ZS2-17344-14450

4 vaccinations 14 coded responses 37 check-ins 14 free-text entries 8 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 782 / TX
Registered: 2021-03-04

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

2021-03-04
Registered in v-safe
2021-03-04
Dose 1 — Pfizer-BioNTech
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease, Systemic lupus erythematosus — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work

Free text: I am a lupus patient (SLE)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Renal pain — Feeling: Poor · Site: Pain, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Pain where the kidneys are.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — day 7, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-18
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-26
Dose 2 — Pfizer-BioNTech
2021-03-26
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Eye haemorrhage — Feeling: Poor · Site: Pain, Redness · Fever · Headache, Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to work

Free text: Broken blood vessel in eye

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Eye haemorrhage — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Bloody eye

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Ocular hyperaemia — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Read eye

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-04-11
Health check-in — day 14, dose 2
Feeling: Poor

Adult check-in
2021-04-17
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-25
Survey response — day 28, dose 2
MedDRA: Fatigue, Pain — Feeling: Fair · Be unable to work, 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: A lot of fatigue and pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
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)
2021-05-02
Survey response — day 35, dose 2
MedDRA: Fatigue, Myalgia — Feeling: Poor · Be unable to work, 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: Fatigue and muscle pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Report sent to call center — day 35, 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)
2021-05-07
Survey response — day 42, dose 2
MedDRA: Pain, Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Pain all over, flares of my fibromyalgia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-18
Dose 3 — Pfizer-BioNTech
2021-09-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-09-20
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Fatigue or tiredness · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-09-20
Report sent to call center — days 1–6 daily, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-21
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary mass, Axillary pain, Tenderness — Feeling: Poor · Site: Pain, Swelling · Fever · Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I have a big ball on my left armpit that developed right after the vaccine. It is painful and tender to the touch.

MedDRA releases: 2024-11 · check-in free text available
2021-09-22
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary mass, Oedema peripheral, Pain — Feeling: Fair · Site: Pain, Swelling · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I have a swollen mass on my left armpit in the arm where I was vaccinated it. The pain doesnt go away.

MedDRA releases: 2024-11 · check-in free text available
2021-09-22
Call 3 — Left Voicemail
2021-09-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Joint pains · Be unable to work or attend school

Adult check-in
2021-09-25
Survey response — day 7, dose 3
MedDRA: Oedema peripheral — Feeling: Fair · Site: Pain, Swelling · Be unable to do your normal daily activities

Free text: Swollen on left armpit

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-09
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-10-16
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-23
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-30
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-18
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-02
Dose 4 — Pfizer-BioNTech
2022-04-04
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-04-05
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-04-06
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Joint pains, 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 · Outpatient clinic or urgent care clinic visit

Adult check-in
2022-04-06
Report sent to call center — days 1–6 daily, 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-11
Health check-in — day 7, dose 4
Feeling: Fair · Site: Pain · Muscle or body aches, 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Adult check-in
2022-04-11
Report sent to call center — day 7, 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)
2022-04-11
Call 1 — Left Voicemail
2022-04-12
Call 1 — Left Voicemail
2022-04-30
Survey response — day 28, dose 4
MedDRA: Arthralgia, Fatigue, Trigger finger — Feeling: Poor · 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: Join pain, trigger fingers, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-04-30
Report sent to call center — day 28, 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)
2022-05-04
Call 1 — Left Voicemail
2022-05-09
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-16
Survey response — day 42, dose 4
MedDRA: Pain — 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: Body pain Continue.

MedDRA releases: 2024-11 · check-in free text available
2022-05-16
Report sent to call center — day 42, 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)
2022-05-17
Call 1 — Could Not Reach Participant
2022-05-20
Call 1 — Left Voicemail
2022-05-20
Call 1 — Left Voicemail
2022-05-20
Call 1 — Left Voicemail
2022-05-20
Call 2 — Left Voicemail
2022-05-20
Call 2 — Left Voicemail
2022-05-20
Call 2 — Left Voicemail
2022-05-20
Call 2 — Left Voicemail
2022-07-02
Survey response — 3 months, dose 4
MedDRA: COVID-19 — Feeling: Poor · 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, Emergency room or emergency department visit, Hospitalization

Free text: Covid

MedDRA releases: 2024-11 · check-in free text available
2022-07-02
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 · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-07-05
Call 2 — Left Voicemail
2022-07-05
Call 2 — Left Voicemail
2022-07-05
Call 2 — Left Voicemail
2022-07-05
Call 3 — Left Voicemail
2022-07-05
Call 3 — Left Voicemail
2022-07-05
Call 3 — Left Voicemail
2022-07-05
Call 3 — Left Voicemail
2022-07-05
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Pfizer-BioNTech
2	2021-03-26	Pfizer-BioNTech
3	2021-09-18	Pfizer-BioNTech	No
4	2022-04-02	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-25	Unsuccessful
2021-05-02	Unsuccessful
2021-09-20	Unsuccessful
2022-04-06	Unsuccessful
2022-04-11	Unsuccessful
2022-04-30	Unsuccessful
2022-05-16	Unsuccessful
2022-07-02	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): I am a lupus patient (SLE)

2021-03-10

Systemic reaction (other): Pain where the kidneys are.

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): Broken blood vessel in eye

2021-03-29

Systemic reaction (other): Bloody eye

2021-03-30

Systemic reaction (other): Read eye

Release 7 — day 28, dose 2

2021-04-25

Symptoms: A lot of fatigue and pain.

Release 8 — day 35, dose 2

2021-05-02

Symptoms: Fatigue and muscle pain.

Release 8 — day 42, dose 2

2021-05-07

Symptoms: Pain all over, flares of my fibromyalgia

Release 9 — days 1–6 daily, dose 3

2021-09-21

Systemic reaction (other): I have a big ball on my left armpit that developed right after the vaccine. It is painful and tender to the touch.

2021-09-22

Systemic reaction (other): I have a swollen mass on my left armpit in the arm where I was vaccinated it. The pain doesnt go away.

Release 9 — day 7, dose 3

2021-09-25

Systemic reaction (other): Swollen on left armpit

Release 11 — day 28, dose 4

2022-04-30

Symptoms: Join pain, trigger fingers, fatigue

Release 11 — day 42, dose 4

2022-05-16

Symptoms: Body pain Continue.

Release 12 — 3 months, dose 4

2022-07-02

Symptoms: Covid

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
SD	Arthralgia	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Trigger finger	·	·	✓
SRO	Axillary mass	·	·	✓
SRO	Axillary pain	·	·	✓
SRO	Eye haemorrhage	✓	✓	✓
SRO	Ocular hyperaemia	✓	✓	✓
SRO	Oedema peripheral	·	·	✓
SRO	Pain	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Renal pain	✓	✓	✓
SRO	Systemic lupus erythematosus	✓	✓	✓
SRO	Tenderness	·	·	✓

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