ZTK-14139-07325

4 vaccinations 14 coded responses 28 check-ins 13 free-text entries 5 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 140 / NY
Registered: 2021-03-10

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

2021-02-17
Dose 1 — Pfizer-BioNTech
2021-03-10
Registered in v-safe
2021-03-10
Dose 2 — Pfizer-BioNTech
2021-03-10
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fever · Chills, Abdominal pain

Adult check-in
2021-03-11
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Medical counselling, Pyrexia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Nausea, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional

Free text: Phone call with Doctor regarding fever. She prescribed ibuprofen for fever and headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Constipation — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Lower back pain, constipation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Peripheral swelling — Feeling: Good · Headache, Joint pains

Free text: Bump on left leg

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Nodule — Feeling: Good · Headache, Joint pains

Free text: Still have bump on left leg

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-09
Survey response — day 28, dose 2
MedDRA: Panniculitis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Panniculitis flae

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

1 call case(s)
2021-04-18
Survey response — day 35, dose 2
MedDRA: Headache — Feeling: Fair

Free text: Headaches come and go

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-10
Survey response — 3 months, dose 2
MedDRA: Migraine — Feeling: Fair · Be unable to do your normal daily activities

Free text: Migraines seem more frequent.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-10
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-09-28
Dose 3 — Pfizer-BioNTech
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-10-05
Health check-in — day 7, dose 3
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-10-12
Survey response — day 14, dose 3
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-10-19
Survey response — day 21, dose 3
MedDRA: Pharyngitis, Upper respiratory tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Throat upper respiratory infection .on antibiotic

MedDRA releases: 2024-11 · check-in free text available
2021-10-19
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-21
Call 1 — Left Voicemail
2021-10-27
Survey response — day 28, dose 3
MedDRA: Oral herpes — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Cold sore on lip. Dr prescribed valtrex.

MedDRA releases: 2024-11 · check-in free text available
2021-10-27
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-29
Call 1 — Left Voicemail
2021-10-29
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-11-11
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-30
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-31
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-21
Dose 4 — Pfizer-BioNTech
2022-05-15
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-19
Survey response — day 28, dose 4
MedDRA: Oedema peripheral — Feeling: Fair · Be unable to do your normal daily activities

Free text: Swelling under arm on side shot was given. Resolved after a few days

MedDRA releases: 2024-11 · check-in free text available
2022-06-02
Survey response — day 42, dose 4
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-07-23
Survey response — 3 months, dose 4
MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Off and on fatigue

MedDRA releases: 2024-11 · check-in free text available
2023-04-21
Survey response — 12 months, dose 4
MedDRA: Cardiac rehabilitation therapy, Ejection fraction decreased, Implantable defibrillator insertion — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-04-21
Report sent to call center — 12 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2023-04-24
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-17	Pfizer-BioNTech
2	2021-03-10	Pfizer-BioNTech
3	2021-09-28	Pfizer-BioNTech	No
4	2022-04-21	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-11	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-04-09	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-19	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-27	Successful 2021-10-29	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2023-04-21	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-11

Healthcare visit (other): Phone call with Doctor regarding fever. She prescribed ibuprofen for fever and headache

2021-03-13

Systemic reaction (other): Lower back pain, constipation

2021-03-14

Systemic reaction (other): Bump on left leg

2021-03-16

Systemic reaction (other): Still have bump on left leg

Release 7 — day 28, dose 2

2021-04-09

Symptoms: Panniculitis flae

Release 7 — day 35, dose 2

2021-04-18

Symptoms: Headaches come and go

Release 9 — 3 months, dose 2

2021-06-10

Symptoms: Migraines seem more frequent.

Release 10 — day 14, dose 3

2021-10-12

Symptoms: Sore throat

Release 10 — day 21, dose 3

2021-10-19

Symptoms: Throat upper respiratory infection .on antibiotic

Release 10 — day 28, dose 3

2021-10-27

Symptoms: Cold sore on lip. Dr prescribed valtrex.

Release 11 — day 28, dose 4

2022-05-19

Symptoms: Swelling under arm on side shot was given. Resolved after a few days

Release 11 — day 42, dose 4

2022-06-02

Symptoms: Sore throat

Release 12 — 3 months, dose 4

2022-07-23

Symptoms: Off and on 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	Cardiac rehabilitation therapy	·	·	✓
HCVO	Headache	✓	✓	✓
HCVO	Implantable defibrillator insertion	·	·	✓
HCVO	Medical counselling	✓	✓	✓
HCVO	Pyrexia	✓	✓	✓
SD	Ejection fraction decreased	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Oedema peripheral	·	·	✓
SD	Oral herpes	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Panniculitis	✓	✓	✓
SD	Pharyngitis	·	·	✓
SD	Upper respiratory tract infection	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Constipation	✓	✓	✓
SRO	Nodule	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓

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