ZTC-10305-97459

2 vaccinations 6 coded responses 17 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 315 / GA
Registered: 2021-01-18

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

2021-01-16
Dose 1 — Pfizer-BioNTech
2021-01-18
Registered in v-safe
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Survey response — day 7, dose 1
MedDRA: Abdominal distension, Flatulence — Feeling: Good

Free text: Bloated tummy-gas

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — day 14, dose 1
MedDRA: Blood glucose abnormal, Fatigue, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: I dont think it is from vaccine. I had sore throat and serious fatigue but just had 2 knee steroid shots that shot my blood sugar up to 275 and it just dropped to 114

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Dose 2 — Pfizer-BioNTech
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Vertigo — Feeling: Fair · Site: Itching · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Balance issues like vertigo...have you seen that as a side effect?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Fair

Free text: Headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-07
Survey response — 6 months, dose 2
MedDRA: Arthritis, Muscle spasms, Myasthenia gravis, Office visit — 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

Free text: Symptoms: Severe leg cramps. Not sure if associated with vaccine. I have arthritic knees but surgeon didnt think it was the cause. So have myasthenia gravis and docs r thinking maybe it is cause but it is new and extreme. · Healthcare visit (other): Primary care also

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-07
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-24
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-06
Survey response — 12 months, dose 2
MedDRA: Blood glucose increased, Blood pressure increased, Joint swelling, Peripheral swelling, Swelling face — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: After booster had huge spike in blood sugar and blood pressure and swelling of ankles, face, hands

MedDRA releases: 2024-11 · check-in free text available
2022-02-06
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-10
Call 1 — Could Not Reach Participant
2022-02-16
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-16	Pfizer-BioNTech
2	2021-02-06	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-08-07	Successful 2021-11-24	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-06	Successful 2022-02-16	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 2 — day 7, dose 1

2021-01-23

Systemic reaction (other): Bloated tummy-gas

Release 3 — day 14, dose 1

2021-01-30

Symptoms: I dont think it is from vaccine. I had sore throat and serious fatigue but just had 2 knee steroid shots that shot my blood sugar up to 275 and it just dropped to 114

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Balance issues like vertigo...have you seen that as a side effect?

2021-02-11

Systemic reaction (other): Headache

Release 9 — 6 months, dose 2

2021-08-07

Symptoms: Severe leg cramps. Not sure if associated with vaccine. I have arthritic knees but surgeon didnt think it was the cause. So have myasthenia gravis and docs r thinking maybe it is cause but it is new and extreme.

Healthcare visit (other): Primary care also

Release 11 — 12 months, dose 2

2022-02-06

Symptoms: After booster had huge spike in blood sugar and blood pressure and swelling of ankles, face, hands

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	Blood glucose abnormal	✓	✓	✓
SD	Blood glucose increased	·	·	✓
SD	Blood pressure increased	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Joint swelling	·	·	✓
SD	Muscle spasms	✓	·	✓
SD	Myasthenia gravis	✓	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Peripheral swelling	·	·	✓
SD	Swelling face	·	·	✓
SRO	Abdominal distension	✓	✓	✓
SRO	Flatulence	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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