ZTK-13087-71651

2 vaccinations 8 coded responses 22 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 020 / MA
Registered: 2021-01-02

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

2021-01-02
Registered in v-safe
2021-01-02
Dose 1 — Pfizer-BioNTech
2021-01-02
Survey response — day 0, dose 1
MedDRA: Feeling abnormal, Feeling hot, Flushing, Immediate post-injection reaction — Feeling: Good · Site: Pain

Free text: I had what I would describe as an adrenaline rush about 1/2 hr after my injection while driving home. Got hot and flushed. Didn't feel well for about an hour.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Fatigue or tiredness

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Medical observation, Respiratory tract congestion — Feeling: Fair · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Congestion headache x 2 days · Healthcare visit (other): Covid swab required by work as I am a nurse-out of work tomorrow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-07
Survey response — days 1–6 daily, dose 1
MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good · Fatigue or tiredness · Be unable to work

Free text: Covid swab neg from yesterday. Cold sx resolving

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
Be unable to work

1 call case(s)
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-09
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-21
Dose 2 — Pfizer-BioNTech
2021-01-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-28
Survey response — day 7, dose 2
MedDRA: Vaccine positive rechallenge — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Past two days feel like getting a cold. Nasal congestion, runny nose, mucousy throat. Had second vaccine 7 days ago. This happened after first vaccine too. Same time frame. Prompted a covid test. Had mucousy throat when I had covid back in April.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-09
Call 1 — Left Voicemail
2021-02-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-04
Survey response — day 42, dose 2
MedDRA: Bursitis, Mobility decreased, Pain in extremity, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: My right arm has continued to bother me since I got my first covid shot in January. Almost feels like bursitis. Trouble with movement. Made a drs appt in 2 weeks. · Healthcare visit (other): Only scheduled appointment

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-22
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Pain, Physiotherapy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Continued right shoulder pain since first vaccine in January. Started physical therapy thee weeks ago. Pain is not in my deltoid but in my biceps. No imaging done. Reassessment is Monday · Healthcare visit (other): Physical therapy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-11
Call 1 — Left Voicemail
2021-07-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-21
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-02	Pfizer-BioNTech
2	2021-01-21	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-01-06	Unsuccessful
2021-01-07	Unsuccessful
2021-03-04	Unsuccessful
2021-04-22	Unsuccessful

Free text

Release 1 — day 0, dose 1

2021-01-02

Systemic reaction (other): I had what I would describe as an adrenaline rush about 1/2 hr after my injection while driving home. Got hot and flushed. Didn't feel well for about an hour.

Release 1 — days 1–6 daily, dose 1

2021-01-03

Systemic reaction (other): No

2021-01-04

Systemic reaction (other): No

2021-01-06

Systemic reaction (other): Congestion headache x 2 days

Healthcare visit (other): Covid swab required by work as I am a nurse-out of work tomorrow

2021-01-07

Systemic reaction (other): Covid swab neg from yesterday. Cold sx resolving

Release 3 — day 7, dose 2

2021-01-28

Systemic reaction (other): Past two days feel like getting a cold. Nasal congestion, runny nose, mucousy throat. Had second vaccine 7 days ago. This happened after first vaccine too. Same time frame. Prompted a covid test. Had mucousy throat when I had covid back in April.

Release 5 — day 42, dose 2

2021-03-04

Symptoms: My right arm has continued to bother me since I got my first covid shot in January. Almost feels like bursitis. Trouble with movement. Made a drs appt in 2 weeks.

Healthcare visit (other): Only scheduled appointment

Release 7 — 3 months, dose 2

2021-04-22

Symptoms: Continued right shoulder pain since first vaccine in January. Started physical therapy thee weeks ago. Pain is not in my deltoid but in my biceps. No imaging done. Reassessment is Monday

Healthcare visit (other): Physical therapy.

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	Medical observation	✓	✓	✓
HCVO	Physiotherapy	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Bursitis	✓	✓	✓
SD	Mobility decreased	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Physiotherapy	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Nasal congestion	○	○	○
SRO	Nasopharyngitis	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	SARS-CoV-2 test negative	✓	✓	✓
SRO	Unevaluable event	○	○	○
SRO	Vaccine positive rechallenge	✓	✓	✓

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