ZTL-44936-31204

2 vaccinations 7 coded responses 22 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 531 / WI
Registered: 2021-01-20

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

2021-01-20
Registered in v-safe
2021-01-20
Dose 1 — Pfizer-BioNTech
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-01-27
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-10
Dose 2 — Pfizer-BioNTech
2021-02-10
Health check-in — day 0, dose 2
Feeling: Fair · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Chills, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Rhinorrhoea, Sneezing — Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Runny nose, sneezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — day 7, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-02-24
Health check-in — day 14, dose 2
Feeling: Fair

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

Adult check-in
2021-03-10
Survey response — day 28, dose 2
MedDRA: Abdominal discomfort, Fatigue, Gastroenteritis viral, Influenza virus test negative, Pain, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activities

Free text: Fatigue, body pain, gastrointestinal symptoms. Was tested for Covid-19 and inflenza. Both negative. Diagnosed with stomach flu

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — day 35, dose 2
MedDRA: Diarrhoea, Fatigue, Insomnia, Oropharyngeal pain, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Can't sleep, diarrhea, fatigue, sore throat, sniffles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — day 42, dose 2
MedDRA: Confusional state, Diarrhoea, Fatigue, Insomnia, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cannot sleep, pain all over, loose bowels, mental confusion, extreme fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — 3 months, dose 2
MedDRA: Chest pain, Dyspnoea, Fatigue, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Sharp pains in my chest, get out of breath, fatigue Checked my heart, everything is fine there, further testing to be done · Healthcare visit (other): Saw my cardiologist, had a lexiscan

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
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)
2021-08-11
Survey response — 6 months, dose 2
MedDRA: Back pain, Chest pain, Dyspnoea, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: Pain in chest and back, difficulty breathing, especially when I exert myself. · Healthcare visit (other): I have consulted my cardiologist, been referred to a pulmonologist, both who have done a variety of tests. My rheumatologist is now caring for me as well My

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-11
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)
2021-08-13
Call 1 — Left Voicemail
2022-02-10
Survey response — 12 months, dose 2
MedDRA: Chest pain, Dyspnoea, Fatigue — 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: Fatigue, breathing problems, chest oain

MedDRA releases: 2024-11 · check-in free text available
2022-02-10
Report sent to call center — 12 months, dose 2
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 · 1 call case(s)
2022-02-11
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-20	Pfizer-BioNTech
2	2021-02-10	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-05-13	Unsuccessful
2021-08-11	Unsuccessful
2022-02-10	Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-16

Systemic reaction (other): Runny nose, sneezing

Release 5 — day 28, dose 2

2021-03-10

Symptoms: Fatigue, body pain, gastrointestinal symptoms. Was tested for Covid-19 and inflenza. Both negative. Diagnosed with stomach flu

Release 5 — day 35, dose 2

2021-03-17

Symptoms: Can't sleep, diarrhea, fatigue, sore throat, sniffles

Release 6 — day 42, dose 2

2021-03-24

Symptoms: Cannot sleep, pain all over, loose bowels, mental confusion, extreme fatigue

Release 8 — 3 months, dose 2

2021-05-13

Symptoms: Sharp pains in my chest, get out of breath, fatigue Checked my heart, everything is fine there, further testing to be done

Healthcare visit (other): Saw my cardiologist, had a lexiscan

Release 9 — 6 months, dose 2

2021-08-11

Symptoms: Pain in chest and back, difficulty breathing, especially when I exert myself.

Healthcare visit (other): I have consulted my cardiologist, been referred to a pulmonologist, both who have done a variety of tests. My rheumatologist is now caring for me as well My

Release 11 — 12 months, dose 2

2022-02-10

Symptoms: Fatigue, breathing problems, chest oain

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	Abdominal discomfort	✓	✓	✓
SD	Back pain	✓	·	✓
SD	Chest pain	✓	✓	✓
SD	Confusional state	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastroenteritis viral	✓	✓	✓
SD	Influenza virus test negative	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sneezing	✓	✓	✓

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