ZT9-19712-32112

2 vaccinations 12 coded responses 25 check-ins 12 free-text entries 6 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 041 / ME
Registered: 2021-03-29

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

2021-03-29
Registered in v-safe
2021-03-29
Dose 1 — Pfizer-BioNTech
2021-03-29
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Good · Chills

Free text: none

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 1
MedDRA: Erythema — Feeling: Good · Site: Pain

Free text: a little reddish brownish area near armpit; probably unrelated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — days 1–6 daily, dose 1
MedDRA: Palpitations, Pre-existing disease — Feeling: Good · Site: Pain · Chills

Free text: Some heart palpitations, but I have had palpitations intermittently prior to the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-05
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-19
Dose 2 — Pfizer-BioNTech
2021-04-19
Survey response — day 0, dose 2
MedDRA: Back pain, Myalgia — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: the muscle aches are: my back hurts( upper area in between shoulder blade area)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Medical counselling, Pre-existing disease — Feeling: Poor · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): one of the worst headaches Ive had in years, and I used to be a migrain sufferer until menopause. · Healthcare visit (other): phone call to ask if okay to take Excedrin migrain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary mass, Medical counselling, Tenderness — Feeling: Good · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Under armpit of vaccinated arm, I have tenderness and lumpiness · Healthcare visit (other): I placed a call to my Dr regarding the under armpit tenderness/ lumpiness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Nodule, Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): I feel soreness and a lump under my arm; the arm of the injection · Healthcare visit (other): I made an appt to see my Dr. tomorrow.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Palpitations, Tenderness — Feeling: Good · Site: Pain · Chills, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Checking in with Dr regarding fatigue, heart palpitations, and under arm tenderness (which is subsiding)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Secretion discharge — Feeling: Good · Fatigue or tiredness

Free text: Mucous - post nasal likely from allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — day 7, dose 2
MedDRA: Eye pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Free text: Eye pain Might be allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-31
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-19
Survey response — 3 months, dose 2
MedDRA: Cough, Nasopharyngitis, Office visit, Oropharyngeal pain, Secretion discharge — 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: Symptoms: Ten days ago I developed a cough and cold and mucous and sore throat No strep! No Covid! · Healthcare visit (other): 2 visits

MedDRA releases: 2024-11 · check-in free text available
2021-07-19
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)
2021-07-24
Call 1 — Left Voicemail
2021-10-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-19
Survey response — 12 months, dose 2
MedDRA: Cough, Eye pruritus, Fatigue, Headache, Lacrimation increased, Respiratory tract congestion, Rhinorrhoea, Sputum discoloured — Feeling: Good · Be unable to work or attend school, 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: 3/30-4/10, I had fatigue, excessively watery itchy eyes, runny nose, headache, congestion, raspy cough, & dk. green mucous. Slightly better 4/8, then relapse 4/9, then better 4/10, then relapse 4/11. Feel 90% better now, but still have slight cough.

MedDRA releases: 2024-11 · check-in free text available
2022-04-19
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-20
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-29	Pfizer-BioNTech
2	2021-04-19	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-04-20	Unsuccessful
2021-04-21	Unsuccessful
2021-04-22	Unsuccessful
2021-04-23	Unsuccessful
2021-07-19	Unsuccessful
2022-04-19	Unsuccessful

Free text

Release 6 — day 0, dose 1

2021-03-29

Systemic reaction (other): none

Release 6 — days 1–6 daily, dose 1

2021-03-30

Systemic reaction (other): a little reddish brownish area near armpit; probably unrelated

2021-03-31

Systemic reaction (other): Some heart palpitations, but I have had palpitations intermittently prior to the vaccine

Release 7 — day 0, dose 2

2021-04-19

Systemic reaction (other): the muscle aches are: my back hurts( upper area in between shoulder blade area)

Release 7 — days 1–6 daily, dose 2

2021-04-20

Systemic reaction (other): one of the worst headaches Ive had in years, and I used to be a migrain sufferer until menopause.

Healthcare visit (other): phone call to ask if okay to take Excedrin migrain

2021-04-21

Systemic reaction (other): Under armpit of vaccinated arm, I have tenderness and lumpiness

Healthcare visit (other): I placed a call to my Dr regarding the under armpit tenderness/ lumpiness

2021-04-22

Systemic reaction (other): I feel soreness and a lump under my arm; the arm of the injection

Healthcare visit (other): I made an appt to see my Dr. tomorrow.

2021-04-23

Healthcare visit (other): Checking in with Dr regarding fatigue, heart palpitations, and under arm tenderness (which is subsiding)

2021-04-25

Systemic reaction (other): Mucous - post nasal likely from allergies

Release 8 — day 7, dose 2

2021-04-26

Systemic reaction (other): Eye pain Might be allergies

Release 9 — 3 months, dose 2

2021-07-19

Symptoms: Ten days ago I developed a cough and cold and mucous and sore throat No strep! No Covid!

Healthcare visit (other): 2 visits

Release 11 — 12 months, dose 2

2022-04-19

Symptoms: 3/30-4/10, I had fatigue, excessively watery itchy eyes, runny nose, headache, congestion, raspy cough, & dk. green mucous. Slightly better 4/8, then relapse 4/9, then better 4/10, then relapse 4/11. Feel 90% better now, but still have slight cough. cut off by CDC

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	Axillary mass	✓	✓	✓
HCVO	Fatigue	✓	✓	✓
HCVO	Medical counselling	✓	✓	✓
HCVO	Office visit	·	·	✓
HCVO	Palpitations	✓	✓	✓
HCVO	Tenderness	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Cough	·	·	✓
SD	Eye pruritus	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Lacrimation increased	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Secretion discharge	·	·	✓
SD	Sputum discoloured	·	·	✓
SRO	Axillary mass	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Back pain	✓	✓	○
SRO	Erythema	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Nodule	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Secretion discharge	✓	✓	✓

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