ZT3-15892-44216

2 vaccinations 4 coded responses 21 check-ins 4 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 287 / NC
Registered: 2021-01-06

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

2021-01-05
Dose 1 — Pfizer-BioNTech
2021-01-06
Registered in v-safe
2021-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle spasms, Rash — Feeling: Fair · Site: Pain, Itching · Chills, Joint pains, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site

Free text: Muscle Spasms in legs and specifically my left thumb, the rash was behind my ears on the ear, and under my breasts and took benadryl

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Survey response — days 1–6 daily, dose 1
MedDRA: Eczema, Hypoaesthesia, Medical counselling, Paraesthesia, Pre-existing disease, Rash, Stress — Feeling: Fair · Site: Pain, Itching · Chills, Headache, Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Face has eczema today which is a common stress response for me. Under my breasts the rash is almost gone. I think I forgot to mention I had numbness and tingling in my hands yesterday as well as the other symptoms. · Healthcare visit (other): I sent a portal message to my GP (b)(6) and she never followed up with me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Rash, not including the immediate area around the injection site

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Nausea, Abdominal pain

Adult check-in
2021-01-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-26
Dose 2 — Pfizer-BioNTech
2021-01-26
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-02
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-11
Call successful
Participant prefers to complete VAERS report online
2021-02-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-27
Survey response — 3 months, dose 2
MedDRA: Alopecia, Asthenia, Eczema, Fracture, Injection site pain, Office visit, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Had terrible injection pain after physical therapy from a broken radial head fracture. Unusual weakness, and severe short term lower leg pain on my right leg from right of my knee cap down. My recovery with my broken arm is over 6 months now. · Healthcare visit (other): Saw my derm and got a cortisone injection because of hair loss and eczema

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-14
Call 1 — Left Voicemail
2021-07-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-26
Survey response — 12 months, dose 2
MedDRA: Abdominal pain upper, Fatigue, Headache — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Headaches, stomach aches, fatigue.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-05	Pfizer-BioNTech
2	2021-01-26	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-01-07	Successful 2021-02-11	Participant prefers to complete VAERS report online
2021-04-27	Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-06

Systemic reaction (other): Muscle Spasms in legs and specifically my left thumb, the rash was behind my ears on the ear, and under my breasts and took benadryl

2021-01-07

Systemic reaction (other): Face has eczema today which is a common stress response for me. Under my breasts the rash is almost gone. I think I forgot to mention I had numbness and tingling in my hands yesterday as well as the other symptoms.

Healthcare visit (other): I sent a portal message to my GP (b)(6) and she never followed up with me.

redacted (b)(6)

Release 8 — 3 months, dose 2

2021-04-27

Symptoms: Had terrible injection pain after physical therapy from a broken radial head fracture. Unusual weakness, and severe short term lower leg pain on my right leg from right of my knee cap down. My recovery with my broken arm is over 6 months now.

Healthcare visit (other): Saw my derm and got a cortisone injection because of hair loss and eczema

Release 11 — 12 months, dose 2

2022-01-26

Symptoms: Headaches, stomach aches, fatigue.

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	Alopecia	✓	✓	✓
HCVO	Eczema	✓	✓	✓
HCVO	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Unevaluable event	○	○	○
SD	Abdominal pain upper	·	·	✓
SD	Asthenia	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Fracture	✓	✓	✓
SD	Headache	·	·	✓
SD	Injection site pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SRO	Eczema	✓	✓	✓
SRO	General symptom	○	○	○
SRO	Hypoaesthesia	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Stress	✓	✓	✓

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