ZSV-13495-09118

3 vaccinations 5 coded responses 29 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 890 / NV
Registered: 2021-03-14

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

2021-01-21
Dose 1 — Pfizer-BioNTech
2021-03-13
Dose 2 — Pfizer-BioNTech
2021-03-14
Registered in v-safe
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Joint pains, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Headache, Joint pains, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Joint pains, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-20
Health check-in — day 7, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-03-27
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-13
Survey response — 3 months, dose 2
MedDRA: Nausea, Office visit — 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

Free text: Symptoms: Frequent nausea with no reason identified by doctors · Healthcare visit (other): In person visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-13
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-06-22
Call 1 — Left Voicemail
2021-09-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-04
Dose 3 — Pfizer-BioNTech
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · Fever · Muscle or body aches

Adult check-in
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling · None

Adult check-in
2021-10-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness · None

Adult check-in
2021-10-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

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

Adult check-in
2021-10-11
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-18
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-25
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-01
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-08
Survey response — day 35, dose 3
MedDRA: Arthritis, Headache, Insomnia, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: Difficulty sleeping. Severe headaches and arthritis pain.

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-03
Survey response — 3 months, dose 3
MedDRA: Lacrimation increased, Nasopharyngitis, Pre-existing disease, Rhinorrhoea, SARS-CoV-2 test negative, Sneezing — Feeling: Fair · Be unable to do your normal daily activities

Free text: I had a frequent runny nose & watery eyes. Also lots of sneezing. I believe it was a cold & allergies at the same time. It lasted 7 days & has cleared up. COVID test was negative.

MedDRA releases: 2024-11 · check-in free text available
2022-04-04
Survey response — 6 months, dose 3
MedDRA: Nasopharyngitis, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Head cold with hay fever too

MedDRA releases: 2024-11 · check-in free text available
2022-10-05
Survey response — 12 months, dose 3
MedDRA: Eye infection, Eye pruritus, Lacrimation increased, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Allergic eye infection-watering, itching, infected · Healthcare visit (other): In office visit

MedDRA releases: 2024-11 · check-in free text available
2022-10-05
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-06
Call 2 — Left Voicemail
2022-10-06
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Pfizer-BioNTech
2	2021-03-13	Pfizer-BioNTech
3	2021-10-04	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-06-13	Unsuccessful
2022-10-05	Unsuccessful

Free text

Release 9 — 3 months, dose 2

2021-06-13

Symptoms: Frequent nausea with no reason identified by doctors

Healthcare visit (other): In person visit

Release 10 — day 35, dose 3

2021-11-08

Symptoms: Difficulty sleeping. Severe headaches and arthritis pain.

Release 10 — 3 months, dose 3

2022-01-03

Symptoms: I had a frequent runny nose & watery eyes. Also lots of sneezing. I believe it was a cold & allergies at the same time. It lasted 7 days & has cleared up. COVID test was negative.

Release 11 — 6 months, dose 3

2022-04-04

Symptoms: Head cold with hay fever too

Release 12 — 12 months, dose 3

2022-10-05

Symptoms: Allergic eye infection-watering, itching, infected

Healthcare visit (other): In office visit

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	Arthritis	·	·	✓
SD	Eye infection	·	·	✓
SD	Eye pruritus	·	·	✓
SD	Headache	·	·	✓
SD	Insomnia	·	·	✓
SD	Lacrimation increased	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sneezing	·	·	✓

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