ZTM-20593-20402

2 vaccinations 8 coded responses 14 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 919 / CA
Registered: 2021-04-14

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-23
Dose 1 — Pfizer-BioNTech
2021-04-13
Dose 2 — Pfizer-BioNTech
2021-04-14
Registered in v-safe
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Dysgeusia, Medical counselling, Neck pain, Office visit, Pain, Tenderness, Vulvovaginal pain — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Vaginal pain around my labia, tenderness in my left armpit, nexk pain, the taste of medicine innthe back of my throat before taking tylenol to alieviate pain. · Healthcare visit (other): Called my Drs ofc and spoke with nurse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Pollakiuria — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness, Abdominal pain

Free text: Frequent utination today too

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness

Free text: Tiredness most likely due to late night studies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling hot — Feeling: Good

Free text: Feeling ver warm inside and need to be near the fan

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — day 7, dose 2
MedDRA: Headache, Insomnia — Feeling: Good · Site: Pain · Headache

Free text: Ive had headache severalndays. Difficulty sleeping past theee nights

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-25
Survey response — day 42, dose 2
MedDRA: Blood pressure abnormal, Dyspnoea, Fatigue, Headache, Hypertension, Office visit, Vision blurred — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Labored breathing during fast paced walking. Tired a lot. Blood pressure reading sent me to urgent care. · Healthcare visit (other): Experiencing blurred vision difficulties, headaches, tiredness, severely high pressure readings

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-13
Survey response — 6 months, dose 2
MedDRA: Flank pain — Feeling: Good

Free text: Soreness on my left side

MedDRA releases: 2024-11 · check-in free text available
2022-04-01
Call successful
Does not wish to fill out VAERS report
2022-04-15
Survey response — 12 months, dose 2
MedDRA: Fatigue, Insomnia — Feeling: Good

Free text: Difficulty sleeping. Tiredness

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-23	Pfizer-BioNTech
2	2021-04-13	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-04-14	Successful	Does not wish to fill out VAERS report
2021-05-25	Successful 2022-04-01	Does not wish to fill out VAERS report

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-14

Systemic reaction (other): Vaginal pain around my labia, tenderness in my left armpit, nexk pain, the taste of medicine innthe back of my throat before taking tylenol to alieviate pain.

Healthcare visit (other): Called my Drs ofc and spoke with nurse

2021-04-15

Systemic reaction (other): Frequent utination today too

2021-04-17

Systemic reaction (other): Tiredness most likely due to late night studies

2021-04-19

Systemic reaction (other): Feeling ver warm inside and need to be near the fan

Release 7 — day 7, dose 2

2021-04-20

Systemic reaction (other): Ive had headache severalndays. Difficulty sleeping past theee nights

Release 8 — day 42, dose 2

2021-05-25

Symptoms: Labored breathing during fast paced walking. Tired a lot. Blood pressure reading sent me to urgent care.

Healthcare visit (other): Experiencing blurred vision difficulties, headaches, tiredness, severely high pressure readings

Release 10 — 6 months, dose 2

2021-10-13

Symptoms: Soreness on my left side

Release 11 — 12 months, dose 2

2022-04-15

Symptoms: Difficulty sleeping. Tiredness

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	Fatigue	✓	✓	✓
HCVO	Headache	✓	✓	✓
HCVO	Hypertension	✓	✓	✓
HCVO	Medical counselling	✓	·	✓
HCVO	Office visit	○	✓	○
HCVO	Vision blurred	✓	✓	✓
SD	Blood pressure abnormal	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Flank pain	·	·	✓
SD	Insomnia	·	·	✓
SD	Office visit	✓	✓	✓
SRO	Axillary pain	○	✓	○
SRO	Dysgeusia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Neck pain	✓	·	✓
SRO	Pain	○	✓	○
SRO	Pollakiuria	✓	✓	✓
SRO	Tenderness	✓	✓	✓
SRO	Vulvovaginal pain	✓	✓	✓

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