ZSZ-33338-25239

4 vaccinations 11 coded responses 36 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 968 / HI
Registered: 2021-03-06

Relationship: Self
Race: Multiracial
Ethnicity: Hispanic or Latino

Timeline

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

2021-03-06
Registered in v-safe
2021-03-06
Dose 1 — Pfizer-BioNTech
2021-03-06
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Diarrhea

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Survey response — day 7, dose 1
MedDRA: Chest pain — Feeling: Good · Muscle or body aches

Free text: Chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-27
Dose 2 — Pfizer-BioNTech
2021-03-27
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Sharp pain in wrist on same arm

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: Somnolence — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Groggy

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: Bladder dysfunction, Urinary incontinence — Feeling: Good

Free text: Bladder leakage

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-03
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-17
Survey response — day 21, dose 2
MedDRA: Abdominal pain upper, Arthralgia, Chills, Dyspepsia — Feeling: Good · Be unable to work

Free text: Monday violent stomach cramps, indigestion, sick in bed. Joints ached with chills.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-26
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-25
Survey response — 6 months, dose 2
MedDRA: Mobility decreased, Neuralgia, Paraesthesia — 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, Emergency room or emergency department visit

Free text: Excruciating pain and rhomboid an owner nerve for over three weeks. Bedridden from now that the entire time. Now have paresthesia in left arm and at times under chin. Some other issues as well.

MedDRA releases: 2024-11 · check-in free text available
2021-09-25
Report sent to call center — 6 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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2021-09-28
Call successful
Participant prefers to complete VAERS report online
2021-12-08
Dose 3 — Pfizer-BioNTech
2022-03-30
Survey response — 12 months, dose 2
MedDRA: Pain in extremity — 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

Free text: Leg pain

MedDRA releases: 2024-11 · check-in free text available
2022-03-30
Report sent to call center — 12 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-04-01
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-05-16
Dose 4 — Pfizer-BioNTech
2022-05-16
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness

Adult check-in
2022-05-17
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-22
Survey response — days 1–6 daily, dose 4
MedDRA: Chest pain, Diarrhoea — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school

Free text: Chest pain, diarrhea

MedDRA releases: 2024-11 · check-in free text available
2022-05-23
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-30
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-06
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-06-13
Survey response — day 28, dose 4
MedDRA: Arthralgia — Feeling: Fair · Be unable to work or attend school

Free text: Wrist pain

MedDRA releases: 2024-11 · check-in free text available
2022-06-20
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-08-16
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-16
Survey response — 6 months, dose 4
MedDRA: Anosmia, Malaise, Myalgia — Feeling: Fair · Be unable to work or attend school

Free text: Pain in left tricep for seven weeks Anosmia Sick for three weeks in Sept

MedDRA releases: 2024-11 · check-in free text available
2023-05-16
Survey response — 12 months, dose 4
MedDRA: Malaise — 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

MedDRA releases: 2024-11
2023-05-16
Report sent to call center — 12 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-05-17
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-06	Pfizer-BioNTech
2	2021-03-27	Pfizer-BioNTech
3	2021-12-08	Pfizer-BioNTech	No
4	2022-05-16	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-09-25	Successful 2021-09-28	Participant prefers to complete VAERS report online
2022-03-30	Successful 2022-04-01	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2023-05-16	Unsuccessful

Free text

Release 5 — day 7, dose 1

2021-03-13

Systemic reaction (other): Chest pain

Release 6 — days 1–6 daily, dose 2

2021-03-28

Systemic reaction (other): Sharp pain in wrist on same arm

2021-03-29

Systemic reaction (other): Groggy

2021-03-30

Systemic reaction (other): Bladder leakage

Release 7 — day 21, dose 2

2021-04-17

Symptoms: Monday violent stomach cramps, indigestion, sick in bed. Joints ached with chills.

Release 9 — 6 months, dose 2

2021-09-25

Symptoms: Excruciating pain and rhomboid an owner nerve for over three weeks. Bedridden from now that the entire time. Now have paresthesia in left arm and at times under chin. Some other issues as well.

Release 11 — 12 months, dose 2

2022-03-30

Symptoms: Leg pain

Release 11 — days 1–6 daily, dose 4

2022-05-22

Systemic reaction (other): Chest pain, diarrhea

Release 12 — day 28, dose 4

2022-06-13

Symptoms: Wrist pain

Release 12 — 6 months, dose 4

2022-11-16

Symptoms: Pain in left tricep for seven weeks Anosmia Sick for three weeks in Sept

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	Abdominal pain upper	✓	✓	✓
SD	Anosmia	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Dyspepsia	✓	✓	✓
SD	Malaise	·	·	✓
SD	Mobility decreased	·	·	✓
SD	Myalgia	·	·	✓
SD	Neuralgia	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Paraesthesia	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Bladder dysfunction	○	✓	○
SRO	Chest pain	✓	✓	✓
SRO	Diarrhoea	·	·	✓
SRO	Somnolence	✓	✓	✓
SRO	Urinary incontinence	✓	·	✓

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