeling of tiredness & not feeling well like when you are coming down with a cold.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Report sent to call center — day 42, 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)
2021-04-30
Survey response — 3 months, dose 2
MedDRA: Headache, Nasal congestion, Rhinorrhoea, Sneezing — Feeling: Good

Free text: Seasonal allergy type symptoms such as sneezing, headache, stuffy nose, and runny nose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-05	Pfizer-BioNTech
2	2021-01-29	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-01-29	Unsuccessful
2021-02-27	Unsuccessful
2021-03-12	Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-10

Systemic reaction (other): Had a brief spell of difficulty breathing through my N95 mask at the hospital while working

Release 3 — day 0, dose 2

2021-01-29

Systemic reaction (other): Trouble breathing

Healthcare visit (other): Attendance by EMT staff at vaccination clinic

Release 4 — day 28, dose 2

2021-02-27

Symptoms: Abdominal pain of unknown origin. Confirmed not to be pregnancy or any form of UTI. nothing showed on CT scan. Kidney function seemed fine.

Release 5 — day 42, dose 2

2021-03-12

Symptoms: Unexplained abdominal & back pain. Determined not to be any UTI. Unable to diagnose source despite blood, urine (via catheter), & contrast CT scan tests. Also, overall feeling of tiredness & not feeling well like when you are coming down with a cold. cut off by CDC

Release 8 — 3 months, dose 2

2021-04-30

Symptoms: Seasonal allergy type symptoms such as sneezing, headache, stuffy nose, and runny nose.

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	Abdominal pain	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sneezing	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓

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