ZT6-21095-43296

2 vaccinations 7 coded responses 16 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 921 / CA
Registered: 2021-02-23

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

2021-02-23
Registered in v-safe
2021-02-23
Dose 1 — Pfizer-BioNTech
2021-02-23
Health check-in — day 0, dose 1
Feeling: Fair · None

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-27
Survey response — days 1–6 daily, dose 1
MedDRA: Pain, Pre-existing disease — Feeling: Good

Free text: When I got the shot the first day and second day, a tumor that I have in my same side I got the vaccine, got painful when I was walking .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Itching last night on top of my head.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Chills

Adult check-in
2021-03-10
Survey response — day 14, dose 1
MedDRA: Fatigue, Pruritus, Rash — Feeling: Fair

Free text: Tiredness.Itching in my body, head.Mild rash in different parts of my body.Face, abdomen, head, thighs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Dose 2 — Pfizer-BioNTech
2021-03-16
Health check-in — day 0, dose 2
Feeling: Good · Fever · None

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-23
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-06
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-13
Survey response — day 28, dose 2
MedDRA: Arthritis, Gait disturbance — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Knees. Difficulty to walk, inflammation in my right knee and linfÃ¡tic ganglio in back of my right knee.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-22
Survey response — day 35, dose 2
MedDRA: Arthralgia, Gait disturbance — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe Pain in my knees, in particular reason get k we. Did feliz cultu to walk.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — day 42, dose 2
MedDRA: Eye irritation, Eye pruritus, Vision blurred, Visual impairment — Feeling: Fair · Be unable to do your normal daily activities

Free text: Eyes. I do not know if this related to my recent vaccine for shingles, or it is something related sun protector that it is burning my eyes and itching too and blurred vision or changes of my vision...other bad symptoms improved. Except last week 99.8

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Survey response — 3 months, dose 2
MedDRA: Tinnitus — 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, Emergency room or emergency department visit

Free text: Excessive ringing in my ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
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)
2021-06-18
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-23	Pfizer-BioNTech
2	2021-03-16	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-04-13	Unsuccessful
2021-06-16	Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-27

Systemic reaction (other): When I got the shot the first day and second day, a tumor that I have in my same side I got the vaccine, got painful when I was walking .

2021-02-28

Systemic reaction (other): Itching last night on top of my head.

Release 5 — day 14, dose 1

2021-03-10

Symptoms: Tiredness.Itching in my body, head.Mild rash in different parts of my body.Face, abdomen, head, thighs.

Release 7 — day 28, dose 2

2021-04-13

Symptoms: Knees. Difficulty to walk, inflammation in my right knee and linfÃ¡tic ganglio in back of my right knee.

Release 7 — day 35, dose 2

2021-04-22

Symptoms: Severe Pain in my knees, in particular reason get k we. Did feliz cultu to walk.

Release 8 — day 42, dose 2

2021-04-27

Symptoms: Eyes. I do not know if this related to my recent vaccine for shingles, or it is something related sun protector that it is burning my eyes and itching too and blurred vision or changes of my vision...other bad symptoms improved. Except last week 99.8 cut off by CDC

Release 9 — 3 months, dose 2

2021-06-16

Symptoms: Excessive ringing in my ears

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	Arthritis	✓	✓	✓
SD	Eye irritation	✓	✓	✓
SD	Eye pruritus	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gait disturbance	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SD	Vision blurred	✓	✓	✓
SD	Visual impairment	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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