ZS7-21447-77100

2 vaccinations 7 coded responses 26 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 604 / IL
Registered: 2021-05-18

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

2021-05-18
Registered in v-safe
2021-05-18
Dose 1 — Pfizer-BioNTech
2021-05-18
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-05-19
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain — Feeling: Good · Site: Pain

Free text: Momentary pain in chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-06-01
Survey response — day 14, dose 1
MedDRA: Impaired work ability, Injection site erythema, Injection site induration, Injection site nodule, Pain, Pain in extremity — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: On day 8 I had these symptoms:unusually exhausted to the point I was unable to worksite of injection became like a hard knot and redpain on inside of calf- worsened with walking, stairs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-06-14
Dose 2 — Pfizer-BioNTech
2021-06-14
Survey response — day 0, dose 2
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Joint pains

Free text: Hand numbness/tingle

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-06-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Abdominal pain

Adult check-in
2021-06-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Nausea, Abdominal pain

Adult check-in
2021-06-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Nausea, Diarrhea

Adult check-in
2021-06-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Nausea, Abdominal pain

Adult check-in
2021-06-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-06-21
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-07-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-19
Survey response — day 35, dose 2
MedDRA: Herpes zoster, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Rash on right side torso, most likely shingles.

MedDRA releases: 2024-11 · check-in free text available
2021-07-19
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-26
Survey response — day 42, dose 2
MedDRA: Herpes zoster — Feeling: Fair · 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: Symptoms: Shingles - per physician it was a rare side effect of the vaccine · Healthcare visit (other): Shingles - per physician it was a rare side effect of the vaccine

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-26
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-26
Call 1 — Left Voicemail
2021-08-03
Call 1 — Left Voicemail
2021-09-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-13
Survey response — 6 months, dose 2
MedDRA: Herpes zoster, Inflammation, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Had shingles twice since having the vaccine and also inflammation issues with the arm the vaccine was administered on. · Healthcare visit (other): In office visits

MedDRA releases: 2024-11 · check-in free text available
2021-12-13
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-14
Call 1 — Left Voicemail
2022-06-14
Survey response — 12 months, dose 2
MedDRA: Inflammation, Joint impingement — Feeling: Good · 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: Inflammation in the arm/shoulder that I received the vaccine in causing an impingement

MedDRA releases: 2024-11 · check-in free text available
2022-06-14
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-15
Call successful
Participant prefers to complete VAERS report online
2022-06-15
Call successful
Participant prefers to complete VAERS report online
2022-06-15
Call successful
Participant prefers to complete VAERS report online
2022-06-15
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-18	Pfizer-BioNTech
2	2021-06-14	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-07-19	Successful 2022-06-15	Participant prefers to complete VAERS report online
2021-07-26	Successful 2022-06-15	Participant prefers to complete VAERS report online
2021-12-13	Successful 2022-06-15	Participant prefers to complete VAERS report online
2022-06-14	Successful 2022-06-15	Participant prefers to complete VAERS report online

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-19

Systemic reaction (other): Momentary pain in chest

Release 8 — day 14, dose 1

2021-06-01

Symptoms: On day 8 I had these symptoms:unusually exhausted to the point I was unable to worksite of injection became like a hard knot and redpain on inside of calf- worsened with walking, stairs.

Release 9 — day 0, dose 2

2021-06-14

Systemic reaction (other): Hand numbness/tingle

Release 9 — day 35, dose 2

2021-07-19

Symptoms: Rash on right side torso, most likely shingles.

Release 9 — day 42, dose 2

2021-07-26

Symptoms: Shingles - per physician it was a rare side effect of the vaccine

Healthcare visit (other): Shingles - per physician it was a rare side effect of the vaccine

Release 10 — 6 months, dose 2

2021-12-13

Symptoms: Had shingles twice since having the vaccine and also inflammation issues with the arm the vaccine was administered on.

Healthcare visit (other): In office visits

Release 12 — 12 months, dose 2

2022-06-14

Symptoms: Inflammation in the arm/shoulder that I received the vaccine in causing an impingement

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	Herpes zoster	✓	·	✓
HCVO	Office visit	·	·	✓
SD	Herpes zoster	✓	·	✓
SD	Impaired work ability	✓	✓	✓
SD	Inflammation	·	·	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site induration	✓	✓	✓
SD	Injection site nodule	✓	✓	✓
SD	Joint impingement	·	·	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Rash	·	·	✓
SRO	Chest pain	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓

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